English French Notes Complete/Exclude Transmission Statement Total : CCPC Statements Printed Total : Total Not Printed : This data can only be entered between the 1st and the 7th of the month. Enter Month/Year of Waiver Data You must enter month and year # OF BILLS: Is Data Correct Line Number to Edit Data Entry for Line Enter Total Number of Bills Enter Total Amount No Forward Jumping Allowed Initial Waiver Request Waiver Request Resolved Appeal Waiver Appeal Waiver Resolved Waiver Approved Refund Appeal Approved Refund SC Pharmacy Co-Pay Waiver Data for Site Rx Copay Waivers-Site # Pharmacy Co-pay Waiver Report: There were no debtors who defaulted on their repayment plan yesterday. There were no debtors with repayment plans who had new active bills yesterday. AR REPAYMENT PLAN MONITOR G.RC REPAY PLANS The following debtors just defaulted on a Repayment Plan by not making a scheduled payment on or before the scheduled payment date: The following debtors with a Repayment Plan had a new active bill entered: New Bill The following mailman message is your Accounts Receivable assignment list. ASSIGNMENT #: ACCOUNT BILL# CATEGORY ACTIVATE TOTAL BILL COUNT FOR ASSIGNMENT: [Not Specified] SUMMARY OF ALL ASSIGNMENTS ALL BILLS FOR ALL ASSIGNMENTS COUNT: * indicates patient has expired COUNT: d indicates bill has been forwarded to DMC COUNT: t indicates bill has been forwarded to TOP COUNT: r indicates bill is under a repayment plan COUNT: R indicates bill in default of repay plan COUNT: AR Assignment List for TOTAL BILL COUNT FOR ALL CLERKS: TOTAL BILL DOLLARS FOR ALL CLERKS: IBJD WORKLOAD ASSIGNMENT AR Supervisor List for [RECEIVABLE TYPE equals [CATEGORY equals [MINIMUM BILL BALANCE greater than [DAYS SINCE LAST PAYMENT greater than [PATIENT NAME is after and before [PATIENT SSN is after [DAYS SINCE LAST TRANSACTION greater than [INSURANCE COMPANY NAME is after Notice Of Active Bill Without Principal Balance The following bill has a 0 principal balance, but has interest/admin charges remaining. These charges should be exempted BILL #: Deletion of Debtor from DMC The following patient has a DMC balance of '0' and will be deleted from the DMC system: DEBTOR: INACTIVE BENEFIT Death Notice Received From DMC DMC has received a death notice for the following patient: Date Of Death: Please follow up locally to have this information entered into the local VAMC patient file. The following debtors will not be followed by DMC and are being deleted from the DMC. Patients Deleted From DMC: (SEQ. #: The following debtors have invalid debtor numbers Please verify the debtors Notice of Invalid Debtor Number END OF TRANSMISSION FOR SITE# : TOTAL RECORDS: XXX@Q-DMX.MED.VA.GOV XXX@Q-DMR.MED.VA.GOV /DMC REPORT WEEKLY UPDATE MASTER FILE RECORDS SENT TO DMC ON Name Last4 Principle Interest Admin Total Total Records Sent: Principle: Interest: Admin: Total: Notice of debtor eligible for DMC with Pseudo-SSN The following patient is eligible for DMC collection, but can not be submitted because of a Pseudo-SSN. A valid SSN needs to be entered for this patient. DMC 90 DAY REFERRAL REPORT Select type of report Enter 'D' or 'S': A detailed report prints out current totals for each individual debtor at DMC. A summary report prints out current totals of all accounts at DMC. Mailgroup 'DMR' to receive master transaction messages has been set up Mailgroup 'DMX' to receive weekly transacton messages have been sent up. ****Remember to add users to these mailgroups.**** DMC Lesser Withholding... Amount entered exceeds the amount currently at DMC which is Re-enter lesser amount Deletion of Debtor From DMC Enter Debtor To Be Removed From DMC: Are you sure you wish to delete this debtor from DMC? Notice of Unknown/Corrupted Address to DMC Master Record-Monthly was not sent because: Address is . Verify and re-enter address for the following patient: PLEASE NOTE: SENT WEEKLY UPDATE WITH ZERO BALANCE! This option will allow you to select a new account. RCDP TRANSACTIONS LIST RCDP BILL PROFILE There are NO bills to profile. ***** Select an ACCOUNT ***** ***** Account does not have any bills ***** TOTAL BALANCE OWED FOR ALL BILLS DISPLAYED Pending Payments TOTAL PENDING PAYMENTS TOP Hold Date: RCDP ACCOUNT PROFILE ACCOUNT NOT selected. RX Copay Exempt: ACCOUNT BALANCE: Unknown ACCOUNT BALANCE: Pending Payments: Select ACCOUNT or BILL NUMBER: NO STREET This option will allow you to specify which bill statuses to display. *:ALL statuses;-:NO statuses; Select STATUS