English French Notes Complete/Exclude Run report for (A)CTIVE ARs, (S)USPENDED ARs, or (B)OTH: B// AaBbSs Include (A)LL ARs or those within an AGE (R)ANGE: ALL// EXAMPLE Range: 31-60 days Enter the minimum age of the receivable: Enter the maximum age of the receivable: Enter the minimum balance amount of the receivable: Include the bill comment history with each receivable Print (A)LL comments or the (M)OST RECENT comment: Minimum age of most recent bill comment (optional): Include ARs referred to Regional Counsel It is recommended that you queue it to run after normal business hours. IB - FIRST PARTY FOLLOW-UP REPORT This job has been queued. The task no. is First Party Follow-Up Report Cat^Patient^VA Empl.?^SSN^Dt Death^Prim.Elig.^Med.Elig.?^ Means Tst Sts^Means Tst Dt^RX Copay Exemp.Sts^RX Copay Exemp.Dt^ Bill #^Act/Susp^Refer. to^Dt Bill prep.^Last Pymt Dt^ Curr.Bal.^Princ.Bal.^Int.^Admin.^Last Comm.Dt^Days Lst Comm. referred to REFERRED TO RC REFERRED TO DMC REFERRED TO TOP REPAYMENT PLAN ESTABLISHED (CURRENTLY IN DEFAULT) EMERG/HUMAN. C MEANS TEST RX COPAY/SC RX COPAY/NSC ADHC LTC DOM LTC RESPITE INPT LTC RESPITE OPT LTC GERIATRIC INPT LTC GERIATRIC OPT LTC NURSING HOME LTC There are no receivables for the parameters entered. Patient Name : Medicaid: RX Copay Status : Eligibilities : Additional Info : AND UNDER DAYS OLD LAST 4 SSN MINIMUM BALANCE LESS THAN / RECEIVABLES REFERRED TO RC Type of Receivable EMERGENCY/HUMANITARIAN^INELIGIBLE^C-MEANS TEST & RX COPAY Principal Interest Account Balance: $ , '*' - VA EMPLOYEE , REFERRED TO RC , REFERRED TO DMC , REFERRED TO TOP , UNDER REPAYMENT PLAN , UNDER DEFAULTED REPAYMENT PLAN SUSPENDED There are no statistics for this category. FIRST PARTY FOLLOW-UP SUMMARY REPORT Run Date: RECEIVABLES OVER AND LESS THAN DAYS OLD / PATIENTS FROM ' / MINIMUM BALANCE: $ / RECEIVABLES REFERRED TO RC Choose which category of receivables to print: CHAMPUS/TRICARE PATIENT SHARING AGREEMENTS CHAMPUS THIRD PARTY CHAMPVA THIRD PARTY NOTE: CHAMPUS/Tricare Patient receivables will NOT be sorted by division! PHARMACY REFILL Enter the minimum age of the active receivable: Enter the maximum age of the active receivable: You should queue it to run after normal business hours. IB - CHAMPVA/CHAMPUS FOLLOW-UP REPORT CHAMPVA/CHAMPUS (Tricare) Follow-Up Report Patient^VA Empl.?^Age^SSN^Prim.Ins.Carrier^Other Ins.Carrier^ Dt Bill prep.^Bill From Dt^Bill To Dt^Subsc.ID^Bill #^ Orig.Amt^Curr.Bal.^Cat.^Bill Type^Lst Comm.Dt^Days Lst Comm.^ ALL ACTIVE OVER / BY PATIENT LAST 4 DIGITS OF SSN NOT OLDER THAN / '*' AFTER THE PATIENT NAME = VA EMPLOYEE Dte Bill Original Current Age SSN Other Insurance Bill Number Prepared Bill Frm Bill To Amount Balance CHAMPVA/CHAMPUS-Tricare Follow-Up Report There are no active receivables for the parameters above. CHAMPVA/CHAMPUS-TRICARE FOLLOW-UP SUMMARY REPORT NO-FAULT AUTO ACCIDENT TORT FEASOR WORKMEN'S COMP CURRENT EMPLOYEE EX-EMPLOYEE FEDERAL AGENCIES-REFUND FEDERAL AGENCIES-REIMBURSEMENT NOTE: The receivables of these types will NOT be sorted by division: These receivables will be sorted by PATIENT/SSN: These receivables will be sorted by DEBTOR: IB - MISC. BILLS FOLLOW-UP REPORT Miscellaneous Bills Follow-Up Report Division^Cat.^Prim.Ins.Carrier^Patient/Debtor^VA Empl.?^SSN^Age^ Other Ins.Carrier^Bill #^Dt Bill prep.^Bill From Dt^Bill To Dt^ Orig.Amt^Lst Pymt Amt^Curr.Bal.^Lst Comm.Dt^Days Lst Comm. Run Date: / BY DEBTOR NAME MINIMUM BALANCE / '*' AFTER THE PATIENT/DEBTOR NAME = VA EMPLOYEE Original Current Prepared From Dte To Date Amount Balance Date Bill Original Last Amt Current Debtor Bill Number Prepared Processed By Paid Balance MISCELLANEOUS BILLS FOLLOW-UP SUMMARY REPORT Print (C)URRENT, (D)EFAULTED Repayment Plans or (B)OTH: Minimum number of days defaulted: Print (M)CCR or (N)ON-MCCR Receivables: Do you want to include TOTALs by Patient This report requires a column printer. IB - REPAYMENT PLAN REPORT Repayment Plan Report There are no Repayment Plan for the parameters selected. ->REPAYMENT PLAN INCOMPLETE. PLEASE CHECK! Run Date: DEFAULTED REPAYMENT PLAN / MCCR RECEIVABLES ONLY / BY DEBTOR '*' AFTER THE NAME = DEBTOR HAS DEFAULTED ON A REPAYMENT PLAN Debtor Name Monthly Last Payment Def SUMMARY REPAYMENT PLAN REPORT MCCR RECEIVABLES Debtor^SSN^Plan Type^Death Dt^Bill #^Start Dt^Mo.Pymt Amt^ Due Day^Lst Pymt Dt^Lst Pymt Amt^Curr.Bal.