308 lines
12 KiB
Plaintext
308 lines
12 KiB
Plaintext
English French Notes Complete/Exclude
|
|
or dashes, e.g., 1,3,5 or 2-4,8
|
|
The number(s) must appear as a selectable number in the sequential list.
|
|
INPATIENT ADMISSION
|
|
Event type can not be auto billed.
|
|
Can not find rx refill in Pharmacy.
|
|
Claims Tracking Record not found or not complete.
|
|
REIMBURSABLE INS.
|
|
Stop/Clinic flagged to be ignored by auto biller but another visit is billed on same date.
|
|
Visit flagged as SC in source file but has no RNB.
|
|
This RC Opt bill appears to have no institutional charges but may have professional charges.
|
|
established for
|
|
error message
|
|
movement related to an SC condition.
|
|
movement is for a non-billable bedsection.
|
|
movement does not have a DRG as required for Reasonable Charges.
|
|
movements are for a non-billable bedsection.
|
|
0 movements are billable.
|
|
Patient Admission Movement Data not found.
|
|
Admission movement missing PTF number.
|
|
PTF record for Admission movement was not found.
|
|
Event already has a final bill (
|
|
May not be Reimbursable Ins.: A
|
|
bill already exists for this event.
|
|
Interim - Last bill not created: Only day not already billed is the discharge date, which is not billable.
|
|
Non-Billable Discharge Bedsection.
|
|
No billable Days.
|
|
Copied from bill
|
|
Removing events already on the auto biller list. Only events added to Claims
|
|
Tracking after the auto biller Frequency is set to a positive number
|
|
will be auto billed.
|
|
Since the auto biller has been turned off, the AUTOMATE BILLING parameter
|
|
will be turned OFF for all Claims Tracking Event Types...
|
|
Report requires 132 columns.
|
|
AUTOMATED BILLER ERRORS/COMMENTS FOR
|
|
Enter a date before
|
|
All entries in the Auto Biller Comments file not associated with a bill entered on or before this date will be deleted.
|
|
End Date for Delete:
|
|
Select transmit option:
|
|
This option will run a job to transmit ALL bills ready for EDI transmission
|
|
This option's last scheduled run was
|
|
Are you absolutely sure this is what you want to do?
|
|
Transmission of ALL bills will be run now
|
|
Is this OK?
|
|
Task # for this job is:
|
|
Error encountered in tasking job - check IRM for reported errors
|
|
Press RETURN to continue
|
|
TRANSMIT (I)MMEDIATELY OR (L)ATER?:
|
|
IF YOU CHOOSE TO TRANSMIT IMMEDIATELY, THE BILL'S DATA WILL BE BATCHED BY
|
|
ITSELF AND SENT OUT IMMEDIATELY. IF YOU CHOOSE TO TRANSMIT LATER, THE
|
|
BILL'S TRANSMISSION STATUS WILL BE RESET TO 'READY FOR EXTRACT' AND THE BILL'S
|
|
DATA WILL BE EXTRACTED THE NEXT TIME A GENERAL TRANSMISSION OF YOUR BILLS
|
|
IN READY TO EXTRACT STATUS OCCURS
|
|
IBCE-BATCH
|
|
BILL NOT RESUBMITTED - CHECK ALERTS/MAIL FOR DETAILS
|
|
BILL RESUBMITTED IN BATCH #
|
|
PRESS ENTER TO CONTINUE
|
|
BILL'S TRANSMISSION STATUS RESET TO 'READY TO EXTRACT'
|
|
IB EDI
|
|
YOU MUST HAVE AT LEAST 1 MEMBER IN THE 'IB EDI' MAIL GROUP TO TRANSMIT A BILL
|
|
PRESS RETURN TO CONTINUE
|
|
# Claims Submitted^# Claims Rejected^Total Charges Submitted^Total Charges Rejected
|
|
Payer Name^Payer ID
|
|
Sent by payer
|
|
Sent by non-payer (
|
|
IBMSG-H
|
|
MSG#
|
|
##RAW DATA:
|
|
for invalid claims within the batch
|
|
Service Dates:
|
|
Claim Line:
|
|
Service Type:
|
|
Revenue Code
|
|
ICD9 Procedure
|
|
Service^Modifiers^Units of Service
|
|
Payer Name:
|
|
EOB for bill #
|
|
indicates a new name or id exists for patient
|
|
New patient name:
|
|
New patient id:
|
|
Statement Dates:
|
|
CLAIM STATUS:
|
|
Crossed over to:
|
|
ADJUSTMENT GROUP:
|
|
MEDICARE ADJUDICATION MESSAGE(S):
|
|
Line level detail exists for this claim
|
|
Line level adjustments exist for this claim
|
|
A PREVIOUS EDI EXTRACT IS RUNNING - ANOTHER CANNOT BE STARTED
|
|
Another user is currently processing batch
|
|
. Batch NOT resubmitted.
