308 lines
12 KiB
Plaintext
308 lines
12 KiB
Plaintext
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English French Notes Complete/Exclude
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New Policy:
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Previous Policy(s):
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Buffer Policy(s):
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Possible billable Inpt. Care:
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Possible billable Opt. Care:
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Added by:
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No Previous Policies On file!
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Insurance Co. Subscriber ID Group Holder Effective Expires
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Too many to list
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Outpatient Visit on
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No Scheduled appointments found.
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Currently an Inpatient on
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Entry Added to Claims Tracking for Current Admission.
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Previously an inpatient on ward
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Inpatient Admission on
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No Admissions found.
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No Insurance Buffer entries for this Patient.
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Ind. Plan
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You should prepare a claim to be sent to the CHAMPVA Center.
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This claim was sent to the CHAMPUS Supplemental insurance carrier.
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You should send a copayment charge to the patient.
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You should prepare a claim to send to the CHAMPUS Fiscal Intermediary.
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The patient has a CHAMPUS Supplemental policy.
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There is a
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payor associated with this claim.
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You may need to prepare a claim to be sent to
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Notification of Subsequent Payor
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A payment has been made on the following claim, which has been identified
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as potentially having a subsequent payor:
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Bill Number:
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Bill Type:
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Orig Amount: $
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Amount Paid: $
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Bill Sequence:
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Bill Payer:
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Primary Carrier:
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Secondary Carrier:
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Tertiary Carrier:
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Insurance Company Information for:
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Type of Company:
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Appeals Office Information
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Company Name:
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Inquiry Office Information
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Inpatient Claims Office Information
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Outpatient Claims Office Information
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Billing Parameters
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Signature Required?:
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One Opt. Visit:
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Rx Refill Rev. Code:
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Filing Time Frame:
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Type Of Coverage:
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Hosp. Provider No.:
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Prof. Provider No.:
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Primary Form Type:
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Verification Phone:
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Precert Comp. Name:
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Bin Number:
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Max # Test Bills/Day:
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Electronic Type:
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Electronic Transmit?:
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YES-LIVE
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TEST ONLY
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Main Mailing Address
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Claim Off. ID:
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Payer Information/Electronic Insurance Verification
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Payer Application data is not defined!
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Auto-Accept Info:
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Ident Req Subscr ID:
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SSN = Subscr ID:
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...edit to see more...
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IB INSURANCE SUPERVISOR
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You do not have access to Inactivate entries. See your application coordinator.
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Prescription Claims Office Information
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Provider ID Parameters
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Please note that Insurance Reviews have been conducted with this company!!
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IS CURRENTLY
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. DO YOU WISH TO
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Company should be INACTIVE if it is no longer
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active in your area. This will disallow users
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from selecting this insurance company entry.
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THERE
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ARE NO PATIENTS
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IS ONE PATIENT
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ARE MORE THAN 20 PATIENTS
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ARE
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COVERED BY THIS
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INSURANCE COMPANY....
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DO YOU WISH TO PRINT
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THE NAME OF THIS PATIENT
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A LIST OF ALL OF THE PATIENTS
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*** You will need a 132 column printer for this report. ***
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PATIENTS WITH INACTIVATED INSURANCE
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DO YOU WISH TO REPOINT
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THIS PATIENT
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THESE PATIENTS
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TO ANOTHER INSURANCE COMPANY
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REPOINT
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TO WHICH (ACTIVE) INSURANCE COMPANY:
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ARE YOU REALLY SURE YOU WISH TO INACTIVATE
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You are about to change
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to inactive.
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This means you will no longer be able to bill
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for its patients' charges.
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PATIENTS WITH
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IR?
