English French Notes Complete/Exclude Entry Do you want to continue anyway You selected one buffer entry, but it is not buffer entries, but none of them are buffer entries, but one of them is not buffer entries, but of them are not IBCNB INSURANCE BUFFER ENTRY Buffer entry created on Buffer entry verified on This screen displays all data in a Buffer File entry. The actions allow editing of all data and verification of coverage. It is not necessary to use the Verify Entry action, this action is optional. If the Verify Entry action is not used, the policy will be automatically flagged as verified when it is Accepted and stored in the main Insurance files. Insurance Company Information Reimburse?: Billing Phone: Precert Phone: Remote Query From: Group/Plan Information Group Plan?: Require UR: Group Name: Require Amb Cert: Group Number: Require Pre-Cert: Type of Plan: Exclude Pre-Cond: Benefits Assignable: Policy/Subscriber Information Whose Insurance: Insured's Name: Expiration: Subscriber Id: Primary Provider: Relationship: Provider Phone: Insured's DOB: Coord of Benefits: Insured's SSN: Employer Sponsored Group Health Plan?: Subscriber's Employer Information Employer Sponsored?: Employment Status: Claim to Employer: Retirement Date: Employer Name: Employer Phone: Buffer Entry Information Date Entered: Date Verified: Verified By: eIIV Processed Date: eIIV Trace #: User Requested Inquiry?: Current IIV Status: No problems identified, Awaiting electronic processing Manually verified, No IIV activity at this time Prior Status: Eligibility Communicator Error Information Date of Future Transmission: IBCNB INSURANCE BUFFER LIST Buffer File entries not yet processed. (sorted by This screen lists all Insurance plans and policies in the Insurance Buffer that have not yet been processed (accepted or rejected). Flags displayed on screen if they apply to the Buffer entry: i - Patient has other currently effective Insurance I - Patient is currently admitted as an Inpatient E - Patient has Expired Y - Means Test Copay Patient H - Patient has Bills On Hold * - Buffer entry Verified IIV Electronic Insurance Verification Status The following IIV Status indicators may appear to the left of the patient name: + - Insurance information was positively verified via electronic inquiry ? - Electronic inquiry was sent and awaiting a reply ! - Unable to electronically verify the insurance information Insurance Company identification may be a problem Manual intervention may be required Please use the Expand Entry option to see more information - - Insurance company denied carrying the patient's insurance When an entry is Processed it is either: Accepted - the Buffer entry's data is stored in the main Insurance files. - the modified Insurance entry is flagged as Verified. Rejected - the Buffer entry's data is not stored in the main Insurance files. Once an entry is processed (either accepted or rejected) most of the data in the Buffer File entry is deleted leaving only a stub entry for tracking and reporting purposes. The IB INSURANCE SUPERVISOR key is required to either Accept or Reject an entry. There are no Buffer entries that have not been processed. PreRg IBCNB INSURANCE BUFFER PROCESS This screen displays a summary of the chosen Buffer entry in the header. The list portion of the screen may display either: 1) a list of all of the patient's current and past insurance policies, followed by a list of any Group/Plan that has a Group Name or Group Number that may match the Buffer entry's. 2) a list of all of the Group/Plans for a user specified insurance company. Use the 'Insurance Co/Patient' action to toggle between these two screens. Flags: '~' company/group is inactive '-' individual patient policy Bold Data: If one of the following Buffer File entry data elements matches all or the first part of the corresponding data element of the policy or group/plan being displayed then the matching part of the data element will be displayed in bold characters: Subscriber Id, Insurance Company Name, Group Number, Group Name, Type of Plan Bold Number: On the Group/Plan lists, the number preceding the group/plan being displayed will be in bold if the patient is already a member of that plan. Patient's Existing Insurance Insurance Company Group # Subscriber Id Holder Effective Expires No Insurance Policies on file for this patient. Existing Plans for Group Name Group # Type of Plan No Insurance Group/Plans on file for this Insurance Company. Any Group/Plan