|
|
Resubmit was attempted by:
|
|
Another user is currently processing bill
|
|
. Bill NOT
|
|
ubmit was attempted by:
|
|
IB 837 TRANSMISSION
|
|
The transmission form for sending electronic claims is not in your form file
|
|
NO CLAIMS WERE OUTPUT - FORM = IB 837 TRANSMISSION
|
|
TEST
|
|
The following authorized bill(s) were not transmitted due to errors indicated.
|
|
Once the errors are corrected, the bill(s) will be included in the next run.
|
|
Bill #:
|
|
The following batches were
|
|
submitted to Austin
|
|
[Resubmitted by:
|
|
I:G.IB EDI
|
|
EDI 837
|
|
SUBMISSION BATCH LIST
|
|
N-SEGMENT DELIMITER
|
|
CLAIM BATCH:
|
|
EDI 837 TRANSMISSION ERRORS
|
|
One or more EDI bills were not transmitted. Check your mail for details
|
|
EDI 837 B
|
|
EDI batch(es) still pending Austin receipt
|
|
for more than 1 day. Please investigate why they have not yet been confirmed
|
|
as being received by Austin.
|
|
Since there were more than 10 batches found, please run the
|
|
EDI BATCHES WAITING FOR AUSTIN RECEIPT OVER 1-DAY report to get a list of these batches.
|
|
BATCH # PENDING SINCE MAIL MESSAGE #
|
|
BATCH TYPE:
|
|
EDI BATCHES WAITING AUSTIN RECEIPT FOR OVER 1 DAY
|
|
IBCEM EOB MANAGEMENT
|
|
Select: (O)nly bills where COB may be possible or
|
|
(B)oth COB possible bills and other bills with unreviewed EOB's:
|
|
Enter 'O' for only bills that may have COB possiblity (additional
|
|
payment from a subsequent payer)
|
|
'B' for both bills with COB possibility and any other bills
|
|
without COB possibility, but having an unreviewed EOB
|
|
Another
|
|
AUTHORIZING BILLER:
|
|
ALL//
|
|
This biller has already been selected
|
|
Sort By:
|
|
AUTHORIZING BILLER
|
|
Enter the code to indicate how the list should be sorted.
|
|
IBCEM EOB DETAIL
|
|
UNKNOWN~0
|
|
No MRA/EOB's Matching Selection Criteria Were Found
|
|
Remaining Balance
|
|
Days Since Last Transmission
|
|
Date Last MRA/EOB Received
|
|
INSURANCE COMPANY
|
|
UB-82^HCFA 1500^UB-92
|
|
Insurers On Bill:
|
|
IBJT EDI STATUS
|
|
IBJT EDI STATUS ALONE
|
|
IBCEM EOB REVIEW
|
|
IBJT CLAIM INFO
|
|
This is not a transmittable bill or review not needed
|
|
Please note: the new bill was not AUTHORIZED.
