308 lines
11 KiB
Plaintext
308 lines
11 KiB
Plaintext
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English French Notes Complete/Exclude
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the secondary sort.
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Include Rejection Detail
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N - No, exclude Rejection Detail totals from report. (Default)
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Y - Yes, include Rejection Detail totals in report.
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would have been created.
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would have been created. This date must not precede
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Total Inquiries
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Rejection Detail:
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AvgResp
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Payer [Inactive Date]
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1st Att
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Rejection Detail
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Grand Totals
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Please select the timeframe for which to view the Insurance Identification
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and Verification statistics and current status.
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Start DATE/TIME
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Enter Start DATE/TIME for report range.
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The time element is required.
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End DATE/TIME
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Enter End DATE/TIME for report range.
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The End Date/Time must not precede the Start Date/Time.
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Please reenter.
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Choose all sections to be reviewed
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1 - All = All three report sections (Default)
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2 - Outgoing Data = Inquiry Transmission statistics
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3 - Incoming Data = Inquiry Response statistics
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4 - Current Status = Pending Responses, Queued Inquiries, etc.
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Select one or more sections:
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Please select one or more sections of the report to view.
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To select multiple sections enter a comma separated list
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1 - Include all three sections in the report. (Default)
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2 - Include statistics on inquiries transmitted during the
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timeframe by extract type.
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3 - Include statistics on responses received during the
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4 - Include statistics on the current state of the system.
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This section is independent of the timeframe for the
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report and includes responses pending, queued inquiries,
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deferred inquiries, payer statistics and insurance
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buffer statistics.
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,PAYER NAME,IEN of file 365.12)=
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** IIV Statistical Rpt **
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DISPDATA(
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Outgoing Data
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Incoming Data
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Current Status
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Inquiries Sent:
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Responses Received:
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Insurance Buffer
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Non-verified Insurance
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No Active Insurance
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Responses Pending:
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Queued Inquiries:
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Deferred Inquiries:
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Insurance Companies w/o National ID:
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eIIV Payers Disabled Locally:
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Insurance Buffer Entries:
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Verified Entries:
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# of * entries (manually verified)
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# of + entries (electronically processed)
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Unverified Entries:
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! entries (manual intervention required)
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? entries (IIV is waiting for a response)
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- entries (no coverage)
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blank entries (yet to be processed or accepted)
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New eIIV Payers received during report date range:
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(Run menu option
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Link Insurance Companies to Payers
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for assistance)
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No new Payers added
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IIV Payer Link Report
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In order for an Insurance Company to be eligible for electronic insurance
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eligibility communications via the IIV software, the Insurance Company
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needs to be linked to an appropriate payer from the National EDI Payer list.
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The National EDI Payer list contains the names of the payers that are
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currently participating with the IIV process.
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This report option provides information to assist with finding unlinked
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insurance companies or payers, which can subsequently be linked through the
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INSURANCE COMPANY EDIT option.
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Select a report option
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1 - Payer List: This option lists the payers in the National
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Payer list, and optionally provides information about
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the insurance companies that are linked to that payer
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Company List: This option lists insurance companies and
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optionally displays linked payer information
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Select the type of payers to display
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1 - Only payers with no active insurance companies linked
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2 - Only payers with at least one insurance company linked
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3 - ALL Payers
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Select a Payer (RETURN for ALL Payers):
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Select insurance company detail option
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1 - Include a list of insurance companies linked to the payers
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2 - Do not list linked insurance companies, total number only
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Select a data field by which this report should be primarily sorted.
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IBCNE IIV Payer Link Report
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Select type of insurance companies to display
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1 - Only insurance companies that are not currently linked to a payer
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2 - Only insurance companies that are currently linked to a payer
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3 - ALL insurance companies
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Select the data field by which this report should be primarily sorted.
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Enter an insurance company search keyword (RETURN for ALL)
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Enter a value to match insurance company names with.
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Simply hit RETURN to select ALL or enter a keyword
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(ex. 'CIGNA' would return CIGNA, CIGNA HICN, NATIONAL CIGNA,
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REGION 1 CIGNA and any others with the term 'CIGNA' in it)
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Report Option:
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Payer List
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Insurance Company List
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Unlinked Payers Only
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Linked Payers Only
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With Ins. Co. Detail
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Without Ins. Co. Detail
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Unlinked Insurance Companies Only
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Linked Insurance Companies Only
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All Insurance Companies
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For Single Payer:
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Nationally
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Locally
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Prof.
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Inst.
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Payer Name:
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Payer ID
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Ins. Co.
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EDI#
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Only Insurance Companies that match:
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Nat.
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Loc.
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Insurance Company:
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Act?
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VA ID
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Linked Insurance Companies:
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** NOT CURRENTLY LINKED **
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Results of Auto Match search
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Auto Match Value
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Would you like to select this insurance company
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Would you like to select one of these insurance companies
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Please choose an insurance company
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Buffer
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IEN type
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passed to the insurance match algorithm is neither 'B' nor 'I'.
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IEN is not passed to the insurance match algorithm.
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Invalid Buffer IEN
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has been passed to the insurance match algorithm.