that may match Group Name or Group Number Insurance Company Group Name Group Number No Group/Plans found that Match the buffer entry's Group Name or Group Number. Select INSURANCE COMPANY MEDICARE (WNR) You may add a new Insurance Buffer entry or edit an entry you have already created for this patient. Insurance Company name must be 3-30 characters. To 'fast enter' Medicare coverage information, please enter 'MEDICARE (WNR)'. Edit existing Insurance Buffer entry for this patient This option adds or edits insurance information in the Insurance Buffer File. This is a temporary file that will hold all new insurance information until authorized insurance personnel can coordinate this new information with the patient's existing insurance. You may add a new Buffer entry or edit a Buffer entry that you previously created for this patient if that entry has not yet been processed by insurance personnel. Please enter all available insurance information. INSURANCE BUFFER ACTIVITY REPORT This report contains the counts and time statistics for all activity in the Insurance Buffer. NOT PROCESSED New Compan New Group/Plan New Patient Polic INSURANCE BUFFER ACTIVITY REPORT INSURANCE BUFFER INSURANCE EMPLOYEE REPORT This report produces counts and time statistics for Insurance Employees that have either Verified or Processed (Accept/Reject) an Insurance Buffer entry. Verifies or Processes INSURANCE BUFFER EMPLOYEE REPORT EMPLOYEE: Enter 'V' for a report based on employees that verify or process (accept/reject) buffer entries. Enter 'E' for a report based on employees that create new buffer entries. This report may be printed for those employees that create Buffer entries, primarily non-Insurance personnel or for those employees that verify and process (accept/reject) Buffer entries, primarily Insurance Personnel. Include which Type of Employee Report of activity in the Buffer file by Employee and date range. Enter 'S' to include only a single employee in the report. Enter 'A' to include all employees in the report. Include Selected or All Employees Select an Employee that Buffer entries: date to include in the report. Enter a date from the date of the first Buffer entry to today. Enter No if only totals for the date range should be reported. Enter Yes if the report should be broken down by month. Report By Month INSURANCE BUFFER EMPLOYEE REPORT This report produces a count of the number of entries added to the Buffer file for a specified date range sorted by employee. Also included are sub-totals and percentages based on the current status of those entries. Enters/Creates INSURANCE BUFFER (ENTERING) EMPLOYEE REPORT NOT YET INS CO INSURANCE BUFFER PURGE This option will purge Buffer file records Processed before a given date. When a Buffer record is Processed a stub entry remains in the Buffer file for tracking and reporting purposes. This option deletes all stub entries of Buffer records processed at least a year ago. Once a record is purged, it can not be retrieved and will no longer be included in Buffer reports. To maintain a record of the Buffer activity, consider printing the Buffer reports for the date range you are going to be purging. All Buffer records that were Processed before the selected date will be deleted. A minimum of 1 year of Buffer records is maintained on line, therefore the latest selectable date is 1 year ago. Enter a date on or before or '^' to exit. Purge Buffer Records Processed Before Enter Yes to continue the Purge. Enter No to stop the process before deleting any Buffer records. Ok to Purge Buffer records Processed before Purge Insurance Buffer Purge of Insurance Buffer queued for this evening at 8:00pm. Select INSURANCE COMPANY: Verified: Verif By: Sub Id: Insurance: Group #: Another user is currently editing/processing this entry, please try again later. The left side of the display contains data from a buffer file entry. BOLD: buffer data that is printed in bold will be added to the existing insurance entry if the MERGE option is used. The right side of the display contains data from an existing insurance entry. BOLD: existing insurance data that is printed in bold will be replaced with the corresponding buffer entry data if the OVERWRITE option is used. When a buffer entry is determined to be a match with an existing insurance entry, these are the options that may be used to move the data from the buffer entry to the insurance entry: MERGE: Data from the buffer entry will be saved to the insurance entry