|
|
It can only be accessed now via the normal, non-EDI functions.
|
|
Status of new bill is
|
|
There is no next payer for this bill
|
|
An authorized bill can not be edited.
|
|
IB EDIT
|
|
You are not authorized to edit a bill
|
|
IB -COB Management Report
|
|
No entries found for this report
|
|
Authorizing/requesting biller:
|
|
Insurers on file:
|
|
COB MANAGEMENT REPORT
|
|
AUTHORIZING/REQUESTING BILLER
|
|
DAYS SINCE TRANSMISSION OF LATEST BILL
|
|
BALANCE REMAINING
|
|
DATE LAST MRA/EOB RECEIVED
|
|
AUTHORIZING/REQUESTING BILLER:
|
|
LAST COB PRODUCED
|
|
MRA/EOB
|
|
DAYS SINCE
|
|
BILL #
|
|
Review Status=
|
|
REVIEW IN PROCESS
|
|
ACCEPTED-INTERIM EOB
|
|
ACCEPTED-COMPLETE EOB
|
|
CLAIM CANCELLED
|
|
NOT REVIEWED
|
|
Review Date/Time:
|
|
Reviewed By:
|
|
For a final status, this field is required
|
|
Sorry, another user currently editing this entry (#
|
|
Since FILED - NO ACTION final status was selected, you must enter a
|
|
comment explaining the FILED - NO ACTION
|
|
The review status was not changed because no comment was entered
|
|
IF THIS BILL HAS RECEIVED ITS FINAL ELECTRONIC MESSAGE AND NO FURTHER ACTION
|
|
WILL BE TAKEN ON IT, ANSWER YES
|
|
DO YOU WANT TO CLOSE THE TRANSMISSION RECORD FOR THIS CLAIM?:
|
|
REVIEW STATUS CHANGED TO '
|
|
New Review Date:
|
|
IBCECOB-X
|
|
Original Billed Amt: $
|
|
Bill Balance: $
|
|
Total Amt This EOB: $
|
|
Total Amt This MRA: $
|
|
Days Since Last Transmit:
|
|
Authorizing Biller:
|
|
COB History:
|
|
NONE FOUND
|
|
INSURANCE COMPANY:
|
|
Svc Date Patient Name/Last 4 Care Type/Form COB Seq
|
|
IBCEM EOB VIEW EOB
|
|
IBCEM CSA LIST
|
|
* Indicates CSA review in progress
|
|
MINIMUM # OF DAYS MSGS WAITING TO BE RESOLVED:
|
|
Enter the minimum number of days you want a message to have been waiting to be resolved before it will be displayed on this screen.
|
|
FIRST SORT BY:
|
|
ERROR CODE
|
|
Enter a code from the list to indicate the order in which to display the messages.
