VistA-internationalization/TranslationSpreadsheets/WV-DIALOG-0143.txt

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2009-11-15 23:33:32 -05:00
English French Notes Complete/Exclude
WAITING SINCE
MAIL MESSAGE #
MINIMUM # OF DAYS MSGS WAITING TO BE FILED:
Enter the minimum number of days a message has been waiting to be filed
before it appears on this report
REPORT OF EDI MSGS PENDING TOO LONG TO BE FILED
TOTAL # OF MESSAGES WAITING OVER
TO BE FILED:
EDI MESSAGES WAITING TO BE FILED OVER
MESSAGE TYPE
IN CURRENT
MESSAGE #
STATUS SINCE
DO YOU WANT TO INCLUDE A LIST OF BILLS WITH EACH BATCH?:
Enter the first 10-digit batch number you want included on the report
Start with BATCH #:
Must enter a 10-digit batch #
Enter the last 10-digit batch number you want included on the report
Go to BATCH #:
Enter the first date you want to include on the report
Start with LAST TRANSMIT DATE:
Must enter a valid date
Enter the last date you want to include on the report
Go to LAST TRANSMIT DATE:
Select BATCH STATUS:
EDI 837 BATCH DETAIL LIST
Rejected?:
Resubmit:
Batch Type :
Mail Msg:
Received in Austin?:
Status Date:
Date Recorded:
First Sent :
Last Sent :
Number Transmit Status Resubmit Batch #
* = NOT RESUBMITTED
Number Transmit Status
Resubmit Batch #
BATCH DETAIL LIST
This report provides a list of claims held in a
Ready for Extract status. Users can select all bills
in a Ready for extract status or only those trapped due to
the EDI Parameters being turned off.
This report requires a 132 column printer.
IB - EDI Claims in Waiting Transmission Status
Your task number
has been queued.
There are no EDI records
in a ready for extract status
Total EDI Bills
Total MRA Bills
Total bills
Your EDI site parameter setting is incomplete.
Please contact your coordinator.
Your site parameters are set to allow EDI transmissions
There is no need to run this report.
Trapped
Claims Ready for Extract
Inpt/
Inst/
Opt
Prof
Statement Date
Do you want to print a list of:
1 - All bills in Ready for Extract status
2 - Bills trapped due to EDI paramater being turned off
IB - EDI/MRA Claims in Rescue Process
There are no records to print
Claims in Rescue Process
Stmt Date
Ins Co.
IB-HOLD
IBCE ELEC REPORT DISP
IBREP DISP
IBREP DISP1
No reports available for dispositioning
REPORT:
RACUBOTH RUCH
EDI RETURN MESSAGE ROUTER ERROR
Return Message Code:
Return Message Date:
Message Time:
Update Date:
Update Time:
Return Message File #(s):
Mailman Message #:
cannot be determined
Msg Line:
Return Message Text:
ERROR+
S.IBCE MESSAGES SERVER
*** NEW PAGE ***
*** END OF PAGE ***
I:G.IB EDI SUPERVISOR
Status message received for batch
PAYID=
PAYER ID RETURNED IS DIFFERENT THAN PAYER ID ON FILE
BILL # :
PAYER :
BILL TYPE :
ID ON FILE :
ID RETURNED:
Please determine which id number is correct and correct the id in the
insurance file for this payer, if needed
ALREADY EXISTS - CAN'T HAVE BOTH ON ONE BILL
IBA(355.93
N-CURRENT INS POLICY TYPE
Another user has locked this record - try again later
ONLY SELECT TO CLOSE THE TRANSMIT RECORDS IF YOU KNOW THESE ARE THE FINAL
ELECTRONIC MESSAGES YOU WILL RECEIVE FOR ALL THE BILLS REFERENCED BY
THESE MESSAGES
DO YOU WANT TO AUTOMATICALLY CLOSE THE TRANSMIT RECORDS FOR ANY MESSAGES
THAT AREN'T REJECTS?:
DO YOU WANT TO SEE EACH MESSAGE BEFORE MARKING IT REVIEWED?:
IF YOU OPT TO SEE EACH MESSAGE, YOU CAN CONTROL WHETHER OR NOT THE MESSAGE
IS MARKED AS REVIEWED
AND, FOR NON-REJECTS, WHETHER OR NOT TO CLOSE THE
TRANSMIT RECORD FOR THE BILL
OK TO MARK REVIEWED?:
IF YOU ENTER YES, THIS MESSAGE WILL BE MARKED REVIEWED
IF YOU ENTER NO, THIS MESSAGE WILL NOT BE ALTERED
IF YOU ENTER AN ^, THIS MESSAGE WILL NOT BE ALTERED & NONE OF THE
REMAINING MESSAGES WILL BE PROCESSED
OK TO CLOSE THIS BILL'S TRANSMIT RECORD?:
THIS IS A REJECTION ... ARE YOU SURE YOU WANT TO MARK IT REVIEWED?:
MESSAGES FOLLOWING THIS ONE WILL BE PROCESSED
CLAIM SENT TO PAYER
CLAIM REJECTED
Seq #:
Bill number:
LAST SELECTION PROCESSED
N-PRIOR PAYMENTS
PRINT CENTER
N-PATIENT STATUS
N-SOURCE OF ADMISSION
N-OTH INSURANCE PRIOR PAYMENT
N-EOB ENTRIES
Adding occurrence code 24 and primary insurance rejection date to bill
Adding value code
for reporting of bill's prior payments
N-CURR INSURED DEMOGRAPHICS
N-OTH INSURED DEMOGRAPHICS
Adding occurrence code '
insurance subscriber's date of birth
N-DATE LAST SEEN