ONLY if the corresponding data field in the insurance entry is blank. Therefore only blank fields in the insurance entry will be filled, any existing data in the insurance entry will remain unchanged. OVERWRITE: ALL non-blank data in the buffer entry will be saved to the insurance entry. If a buffer entry field has a value it will be saved to the corresponding insurance entry field. Therefore blank insurance fields will be filled and existing insurance data replaced. REPLACE: ALL fields in the buffer entry will be saved to the insurance entry, including blank fields. Therefore all data in the insurance entry will be deleted then completely replaced by the buffer entry. NO CHANGE: This option may be used to identify the Insurance entry that corresponds to a buffer entry without actually changing any of the Insurance Information. The Buffer data is ignored. INDIVIDUALLY ACCEPT (SKIP BLANKS): This option may be used to accept only non-blank specific fields from the buffer entry into the Insurance entry. Only those values accepted by the user will replace the corresponding fields in the Insurance entry. Options for moving Buffer data to Insurance files: MERGE: Save buffer data only if Insurance field is blank. OVERWRITE: Save all non-blank fields in Buffer to Insurance fields. REPLACE: All data deleted from Insurance fields and replaced with Buffer data. NO CHANGE: The buffer data is ignored, the Insurance entry will not be changed. INDIVIDUALLY ACCEPT (SKIP BLANKS): Save non-blank user-confirmed Buffer fields. IBCNE AUTO MATCH BUFFER LIST These are Insurance Company names from the Insurance Buffer file that do not exist in the Insurance Company file (either as Names or as Synonyms). They also do not exist or pattern match with any entry in the Auto Match file. There is no data to display. There are three main actions you may take on this screen. You may select an action by typing in the first character of the action. Select Entry You choose a single insurance company name from the list. This name becomes the default Auto Match value for a new Auto Match entry. You may then associate this Auto Match value with a valid insurance company name. Auto Match Enter/Edit This action will take you to the Enter/Edit Auto Match Entries option. You may add, edit, or delete multiple Auto Match entries in this option. Exit out of this option. IBCNE IIV AUTO MATCH You don't hold the proper security key to access this function. The necessary key is IBCNE IIV AUTO MATCH. Please see your manager. There are no entries in the list. Select Entry Please enter the line number corresponding to the insurance company name. The valid range of line numbers is displayed in the prompt. The insurance company name you select will be used as the default response for a new Auto Match entry. You may either accept this entry as is or you may modify it by changing the spelling or by adding wildcard characters. has already been added to the Auto Match file. Enter/Edit Insurance Company Name Auto Match Entries This option will allow you to enter, edit, and manage the entries in the Insurance Company Auto Match file. This file will aid in the proper selection of Insurance Companies by associating together a valid, correct Insurance Company name with an incorrect entry that a clerk may enter during data entry. Select an Auto Match Entry: This entry has been deleted. is now associated with Response is too long. 30 characters maximum. Response is too short. 3 characters minimum. Wildcarded entries must have at least 4 non-wildcard characters. IBCNEAME ICH For your information, no insurance company names or synonyms passed a pattern match on ' For your information, the following insurance company names and synonyms passed a pattern match on ' (Synonym for You must choose a valid insurance company name. Enter ?? for more info. INTERFACE,IB IIV Error returned by $$ADDSTF^IBCNBES: Values: Patient DFN = Pt Ins Record IEN = Error creating Buffer Entry ~NO PAYER stale days IIV Problem: Trouble setting entry in File 365.1 Tried to create an entry in the IIV Transmission Queue File #365.1 without Error encountered: The data that was to be stored is as follows: Transaction #: Extract: Payer: IIV Daily Statistics E-Mail TaskManager could not schedule the daily IIV MailMan message at the specified time of This is defined in the IIV Site Parameters option. IIV Statistical Message Not Sent Ready to Transmit #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################