|
|
SECONDARY SORT BY:
|
|
Enter a code from the list to indicate how the messages should be ordered if
|
|
there are duplicate messages for a
|
|
n authorizing biller
|
|
bill number
|
|
# of days pending
|
|
n error code
|
|
A:AUTHORIZING BILLER;
|
|
B:BILL NUMBER;
|
|
N:NUMBER OF DAYS PENDING
|
|
E:ERROR CODE
|
|
(R)ejects only OR (B)oth informational and rejects?:
|
|
YOU MAY CHOOSE TO SEE JUST THOSE MESSAGES WE KNOW ARE REJECTS OR YOU MAY
|
|
CHOOSE TO SEE ALL MESSAGES MEETING YOUR SELECTION CRITERIA
|
|
REJECTS ONLY
|
|
* Indicates review in progress
|
|
SKILLED NURSING
|
|
NON-PAYER
|
|
No Messages Matching Selection Criteria Found
|
|
BILL NUMBER
|
|
NUMBER OF DAYS PENDING
|
|
IBCEM CSA MSG
|
|
Message Status=
|
|
REVIEW NOT NEEDED
|
|
CLAIMS STATUS AWAITING RESOLUTION-DETAIL
|
|
Svc Loc:
|
|
Biller Name:
|
|
Days Pending:
|
|
Date Rec'd:
|
|
Dt Generated:
|
|
Message Text:
|
|
Review Date:
|
|
Since OTHER ACTION final status was selected, you must enter a
|
|
comment explaining the OTHER ACTION
|
|
NO FURTHER ACTION WILL BE ALLOWED REGARDING THIS ELECTRONIC MESSAGE
|
|
SINCE THIS CLAIM WAS PRINTED AT THE CLEARINGHOUSE
|
|
IS THIS THE FINAL ELECTRONIC MESSAGE YOU EXPECT TO RECEIVE FOR THIS BILL?:
|
|
If you respond YES to this prompt, the transmit status of this bill will
|
|
be set to CLOSED. No further electronic processing of this bill will be
|
|
allowed. If you respond NO to this prompt, this electronic message will
|
|
be filed as reviewed, but the bill's transmit status will not be changed.
|
|
You may wish to periodically print a list of bills with a non-final
|
|
(closed/cancelled/etc) status to ensure the electronic processing of all
|
|
bills has been completed. Closing the transmit bill record here will
|
|
eliminate the bill from this list.
|
|
SINCE YOU HAVE INDICATED THIS BILL HAS RECEIVED ITS FINAL ELECTRONIC MESSAGE
|
|
AND NO FURTHER ACTION WILL BE TAKEN ON IT, THE STATUS OF THE TRANSMIT
|
|
RECORD FOR THIS BILL WILL BE CHANGED TO CLOSED
|
|
IS THIS WHAT YOU MEANT TO DO?:
|
|
REVIEW STATUS
|
|
AUTOMATICALLY
|
|
CHANGED TO '
|
|
There are no comments previously entered by you
|
|
Do you want to add a new comment?:
|
|
You are only allowed to edit your own comments.
|
|
You may enter a new comment here.
|
|
Select REVIEW DATE to edit or press ENTER to add a new comment:
|
|
DO YOU WANT TO ADD A NEW REVIEW COMMENT?:
|
|
IB -Claims Status Awaiting Resolution Report
|
|
FORM TYPE:
|
|
MESSAGE TEXT:
|
|
CLAIMS STATUS AWAITING RESOLUTION REPORT
|
|
FIRST LEVEL SORT BY:
|
|
SECOND LEVEL SORT BY:
|
|
SOURCE OF
|
|
DAYS MSG
|
|
PAYER NAME
|
|
OF SERVICE
|
|
IBCEM VIEW EOB
|
|
This bill is in need of review due to receipt of a status msg or EOB
|
|
OK to update the review status to 'REVIEW COMPLETE' based on this action?:
|
|
You have just
|
|
requested re-transmission of
|
|
the bill
|
|
You can update the review status of the unreviewed message to
|
|
'REVIEW COMPLETE' if you say YES here
|
|
The review status of this message will be updated to 'REVIEW COMPLETE'
|
|
based on this action
|
|
MEDICARE INFORMATION:
|
|
CODE SHORT DESCRIPTION
|
|
LINE LEVEL ADJUSTMENTS:
|
|
SERVICE LINE (EDI)
|
|
# SV DT REVCD PROC MOD UNITS BILLED DEDUCT COINS ALLOW PYMT
|
|
ADJ:
|
|
ADJ AMT:
|
|
REMARK CODE:
|
|
PRCA_EOB
|
|
EOB GENERAL INFORMATION:
|
|
Type :
|
|
MEDICARE MRA
|
|
NORMAL EOB
|
|
(SPLIT IN A/R)
|
|
EOB Paid DT :
|
|
Entry Dt/Tm :
|
|
Claim Status :
|
|
Manual Entry: YES
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|