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EXP DATE
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SUBSCR ID
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WHOSE INS
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Name Missing>
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Utilization Review Info
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Require UR:
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Require Amb Cert:
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Require Pre-Cert:
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Exclude Pre-Cond:
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Annual Benefit Dates
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No Annual Benefits Information
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*More dates on file - use AB to see them
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No User Information
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Entered By:
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Entered On:
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Last Updated By:
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Last Updated On:
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Plan Comments
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Active
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Plans for:
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Insurance Company
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* => Inactive Plan
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Pre- Pre- Ben
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Plan Information for:
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** Plan Currently
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Ina
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Plan Coverage Limitations
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Coverage Effective Date Covered? Limit Comments
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BY DEFAULT
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UNKNOWN
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This Insurance Company does not exist!
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This Insurance Company is still active! You must use the
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'Inactivate Company' action to inactivate this company before
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you can delete it.
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There are still patient policies with this company! These policies
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must be deleted or re-pointed to another company before you can
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delete the company.
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There are still Insurance Plans on file with this company! These plans
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Is it okay to
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this company
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information into the other
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The company was not deleted.
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>> Merging known Insurance Reviews into
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>> Merging known bills and receivables into
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AR Error:
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All done.
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for deletion...
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>> Queuing the final clean-up job...
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This job is already queued as task number
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IB - INSURANCE COMPANY DELETION
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The job has been queued to run
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. The task number is
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Unable to queue this job. Please contact your IRM Service.
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Insurance Company Deletion Clean-up Completion
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The final clean-up for deleted Insurance Company(s) has completed.
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Job Start Time:
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Job End Time:
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DELETED COMPANY
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REPOINTED TO
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not repointed
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1. Correction of the Disposition (sub-file #2.101) field
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'INJURING PARTIES INSURANCE' (#25)
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Number of Disposition records updated:
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The following dispositions had this field deleted and not merged:
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REPOINT PATIENTS TO^.16
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CLAIMS (INPT) COMPANY NAME^.127
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PRECERT COMPANY NAME^.139
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APPEALS COMPANY NAME^.147
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CLAIMS (OPT) COMPANY NAME^.167
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CLAIMS (RX) COMPANY NAME^.187
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2. Correction of other Insurance Company (file #36) records:
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Number of records with '
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The following companies had this field deleted and not merged:
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3. Correction of the Insurance Review (file #356.2) field
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'INSURANCE COMPANY CONTACTED' (#.08)
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Number of Insurance Review records updated:
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The following Insurance reviews had this field deleted and not merged:
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PRIMARY INSURANCE CARRIER^101
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SECONDARY INSURANCE CARRIER^102
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TERTIARY INSURANCE CARRIER^103
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4. Correction of Bill/Claims (file #399) records:
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The following bills had this field deleted and not merged:
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5. Number of updated secondary and tertiary carriers of AR receivables:
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>> This company is not established as a debtor in Accounts Receivable.
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>> There is a debtor, but no bills, for this company in Accounts Receivable.
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>> There is billing activity associated with this company!
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>> There are known Insurance Reviews associated with this company.
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** This company may be deleted from your system without merging. **
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You must merge the information from this company into another company!
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Please note that insurance policy and plan information was repointed to:
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ctive Company)
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Select Company to Merge Information:
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No 'merge' company selected!
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This company is not established as a debtor in Accounts Receivable!
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It will be established as a debtor prior to merging the billing activity.
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This action is designed to allow the deletion of Insurance companies
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which meet one of the following criteria:
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o The company was entered by error, and there is little or no insurance
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or billing activity associated with the company.
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o The company is really the same company as another entry in your file
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and you wish to merge all activity for the company to the other entry.
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It is not necessary, nor desirable, to delete every company which is inactive.
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There may be entries in various files which point to
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which are not immediately obvious.
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Merg
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Delet
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ing this company
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will cause a background job to be queued later in the day which will
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find all such entries and delete or merge these pointers as necessary.
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You will receive a mail message from the system when this job is complete.
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Please note that there is a potential problem where pointers will be
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deleted when there is no company into which the pointed fields may be
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merged. The mail message will indicate which records those are so they
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may be reviewed.
