308 lines
10 KiB
Plaintext
308 lines
10 KiB
Plaintext
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English French Notes Complete/Exclude
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Tran. Date
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Print Pending Transaction List
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Answer <YES> or <NO>
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Dates are not appropriate.
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NOT AN ACTIVE ACCOUNT !
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THIS ACCOUNT ALREADY HAS A REPAYMENT PLAN !
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NO REPAYMENT PLAN!
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NO REPAYMENT PLAN !
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NOTHING CHANGED !
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NUMBER OF PAYMENTS WILL BE
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THIS NUMBER SHOULD BE LESS THAN 60 !, CHECK THE INPUT AGAIN
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DUE DATE OF 1ST PAYMENT:
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THE REPAYMENT PLAN HAS BEEN ESTABLISHED.
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Repayment Plan Profile
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( r - Bill is Currently Referred )
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CATEGORY LISTING FOR BILLS REPORT
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Sort Criteria for Date Prepared:
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Princpal
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Preprd
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****NO RECORDS TO PRINT****
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SUBCOUNT:
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Do you wish to queue this report
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MAS RECONCILIATION REPORT
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@DATE BILL PREPARED,@CATEGORY:INTERNAL(TYPE),@CURRENT STATUS:STATUS NUMBER
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3RD PARTY ACTIVE REFERRAL REPORT
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DEBTOR;S2,PATIENT,RC/DOJ REFERRAL DATE,@CURRENT STATUS:STATUS NUMBER,@CATEGORY:INTERNAL(TYPE)
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DATE REFERRED TO RC
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DEBTOR;S1,@RC/DOJ REFERRAL DATE,@RC/DOJ REFERRAL CODE
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ACCOUNTS RECEIVABLE REFERRED TO RC
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DATE REFERRED TO DOJ
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ACCOUNTS RECEIVABLE REFERRED TO DOJ
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DATE RC TRANSACTION CREATED
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+TRANSACTION TYPE;S2,@DATE ENTERED
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REGIONAL COUNSEL DEBT COLLECTION REPORT FROM
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DATE DOJ TRANSACTION CREATED
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+TRANSACTION TYPE;S2,@RC DOJ CODE,@DATE ENTERED
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DEPARTMENT OF JUSTICE DEBT COLLECTION REPORT FROM
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DATE REFERRED TO RC/DOJ
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REFERRED TP TORT & WORKER'S COMP AR REPORT
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DEBTOR;S1,@REFERRAL DATE,@CURRENT STATUS:STATUS NUMBER,@CATEGORY:CATEGORY NUMBER
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This report should be run on or AFTER the first Wednesday of the month.
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Make sure your facility has received the monthly offset information from
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the DMC to insure the accuracy of this report.
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Enter DMC Report to print:
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1 - All Patients
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2 - Single Patient
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Enter '1' to print DMC information for ALL patients.
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Enter '2' to print DMC information about a single patient.
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REFERRED DMC DEBTS
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@DATE SENT TO DMC,+@INTERNAL(DEBTOR);S2
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@DATE SENT TO DMC,+DEBTOR;S2
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@DATE SENT TO DMC,+@INTERNAL(DEBTOR)
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Are you sure you want to return this bill to the Service
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Answer 'Y' or 'YES' if you want to return this bill to the service that originated it, answer 'N' or 'NO' if not
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Do you want to return this bill to the service again
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You should audit this amended bill !
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Do you want to print the amended bill data
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Answer 'Y' or 'YES' if you want to print the data, answer 'N' or 'NO' if not.
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Print Amended Bill
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OK!, The Bill is active now, you may need to do the following:
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| 1. If the bill has been cancelled in the service, run the option
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'Decrease Adjustment' to decrease the balance to 0. The
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status of the bill will be changed to CANCELLATION automatically.
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| 2. If the amended bill needs to change the original amount,
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| use 'Adjustment to AR' option.
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| 3. If the debtor's address has been changed in the amended bill,
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| use 'Edit Debtor's Address' option.
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PRCAY PAYMENT SUP
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This bill has been APPROVED
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but an FMS document was NOT created
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Do you want to CREATE the document now
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This bill is ready for the Certifying Official's approval.
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It has been reviewed by
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This bill has not been reviewed for approval yet.
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It must be signed by a refunder to be
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ready for the Certifying Official's approval.
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AUTHORIZED FISCAL USER MUST CHANGE STATUS OF BILL TO 'REFUND REVIEW'
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Do you want to review the prepayment bill at this time
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Do you want to change the status to 'REFUND REVIEW' at this time
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Status Changed to 'REFUND REVIEW'
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Do you want to make any adjustments to the refund amount now
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Bill status is no longer REFUND REVIEW. It has changed to
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Do you want to send the refund to the certifying official for approval now
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DUPLICATE AUTHORIZER!