^Pymts Due^Pymts Def. REPAYMENT PLANS Number of Bills: Number of Debtors Outstanding balance of Bills: Number of payments due: FROM Transaction Date: TO Transaction Date: Clerks^Clerk Do you wish to print with Clerk (N)ame or (I)dentifier? Choose transaction type(s) to print: Do you want to print the summary by Clerk IB - AR PRODUCTIVITY REPORT AR Productivity Report INCREASE ADJUSTMENT PAYMENT (IN PART) REFER TO RC REFER TO DOJ REESTABLISH TO RC RETURNED BY RC CASH COLLECTION BY RC WRITE-OFF TERMINATE BY FISCAL OFFICER TERMINATE BY COMPROMISE WAIVED IN FULL WAIVED IN PART ADMIN COST CHARGE INTEREST/ADMIN CHARGE EXEMPT INTEREST/ADMIN COST IN-ACTIVE NEW BILL PENDING APPROVAL PENDING CALM CODE COLLECTED/CLOSED MARSHAL/COURT COST REPAYMENT PLAN CANCELLED BILL BILL INCOMPLETE OLD BILL TERMINATE BY RC DEBIT VOUCHER (SF 5515) RETURNED FROM AR (NEW) RETURNED FOR AMENDMENT AMENDED BILL PAYMENT (IN FULL) DEC.ADJ./CONTR DEC.ADJ./NON-CONTR DELETE (AMEND) ADD (AMEND) RE-ESTABLISH REFUND REVIEW CHARGE SUSPENDED PENDING ARCHIVE There is no AR Productivity information for the parameters selected. COMMENT: CLERK # GRAND TOTALS Detail By Clerk Name Clerk Identifier Trx. Follow-Up SUMMARY AR PRODUCTIVITY REPORT Transaction Category Total Number Total Dollar Amt Select Clerk: There are existing assignments for this clerk. Those assignments must be deleted before the 'Productivity Report Only' flag can be changed to 'Yes'. Do you want to delete the existing assignments now Productivity Report Only? changed to 'YES'... Assignment # LAST PMT LAST TRX REC.TYPE EXCLUDE REFER MIN BALANCE TO REG COUNSEL LIMITED BY CARRIER/NAME/SSN (A)dd, (E)dit, or (D)elete Assignment Adding new assignment - # Choose a valid Assignment Number to delete Not a valid assignment number Assignment # No more valid assignments on file for this clerk. Changing the 'Productivity Report Only' flag to Yes. Choose a valid Assignment Number to edit: Must be a valid assignment listed above... Bill Category for assignment # EXCLUDE RECEIVABLES REFERRED TO RC LAST 4 OF SSN * The Go To Patient Name/SSN must follow after the Start With Name/SSN. * TYPE OF RECEIVABLE: START WITH INSURANCE CARRIER GO TO INSURANCE CARRIER * The Go to Insurance Carrier Name must follow after the Start with Insurance Carrier. * Sort Patients by (N)ame or (L)ast 4 of the SSN: Run list for (S)pecific clerks or (A)ll clerks: ALL// SAsa Already selected. Choose another clerk. This report requires an 80 column printer. IB - AR WORKLOAD ASSIGNMENTS LIST There is no AR Workload Assignment information for the parameters selected. Productivity report only? Assignment #: Bill Category: Min Acct Bal: Supervisor: Exclude Reg Counsel: ------ End of Assignment List ------ AR Workload Assignments List FIRST PARTY PARAMETERS: Days Since Last Payment First Patient Name Last Patient Name First Social Security Number Last Social Security Number THIRD PARTY PARAMETERS: Days Since Last Transaction First Insurance Carrier Last Insurance Carrier Pharmacy Refill All Receivables This report measures the number of registrations which are being entered without inconsistencies. Please enter a date range representing the dates that patients were first entered into the system. IB - COMPLETED REGISTRATIONS Completed Registrations Report There were no registrations with inconsistencies found in this date range. NON-VETERAN Percentage of Completed Registrations Detailed Report of Incomplete Registrations for the Period (*=Had inpat. care, +=Had no treatment) Primary Eligibility* Next Date of Type of Care Inconsistencies Registered By Appt/Adm Death PERCENTAGE OF COMPLETED REGISTRATIONS SUMMARY REPORT for For the Period Number of Registrations: Number of Regs with Treatment Rendered: Number of Regs with No Treatment Rendered: Number of Complete Registrations: Number of Complete Veteran Regs: Number of Complete Non-Veteran Regs: Number of Incomplete Registrations: #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################