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If you wish to delete this company, enter 'YES.' Otherwise, enter 'NO.'
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If you enter 'YES,' all information pertaining to
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will be repointed to
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will then be flagged for deletion from your system.
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If you do not want this action to occur, enter 'NO.'
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IB,0),0)
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Amt. of Ded. Met:
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Coord. of Ben. Data:
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Outpatient Deductibles
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Deduct. Met?:
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Amt. of Ded. Met:
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MH Ded. (Opt.) Met?:
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Amt. of MH Ded. Met:
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Amt. Lifet. Max. Used:
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Amt. MH Lifet. Max. Used:
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Inpatient Deductibles
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MH Ded. (Inpt.) Met?:
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Amt. Lifet. Max Used:
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Amt. MH Lifet. Max Used:
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The way we store and think about patient insurance information has been
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dramatically changed. We are separating out information that is specific
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to an insurance company, specific to the patient, specific to the group plan,
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specific to the annual benefits available, and the annual benefits already
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To start, you must select the insurance company for the patient's policy.
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Now you may enter the patient specific policy information.
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Most of these fields will be familiar to experienced users. The field
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'SUBSCRIBER ID' used to be called 'INSURANCE NUMBER' and
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has been modified to allow entering just 'SS' to retrieve
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the patients SSN. This field is the identifier for the policy or patient
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that the carrier uses. See the new help.
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You can now edit information specific to the PLAN. Remember, updating
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PLAN information will affect all patients with this plan, if it is a
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group plan, and not just the current patient.
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Each Insurance policy entry for a patient must be associated with an
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Insurance Plan offered by the Insurance company you just selected.
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You will be given a choice of selecting previously entered Group Plans or
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you may enter a new one. If you enter a new Insurance Plan you
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must enter whether or not this is a group or individual plan.
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IBCN NEW INSURANCE EVENTS
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This plan has no company! Please contact your IRM for assistance.
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This action will allow you to inactivate an insurance plan.
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Inactivating a plan will inactivate all current subscribers to the plan.
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Do you wish to inactivate another plan
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To inactivate another plan, answer 'YES.' Otherwise, answer 'NO.'
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This is not a valid insurance plan!
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You cannot inactivate an Individual Plan!
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You must either delete the policy using the 'Delete Policy' action,
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or change the plan to which the patient has subscribed, using the action
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'Change Policy Plan'.
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There are no subscribers to this plan. Would you like to inactivate it
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There are currently subscribers to this plan.
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** There are Annual Benefits associated with this plan!
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** There are Benefits Used associated with this plan!
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Would you like to re-point these policies to a new plan
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Okay to inactivate this plan
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Plan Number:
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<not specified>
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Plan Name:
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This plan has already been inactivated!
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Do you wish to reactivate this plan
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To reactivate this plan, answer 'YES.' Otherwise, answer 'NO.'
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There are still subscribers to this plan. The plan cannot be deleted.
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There are still subscribers to this plan! Reactivating the plan will activate
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the policies of these subscribers.
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Is it okay to continue
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Answer 'YES' to reactivate this plan. Otherwise, answer 'NO.'
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The plan was not reactivated.
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Reactivating the plan...
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Please note there are no subscribers to this plan.
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Updating the 'Covered by Insurance?' field for all plan subscribers...
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If you wish to delete this inactive plan, answer 'YES.' Otherwise, answer 'NO.'
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The plan was not deleted.
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Deleting the plan...
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If you wish to change the subscribed-to plan of ALL policies which are
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currently associated with this plan, enter 'YES.' Otherwise, enter 'NO.'
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You may only repoint all policies to a single plan. If you enter 'NO,'
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you will receive a mailman message of all the inactivated policies which
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will result from inactivating the plan, and then you may use the 'Change
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Policy Plan' action to change the subscribed-to plan on an individual basis.
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The policies will not be re-pointed. You will receive a mail message of
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all the subscribers to this plan if you choose to inactivate it.
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Deleting the newly-added plan...
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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