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UNAUTHORIZED TO SIGN AS CERTIFYING OFFICER
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Sign as the 'REFUNDED BY' person
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This refund must first be approved by the refunder.
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If you sign as the 'Refunded By' person, you CANNOT
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sign as the Certifying Officer.
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REFUND AMOUNT OUT-OF-BALANCE!
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DID NOT APPROVE REFUND
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<APPROVED BY REFUNDER>
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REFUND APPROVAL SIGNATURES
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Certifying Officer:
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Signed on:
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<APPROVED BY CERTIFYING OFFICER>
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This Accounts Receivable doesn't have an excess payment !
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Status Changed to 'CANCELLATION'
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No other transactions may be made to the bill now.
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THIS BILL NUMBER ENTRY IN FILE 430 IS CORRUPTED
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NO PROCESSING CAN CONTINUE - SEE IRM
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THIS DOCUMENT SEEMS TO HAVE ALREADY BEEN SENT TO FMS-
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IT CANNOT BE RESENT UNLESS FMS REJECTS IT.
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Creating an FMS Overcollection Payment Voucher . . .
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THIS PATIENT DOES NOT HAVE A VALID ADDRESS.
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AN FMS DOCUMENT CANNOT BE CREATED WITHOUT A VALID ADDRESS.
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AN ENTRY WAS NOT MADE IN THE STACKER FILE.
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PLEASE RE-SELECT THE BILL IN THE APPROVE OPTION.
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AN AR DOC REF CANNOT BE CREATED BECAUSE THE FOLLOWING ERROR HAS OCCURRED -
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Creating a REFUNDED transaction for bill number:
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. . .
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Bill is now in REFUNDED status.
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Is this a TOP Refund
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Enter 'YES' only if this is a refund of a payment from TOP
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There is no valid trace number entered for this debtor
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Cannot process as TOP refund.
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TOP REFUND DOCUMENT WILL BE SENT WITH NEXT TOP TRANSMISSION
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THIS BILL HAS NOT BEEN APPROVED!
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THIS DOCUMENT IS EITHER NOT READY FOR FMS OR HAS ALREADY BEEN ACCEPTED.
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Select the output device:
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REFUNDS PENDING CERTIFYING OFFICIAL'S APPROVAL
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Press Return to continue or
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REVIEWED DATE
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Enter Transaction START Date:
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Enter Transaction END Date:
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Prepayment Posting Report
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PAYMNT (FULL)
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PAYMNT (PART)
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**ERROR MESSAGE: Corresponding Transaction not found!
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**ERROR MESSAGE: Unbalanced Transaction Amounts
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* - Include the payment amount on an FMS ET document
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Background Payment Posting from Prepayment Receivables
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Reporting period:
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Tran.
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Corresponding
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Tran. No.
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NO REPAYMENT PLAN FOR THIS ACCOUNT.
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NO PAYMENT DATA!
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PRCA(
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Repayment Plan Statement
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THE DATE DOES NOT MATCH !, PLEASE CHECK REPAYMENT PROFILE.
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Enter the date the statement was printed:
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STATEMENT OF ACCOUNTS RECEIVABLE
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DISTRIBUTION OF PAYMENT
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| FILE NO./SSN
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NAME OF PERSON ENTITLED
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COLLECT.
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| OF PAYMENT
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| BALANCE DUE
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| AFTER PAYMENT
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BALANCE DUE SHOULD BE PAID IN FULL BY
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TO AVOID ADDITIONAL CHARGES.
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* Detach and return with your next payment to:
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FOR PROPER CREDIT TO YOUR ACCOUNT, PLEASE DETACH AND RETURN WITH YOUR PAYMENT
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| PAYMENT REMITTANCE |
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| *FILE NO/SSAN | NAME OF DEBTOR | AMOUNT ENCLOSED |TEL.NO |
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| ENTER YOUR CURRENT ADDRESS BELOW ONLY IF THE ONE ABOVE IS INCORRECT. |
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| PLEASE INCLUDE YOUR ZIP CODE. |
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| *PLEASE INCLUDE THIS NUMBER ON YOUR CHECK OR MONEY ORDER |
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-1^PRCA004^AR Package 'busy' while trying to add transaction.
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A decrease adjustment for bill #
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has been automatically
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Automatic Adj:
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****** NOTICE: A decrease adjustment for bill #
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needs to be manually
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Manual Adj:
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applied in the amount of $
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Please review bill for proper application of the unapplied amount of $
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Data sent from Service
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Adjustment by:
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Bill status is
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with a balance of $
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*WARNING* There is outstanding administrative charges of $
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An adjustment of administrative charges MAY need to be done.
