308 lines
13 KiB
Plaintext
308 lines
13 KiB
Plaintext
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English French Notes Complete/Exclude
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Number of Incomplete Veteran Regs:
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Number of Incomplete Non-Veteran Regs:
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Number of Deceased Patients:
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Select: '<CR>' to print the trend report without regard to
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'Y' to select those divisions for which a separate
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trend report should be created
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'^' to quit
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OPT. MEDICAL
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OPT. DENTAL
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This report measures the number of patients who have been treated at the
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facility but whose eligibility has not been verified. This report will
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also list patients with verified eligibility for at least 2 years, if any.
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IB - UNVERIFIED ELIGIBILITY
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Unverified Eligibility Report
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S:IBQ SDSTOP=1 I 'IBQ,$$ENCHK^IBJDI5(Y0) D ENC^IBJDI21(Y0,.IBQUERY1)
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S IBDTF=Y0\1 S:IBDTF>IBLT IBLT=IBDTF I IBDTF'<IBBDT,IBDTF'>IBEDT S IBNUMO=IBNUMO+1
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There were no patients treated in this date range with unverified eligibility.
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Veterans with Unverified Eligibilities
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Patients who were treated in the period
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# Opt # Last Nxt Sched Date of
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Patient (*=Had inpt. care)
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Eligibility Status
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Visits Disc Seen Visit/Adm Death
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VETERANS WITH UNVERIFIED ELIGIBILITY
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Patients treated from
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Number of Patients Treated:
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Number of Patients with Verified Eligibility:
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Number of Patients Whose Verified Eligibility Date
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is At Least 2 Years Old (from above total):
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Number of Patients with a Pending Eligibility:
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Number of Patients Not Verified:
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This report provides a measure of the number of veteran patients who
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have been identified as being employed, but have no employer on file.
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IB - NO EMPLOYER LISTING
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No Employer Listing
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S IBOED=Y0,IBDT=+IBOED,IBDTF=IBDT\1 S:IBDTF>IBLT IBLT=IBDTF
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Patients without an employer treated in the period
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('*' = Had inpatient care)
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Employment Status
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Last Trmt Date
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NO EMPLOYER LISTING
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Number of Patients Employed without an Employer:
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Number of Patients Unemployed or with an Employer:
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*This is the total number of veterans who have no employer on file, but
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have an employment status of Full-Time, Part-Time, Retired, Unknown or
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This report provides the number of patients who have been treated,
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but not identified as having or not having insurance.
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Print 1-MAIN REPORT or 2-LINE ITEM REPORTS: 1//
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LINE ITEM REPORTS
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MAIN REPORT
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Do you want the patient's remarks to print on the report
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IB - PATIENTS WITH UNIDENTIFIED INSURANCE
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Select: '1' to print the Patients w/Unidentified Insurance Report
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'2' to print up to nine specific reports based on the line items
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of the summary report
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HEALTH MAINTENANCE ORGANIZ
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POINT OF SERVICE
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PREPAID GROUP PRACTICE PLAN
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MEDICARE (M)
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MEDICARE/MEDICAID (MEDI-CAL)
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MEDIGAP (SUPPLEMENTAL)
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INCOME PROTECTION (INDEMNITY)
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HEALTH MAINTENANCE ORG.
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Patients with Unidentified Insurance Report
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There were no
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during this period.
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Patients treated in the period
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NOTE: *=Had inpatient care, +=Billable insurance
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Home
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PATIENT INSURANCE STATISTICS
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Number of Patients Covered by Insurance:
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No. of Patients Covered by Billable Insurance:
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Number of Patients Covered by an HMO:
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Number of Patients Covered by Medicare:
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Number of Patients Covered by Medigap:
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No. of Patients Covered by an Indemnity Policy:
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Number of Patients Not Covered by Insurance:
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Number of Patients with Unknown Insurance:
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No. of Patients w/Insurance Question Unanswered:
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*(% from patients treated-% from patients with insurance)
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**(% from patients treated-% from patients w/ins-% from patients w/billable ins)
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This report provides a number of the insurance policies which were
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entered into the system within a given timeframe, but were never verified.