of bills to display: When using this option, you have the option to select bills to display by status. You can select a list of statuses of the bills to display. After you select the list of statuses, the option will retain the list of selected statuses for the next time you enter this option. Since you currently do not have any statuses selected for your list, the default statuses of active, open, pending calm, and refund review will be automatically selected for your list now. The following is a list of available statuses for bills: ** indicates account has bills under status ** Date Trans Date Type Amount Description Qty Outpatient Visit Date: Inpatient Adm Date: Repayment Plan Data Repayment Plan Date Day of Month Payment Due Repayment Amount Due Number of Payments Forwarded to IRS On Date Principal Balance: Interest Balance: Administrative Balance: Forwarded to DMC Forwarded to TOP TOP Hold Date: Insurance Data Insured Name ID Number Group Name Group Number Employer Name Employee ID Number Employer Location Secondary Ins Carrier Tertiary Ins Carrier Date Prepared Date Activated Date Status Up Resulting From Type of Care Interest Effective Rate Date: Annual Rate: Admin Effective Rate Date: Monthly Rate: Last Int/Admin Charge Date Bill Balances Billed Paid Original Amt: Medicare Contr Adj: Marshall Fee: Court Cost: Administrative: Medicare Unreim Exp: Refunded Amount Accounting Data Fiscal Year Approp Code Rev Srce Code: Collection Follow up Data IRS Letter DC/DOJ Ref Date ***** ACCOUNTS RECEIVABLE BILL PROFILE FOR There are NO transactions to profile. RCDP TRANS PROFILE TOTAL BALANCE FOR BILL STORED BALANCE FOR BILL (** INCORRECT **) Bill Balance: Select BILL: original amount^ This option will confirm a deposit. Once a deposit is confirmed, receipts can no longer be added or changed on the deposit. Before a deposit can be confirmed all receipts must be processed and the cash receipt code sheets accepted by FMS. Deposit NOT Confirmed. Use the Edit Deposit option to enter missing bank data. Checking receipts on deposit ... ON LINE ENTRY Cannot confirm deposit until all receipts are closed and the cash receipt documents have been accepted in FMS. All receipts are closed and accepted. Checking the deposit bank data ... BANK is missing. BANK TRACE NUMBER is missing. AGENCY LOCATION CODE is missing. AGENCY TITLE is missing. RCDP RECEIPT PROFILE There are NO receipts to profile. This option will allow the user to customize the screen and options used for deposit processing. Do you want to turn on the display of the FMS CR documents Are you sure you want to CONFIRM this deposit RCDP DEPOSIT PROFILE *** No RECEIPTS for this deposit *** TOTAL DOLLARS FOR DEPOSIT Bank Trace Number: Agency Location Code: Agency Title: FMS CR Documents Deposit Status: Deposit Date: accounts receivable Opened By: Date/Time Opened: Confirmed By: Date/Time Confirmed: Deposit confirmed on Exit option entirely Another user is editing the deposit. Sent to: PRCAY PAYMENT SUP security key holders This deposit was confirmed and the following action occurred: Deposit Processing Audit Accounts Receivable Package Select DEPOSIT: Print Summary 215 Report RCFMSCR_SUM Appropriation: INT: TOTAL for 0160a1 sub-totals Champva receipts not sent to FMS on the CR document. INTEREST : (APP: 1435) ADMIN : (APP: 3220) MARSHALL : (APP: 0869) COURTCOST: (APP: 0869) TOTALS: TOTAL AMT POSTED FOR RECEIPT: **** GRAND TOTALS FOR DEPOSIT: Total Appropriation: not sent to FMS on the CR doc. Total Appropriation: 3875 TOT AMT POSTED FOR DEPOSIT: Appropriation: 3875 TOTAL for 3875 ACCRUED OR DETAILED REPORT A DETAILED Report will list out accrued bills separately An ACCRUED Report will list just the accrued total under each appropriation 215 DEPOSIT SUMMARY REPORT DEPOSIT #: FMS Document #: REFERENCE ERA #: Start with Deposit Date: FIRST// AR - List of unlinked EFT deposit payments RCDPE8NZZ_EFT DEPOSIT DATE: TASK STOPPED BY USER!! NO RECEIPT PAPER EOB MATCHED TO ERA #: (TOTALS MISMATCH) NO FMS DOCUMENT UNAPPLIED EFT PAYMENT DEPOSITS DEPOSIT # DEPOSIT DATE TOT AMT OF DEPOSIT TOT AMT UNPOSTED TRACE # PAYMENT AMT RECEIPT # ERA MATCHED FMS DOC #/STATUS EDI LBOX ERA UNMATCHED AGING REPORT FOR EDI LBOX EFT UNMATCHED AGING REPORT FOR Enter the minimum # of days elapsed before including on report (0-1000): DO YOU WANT (S)UMMARY OR (D)ETAIL?: AR - EDI LOCKBOX ERA AGING REPORT RCERA_AGED RCERA_ADJ (HAC ERA) #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################