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AutoAUTO
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Auto Dec.:
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THE ACCOUNT WILL BE INCOMPLETE.
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*** APPROVED AND RELEASED TO ACCOUNTING ***
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...Bill Number '
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Your Electronic Signature Code is undefined.
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Enter Electronic Signature Code:
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<Signature verified>
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<Signature Failed>
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Enter in your Electronic Signature Code, 6 to 20 characters.
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Type of care is missing
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Type of care is not in expected format
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Patient is missing
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Patient is undefined
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-1^2nd insurance company is undefined
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-1^3rd insurance company is undefined
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is not in expected format
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PRCA(430.3,
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PRCA(430.2,
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RCD(340,
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INSURED NAME
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INSURED SEX
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M:MALE;F:FEMALE;U:UNKNOWN;
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CERT SSN HIC ID NO.
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EMPLOYEE ID NUMBER
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EMPLOYER LOCATION
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SECONDARY INSURANCE CARRIER
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TERTIARY INSURANCE CARRIER
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BILL RESULTING FROM
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PRCA(430.6,
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RNJ9,2X
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TOTAL ORIGINAL AMOUNT
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PRINCIPAL BALANCE
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INTEREST BALANCE
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ADMINISTRATIVE COST BALANCE
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LAST INT/ADM CHARGE DATE
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MRFX#
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APPROPRIATION SYMBOL
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RNJ9,2
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FY ORIGINAL AMOUNT
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CURRENT PRIN. BAL. FOR THIS FISCAL YEAR
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RP430'X
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PRCA(430,
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TRANSACTION DATE
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RP430.3'X
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TRANSACTION TYPE
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TRANS. AMOUNT
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PROCESSED BY
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APPROVING OFFICIAL (SERVICE)
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RECEIVABLE CODE
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0:DEFAULT;1:FEDERAL;2:NON-FEDERAL;3:OWCP;
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A/R Document Status Inquiry
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Last Update:
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DATE BILL PREPARED:
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RECEIVABLE CODE:
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BILL N0.:
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TRANSACTION DATE:
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TOTAL TRANS. AMOUNT:
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IRS LOC. COST:
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CREDIT REP.COST:
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DMV LOC.COST:
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CONSUMER REP.AGENCY COST:
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MARSHAL FEE:
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BILL NO.:
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ADJUSTMENT AMOUNT:
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ADJUSTMENT DATE:
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ADJUSTMENT NO.:
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ADJ.AMOUNT
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PRIN.BAL.(ADJUSTED)
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Brief Comment:
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Follow-up Date:
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TRANS.
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TRANS.AMOUNT
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PRIN.AMOUNT
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CONTROL POINT:
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APPROPR. SYMBOL
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ALD CODE
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BILL RESULTING FROM:
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ABLE TO PAY:
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ABLE TO LOCATE:
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DMV LOCA. CHECK:
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POSTAL LOC. DATE SENT:
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POSTAL LOC. DATE REC'D:
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IRS ABLE TO LOCATE:
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IRS LOC. DATE SENT:
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IRS LOC. DATE REC'D:
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CREDIT REP. ABLE TO PAY:
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CREDIT REPT. DATE SENT:
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CREDIT REP. DATE REC'D:
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PATIENT FOLDER REVIEWED:
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DATE FOLDER REVIEWED:
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LETTER1:
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ACCOUNTS RECEIVABLE PROFILE
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CURRENT STATUS:
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CP:
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DATE BILL PREPARED:
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TRANSACTIONS:
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MEANS TEST ACCOUNTS RECEIVABLE PROFILE
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CARE:
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FUND (APPROPRIATION):
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3RD PARTY ACCOUNTS RECEIVABLE PROFILE
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TYPE OF CARE:
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DATES OF SERVICE:
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3RD PARTY:
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EMPLOYEE ID
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SECONDARY INSURANCE COMPANY:
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TERTIARY INSUANCE COMPANY:
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<< BILL RETURNED FROM AR >>
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PAYER:
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PREV. STATUS:
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CURR. STATUS:
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ORIGINAL AMOUNT:
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SERVICE:
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APPROV. BY:
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RETN'D BY:
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RETN'D REASON:
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NEW ACCOUNTS RECEIVABLE
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BILL NO.:
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CATEGORY:
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GL NO.:
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SIGNATURE CODE:
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TRANSACTION NO.:
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CATEGORY:
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TRANS.DATE:
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TRANS.TYPE:
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APPROP.SYMBOL
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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