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Do you want to print a
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separate report for
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total number of
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policies that were verified
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over a year ago
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IB - INSURANCE POLICIES NOT VERIFIED
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Insurance Policies Not Verified
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NO CARE OR TREATMENT REQUIRED
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All policies within the selected date range have been verified.
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Insurance Policies
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Verified Over a Year Ago
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For Patients treated for the period
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('*' = Had inpatient care)
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Policy Entered By Date Entered
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Policy
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Verif'd
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INSURANCE POLICIES NOT VERIFIED
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/VERIFIED OVER 1 YEAR
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For Patients treated from
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Number of Policies Verified:
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Number of Policies Verified Over a Year Ago:
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Number of Policies Not Verified:
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This report provides a number of the NSC inpatient episodes for SC veterans
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which have and have not been billed.
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IB - SC VETS W/ NSC EPISODES
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SC Vets w/NSC Episodes
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All NSC episodes for SC veterans in the selected date range have been billed.
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There were no NSC episodes found in the selected date range.
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Insured SC Vets w/ Unbilled NSC Care
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For Patients discharged in the period
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PTF Status
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Adm Date
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Disc Date
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INSURED SC VETERANS W/ UNBILLED NSC INPATIENT EPISODES
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For Patients discharged from
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Number of Discharges of Insured SC Veterans:
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Discharges Which were totally Service-Connected:
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Discharges Which included Non-Service Connected Care:
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Number of NSC Discharges Which were Billed:
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Number of NSC Discharges Flagged as Non-Billable:
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Number of Unbilled NSC Discharges:
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Unbilled NSC Discharges w/ PTF Status of
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Outpatient Services that are provided in the Medical Center.
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IB - OUTPATIENT WORKLOAD REPORT
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S:IBQ SDSTOP=1 D:'IBQ ENC^IBJDI7(Y,Y0)
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Outpatient Workload Report
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TOT-A
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TOT-I
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NSC-A
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NSC-I
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SC-A
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SC-I
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SCS-A
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SCN-A
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OUTPATIENT ENCOUNTER WORKLOAD -
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ALL ENCOUNTERS
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INSURED ENCOUNTERS ONLY
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SUMMARY REPORT FOR
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ALL DIVISIONS
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Insured
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Outpatient Encounters from
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Number of Outpatient Encounters:
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Number of Encounters for NSC Veterans:
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Number of Encounters for SC Veterans:
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Number of Service Connected Encounters for SC Veterans:
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Number of Non-Svc. Connected Encounters for SC Veterans:
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Percentage of Insured Outpatient Encounters for
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All Divisions
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This Division
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Enter RETURN to summarize all outpt. encounters without regard to
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division, or 'Yes' to select those divisions for which a separate
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summary report should be created.
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which are conducted in the Medical Center.
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Note: This report may take a while to run.
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IB - UTILIZATION WORKLOAD REPORT
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Utilization Workload Report
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UTILIZATION WORKLOAD
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For Reviews from
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Total Number of Admissions:
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Total Number of Admissions with Insurance:
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SC:
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NSC:
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Total Number of Admission Reviews completed
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on Insurance Patients (including pre-certifications):
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Total Number of Continued Stay Reviews completed:
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Total Number of Admission Denials by Insurance Companies:
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Total Number of Continued Stay Denials by Insurance Companies:
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Total Number of days denied by Insurance Companies:
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Total Number of Appealed Cases:
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IBJP AUTO BILLING
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GENERAL PARAMETERS
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Auto Biller Frequency:
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Date Last Completed:
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Inpatient Status:
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Automate Billing:
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Billing Cycle:
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Days Delay:
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Parameter set not found.
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IBJP CLAIMS TRACKING
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Tracking Parameters
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Track Inpatient:
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Track Outpatient:
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Track Rx:
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Track Prosthetics:
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Reports Can Add CT:
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Random Sample Parameters
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Medicine Sample:
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Medicine Admissions:
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Surgery Sample:
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Surgery Admissions:
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Psych Sample:
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Psych Admissions:
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General Parameters
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Initialization Date:
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Use Admission Sheet:
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Header Line 1:
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Header Line 2:
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Header Line 3:
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IBJP IIV SITE PARAMETERS
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This screen displays all of the eIIV Site Parameters used to manage the
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eIIV application used for Insurance Identification and Verification.