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Invalid Insurance Company IEN
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Insurance company
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All insurance companies named
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are not active.
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is not linked to a National ID.
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is linked to more than one National ID
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Insurance company name
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in the Insurance Buffer matched more than one insurance company in the Auto Match file
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INSIEN(
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could not be matched to a valid entry in the Insurance Company file.
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Insurance company IEN
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doesn't have a name on file.
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contains MEDICAID or MEDICARE in the name. Electronic inquiries cannot be made to this insurance company.
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Payer IEN
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does not have a National ID.
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The eIIV Payer Application has not been created for this site.
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is linked to National ID
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which is not set up to accept electronic insurance eligibility requests.
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which doesn't have an active local connection.
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which doesn't have an active national connection.
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which has been deactivated as of
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(Too many items to display)
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IB IIV INTERFACE
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MailMan Error
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XX)
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XX+3)
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MailMan Error:
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Original Subject:
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------Original Message------
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Do you want to add an Auto Match entry that associates
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The Auto Match Value is
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The Insurance Company Name is
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Please enter NO if you do not want to associate these two values together
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in the Auto Match file.
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Please enter YES if you do want to create an Auto Match entry for these
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two values. If you enter YES, then you will have the chance to modify
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the Auto Match Value.
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IBCNQ-2
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Bill Status
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ENTERED/NOT REVIEWED
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MRA REQUESTED
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PRINTED/TRANSMITTED
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- RECORD IS
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Form Type
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Reason Canceled
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Charges
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LESS Offset
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Bill Total
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AR Status
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Statement From
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Statement To
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Past actions of this billing record unspecified.
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Entered^^^^^^MRA Requested^^^Authorized^^^^Last Printed^^^Cancelled
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Returned to AR :
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OP Visit Dates :
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IBCNQ1-1
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This patient has no bills with OP visits. Please enter another patient.
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Select OP Visit Date
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Please enter a valid Outpatient Visit date for this patient.
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Enter '??' to list valid dates and bill numbers.
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Select one of the following bills for this visit date:
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End of list.
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, or type '^' to quit:
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Enter a NUMBER from 1 to
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Enter one of the following OP visit dates:
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Enter '^' to stop or <CR> to continue:
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This patient has no remote treating facilities to query.
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remote facilitie(s)
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Do you want to perform this Remote Query
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No ICN for this patient
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IBCN INSURANCE QUERY
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No handle returned for
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Unable to perform any remote queries.
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Unable to communicate with
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Response from
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-1^No insurance on file
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Received
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insurance companies from
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Buffer File entry for
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-1^ICN Not found
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Query Remote Facilities for Insurance
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IBSAVE*
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No Insurance Information
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*** Verification of No Coverage
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*** Patient has Insurance Buffer entries ***
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Effect
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Only
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MENTAL HEALTH
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no CV
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Ind. Plan
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Policy Riders:
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No Insurance Policies to Select From
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Ben Yr:
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Current benefit years on file:
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No Benefit Years Entered.
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BENEFIT YEAR BEGINNING ON:
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No Benefit Years Entered. You Must First Enter a Benefit Year for This Policy
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No Benefit Years Entered Under Annual Benefits, Hence No Benefits Used to View.
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Select BENEFIT YEAR BEGINNING ON:
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Policy Information
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Year:
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Max. Out of Pocket: $
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Ambulance Coverage (%):
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Annual Deductible: $
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Inpatient Annual Max.: $
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Lifetime Max.: $
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Room and Board (%):
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Other Inpt. Charges (%):
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User Information
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Entered On:
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Last Updated By:
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Last Updated On:
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Mental Health Outpatient
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MH Opt. Max Days/Year:
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MH Lifetime Opt. Max: $
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MH Annual Opt. Max: $
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Mental Health Opt. (%):
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Adult Day Health Care?:
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Mental Health Inpatient
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MH Inpt. Max Days/Year:
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MH Lifetime Inpt. Max: $
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MH Annual Inpt. Max: $
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Mental Health Inpt. (%):
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Per Visit Deductible: $
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Lifetime Max: $
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Annual Max: $
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Visit (%):
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Max Visits Per Year:
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Surgery (%):
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Emergency (%):
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Prescription (%):
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Dental Cov. Type:
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Dental Cov.: $
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Dental Cov. (%):
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Dental Coverage $ or %:
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Per Admis. Deductible: $
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Inpt. Lifetime Max: $
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Inpt. Annual Max: $
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Room & Board (%):
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Drug/Alcohol Lifet. Max: $
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Drug/Alcohol Annual Max: $
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Nursing Home (%):
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Home Health Care
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Care Level:
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Visits Per Year:
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Max. Days Per Year:
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Med. Equipment (%):
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Visit Definition:
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OT Visits/Yr:
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PT Visits/Yr:
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ST Visits/Yr:
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Med Cnslg. Visits/Yr:
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IV Management
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IV Infusion Opt?:
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IV Infusion Inpt?:
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IV Antibiotics Opt?:
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IV Antibiotics Inpt?:
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New Insurance Policy For
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A new insurance policy has been added for:
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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