Date Last Seen:
N-REFERRING PROVIDER ID
Homebound
N-ASSIGN OF BENEFITS INDICATOR
Nn0
Patient refuses to assign benefits
NOC Drug:
Testing for hearing aid
Attending physician,not hospice employee
Last Xray:
Level of Sublux:
N-SPECIAL PROGRAM
Medicare demonstration project for lung volume reduction surgery study
N-HCFA 1500 BOX 19 RAW DATA
N-BILL REMARKS
DISPLAY THE FULL HCFA 1500 BOX 19?:
Bill:
VARIABLE TO DISPLAY (IBXDATA):
BAD VARIABLE NAME
*** NO DATA TO DISPLAY
Remember to run this for flds that set up pre-requisite data (if any) first
Form Field:
N-SPECIALTY CODE
N-ALL PROVIDERS
PRV-82
DEPT OF VETERANS AFFAIRS
SELECT 1-
Enter your selection for procedure from 1 to
There were more than
matches found. Please try again with more specific input
N-ATT/REND PROVIDER ID
WANT TO CHANGE THE
PROVIDER'S FUNCTION TO
IF YOU ANSWER YES HERE, YOU WILL MAKE THE PROVIDER FUNCTIONS CONSISTENT
WITH THE FORM TYPE OF THE BILL
FUNCTION DOES NOT BELONG ON THIS BILL TYPE & MUST BE DELETED
This bill is
The valid provider functions for this bill are:
- ALREADY ON BILL
- NOT ON BILL
Select Rx for this charge:
Enter an Rx# for this revenue code
The Rx must not already have an associated revenue code
PROCEDURE #
HAS BEEN ASSOCIATED WITH THIS MANUAL CHARGE
Respond YES if this revenue code charge specifically references the data for
a particular procedure that was manually entered on the previous screen.
For outpatient UB92 bills, associating a manual revenue code charge with
a procedure is the only way to print a modifier in box 44
SHOULD A PROCEDURE ENTRY BE ASSOCIATED WITH THIS CHARGE?:
Respond YES if you no longer want this revenue code charge to reference a
specific manually entered procedure
DELETE THE EXISTING PROCEDURE ASSOCIATION?:
SELECT A PROCEDURE ENTRY:
Enter a manually-added CPT procedure to associate with this charge
IBCE EXTR STATUS MANAGEMENT
Claims in need of rescue process
This function is not necessary.
No records trapped in a Ready for Extract status found
Authorizing bill...
This option will display the EDI extract data for a bill.
There is no entry in the EDI Transmit Bill file for this bill number.
There is no batch # for this bill. It has not been transmitted.
INCLUDE FIELDS WITH NO DATA?:
Transmitted Bill Extract Data
Your task number
Inpt
Oupt
(NO DATA - RECORD NOT SENT)
EDI Transmitted Bill Extract Data
UB-82
FOLLOW-UP AR FORM
BILL ADDENDUM FOR
BILL FORM TYPE NOT COMPLETE FOR
QUEUEING OF
DG*
*** COPY OF ORIGINAL BILL ***
*** SECOND NOTICE ***
*** THIRD NOTICE ***
MEDICARE ESRD
IB-RC
Dept. Veterans Affairs
Bill Type:
INPATIENT CARE
ADDITIONAL PROCEDURE CODES:
LESS
OP VISIT DATE(S) BILLED
MISSING INPUT VARIABLES
BILL NON-EXISTANT
BILL CANCELLED
BILL STATUS INAPPROPRIATE
For your information, even though the patient may be otherwise eligible
for Medicare, no payment may be made under Medicare to any Federal provider
of medical care or services and may not be used as a reason for non-payment.
Please make your check payable to the Department of Veterans Affairs and
send to the address listed above.
The undersigned certifies that treatment rendered is not for a
service connected disability.
IBCF1TP-1
IB - TEST UB-82 PRINT
IBCF1TP-2
*** UB-82 TEST PATTERN ***
AGENT CASHIER
AGENT CASHIER STREET
CITY STATE ZIP
PHONE #
BC/BS #
FED TAX #
PATIENT ADDRESS
PT DOB
ADM DT
MAILING ADDRESS NAME
STREET ADDRESS 1
STREET ADDRESS 3
000 DAYS MEDICAL CARE
REV CODE
PAYER
INSURED NAME
POLICY #
GROUP NAME
GROUP #
EMPLOYER NAME
CITY STATE ZIP
PRINCIPAL DIAGNOSIS
PRINCIPAL PROCEDURE
TX. AUTH.
XXXX XXXXXXX
UB-82 TEST PATTERN
**TEST PATTERN**
UB-82 SIGNER NAME
UB-82 SIGNER TITLE
PRINT HCFA1500
N-PRINT BILL SUBMIT STATUS
ONSET OF SYMPTOMS/ILLNESS
PUBLIC LAW 99-272/SECTION 1729 TITLE 38
PUBLIC LAW 99-272
Dept. Of Veterans Affairs
THE UNDERSIGNED CERTIFIES TREATMENT IS NOT FOR A SERVICE-CONNECTED CONDITION
proc^division^basc flag^bedsection^rev code^unit chrg^Rx seq #
proc^division^basc flag^dx^pos^tos^modifier^unit chrg^Rx seq #
proc^division^basc^dx^pos^tos^modifier(s)^unit chrg^purchased chg
AUX-X
not for SC
IBCF2TP-1
IB - TEST HCFA 1500 PRINT
IBCF2TP-2
INSURANCE CARRIER NAME
CARRIER ADDRESS LINE 1
CARRIER ADDRESS LINE 2
CARRIER ADDRESS LINE 3
CARRIER CITY, STATE ZIP
SUBSCRIBER ID#
MM DD YY
INSURED'S NAME
PATIENT ADDRESS STREET
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