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The first section, General Parameters, concerns overall parameters
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for monitoring the interface and retrying communication timeouts.
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The second section, Batch Extracts, concerns extract specific parameters
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including active status, selection criteria and maximum records extracted
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per day.
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The third section, Patients without Insurance, concerns whether or not
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identification inquiries should be made for patients without insurance on
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inactive policies or the Most Popular Insurance Companies list below to see if
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the patient is covered by one of those companies.
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The final section, Most Popular Insurance Companies, is a generated list
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of the most popular insurance companies for a given date range. This list
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is based on the quantity of authorized bills generated by insurance company
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for the date range. The columns display whether or not the insurance
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company is associated with a payer that is locally active or nationally
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active. The locally active flag can be updated by the site as long as
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the eIIV application has not been deactivated. The nationally active flag
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is only updated by the Eligibility Communicator. Both flags must be set
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to YES for an insurance inquiry to be transmitted to the Eligibility
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Communicator.
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Send daily statistical report via MailMan:
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Time of day for daily statistical report:
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Mail Group for eIIV messages:
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HL7 Response Processing Method:
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HL7 Batch Start Time:
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HL7 Batch Stop Time:
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Daily Maximum HL7 Messages:
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Contact Person:
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How many days designates a communication timeout?
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After a communication timeout, retry how many times?
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After each communication timeout, send a MailMan message?
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After all retries are exhausted, send a MailMan message?
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Return all known ins. when validating specific ins. records?
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Batch Extracts
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Extract Selection Maximum # to Suppress
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Name On/Off Criteria Extract/Day Buffer
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Patients Without Insurance
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Look at a patient's inactive insurance?
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Attempt inquiry by most popular insurance companies?
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How many insurance companies to try?
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Most Popular Insurance Companies
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List Date:
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Compile Date:
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Locally Nationally
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Active? Active?
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*** NO DATA FOUND!!!! ***
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An insurance company will not be available for electronic identification
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if the associated payer does not have a National ID or is not locally
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Searching active tasks for Most Popular Insurance Companies Background job.
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The Most Popular Companies Background Compile is currently active, please retry later.
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Most Popular Insurance Company Calculation
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Please enter a date range for the calculation of the most popular
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insurance companies.
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Please enter a valid start date used to calculate the most
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popular insurance companies based on submitted bills.
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Please enter a valid end date used to calculate the most
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The date range selected is
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The list must be compiled and saved in the background.
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Update the Most Popular Insurance Companies based on this date range
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YES - The list will be compiled and saved in the background.
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NO - The list will not be updated.
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The Most Popular Insurance Companies will NOT be updated!
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Scheduling the background process has FAILED!
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The background process was successfully scheduled as Task #
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The Most Popular Insurance Company List, (MCCR Site Parameter
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Display/Edit option, action IV, sub-action MP), could not be updated
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because the process is currently running. Please retry at a later time.
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range produced an empty list. Please regenerate the list based on
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other dates.
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Batch Extract Parameters
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Batch extract parameters to edit
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Extract Not Defined - ERROR!
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Please select an extract to view/modify settings:
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1 - INS. BUFFER: Examines entries in the Insurance Buffer to find
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patient/insurance combinations that qualify for an
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electronic insurance eligibility inquiry
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2 - APPOINTMENT: Reviews upcoming appointments to identify patients that
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have active insurance that has not been recently verified,
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or patients that have no active insurance for which an
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inquiry should be made to search the
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National Healthcare Cache for previously unknown policies
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3 - NON-VERIFIED: Uses past visits to identify patients that have
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been seen recently and have active insurance coverage, but
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have not had the insurance information verified recently.
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4 - NO INSURANCE: Also uses past visits, but identifies patients with no
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active insurance on file and attempts to search for
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previously unknown policies by sending an
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inquiry to the National Healthcare Cache database and/or
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queries the most popular insurance companies
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General
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IBJP MCCR PARAMETERS
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Display/Edit MCCR Site Parameters.
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IB Site Parameters
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Facility Definition
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Mail Groups
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Patient Billing
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Third Party Billing
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Provider Id
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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