308 lines
13 KiB
Plaintext
308 lines
13 KiB
Plaintext
English French Notes Complete/Exclude
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If you want to merge the patient's current benefits used into the
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newly-proposed plan, enter 'YES'. Otherwise, enter 'NO' and these
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benefits used will be deleted.
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offers no other active group plans!
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No plan selected!
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You may
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repoint these policies
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change the policy plan
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to a newly-added plan.
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No Insurance Plan has been added or selected.
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To inactivate this plan, answer 'YES.' Otherwise, answer 'NO.'
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Is it okay to inactivate this plan
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The plan was not inactivated.
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Inactivating the plan...
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Building the list of inactivated subscriptions to send to you...
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IBSUB-LIST
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SUBSCRIPTION LIST FOR INACTIVATED PLAN
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The following plan offered by
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has been inactivated:
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Group Plan Number:
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<no number>
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Plan Number:
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<no name>
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The following plan subscriptions, which may have been active, were
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automatically inactivated:
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Patient Name/ID Whose Employer Effective Expires
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You should review this list and change the policy plan for any of
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these subscriptions if necessary.
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Repointing all policies to the new plan...
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All policies have been re-pointed to the new plan.
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There were no Benefits Used merged or deleted.
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Benefits Used record
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** Please Note **
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The selected plan has no Annual Benefits with which to associate
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the Benefits Used from the current plan!
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If you re-point all policies to this plan, the Benefits Used for
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the current plan will be deleted!!
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The selected plan has Annual Benefits on file. Should the repointing
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of the policies attempt to merge all transferable benefits
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Do you still wish to re-point these policies to a new plan
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Inactivate another plan offered by the same company
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To inactivate another plan from this company, answer 'YES.' To switch companies, answer 'NO.'
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Select PLAN COMPANY:
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Do you wish to directly enter this plan
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The look-up facility to select
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an active
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group plan has been enhanced to use the List Manager. Enter 'NO' if you wish to select a plan from this look-up, or 'YES' to directly enter the plan.
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an Active
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GROUP PLAN:
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This policy is not valid!
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This action will allow you to change the insurance plan to which the
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veteran is subscribing through this policy.
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Can't change subscribed-to plan...
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*** Please note that this Individual Plan will be deleted if you select
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to switch plans associated with this policy.
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This patient has Benefits Used associated with his current plan and policy!
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The newly proposed subscribed-to plan has no associated Annual Benefits,
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so the Benefits Used associated with the current plan will be deleted!
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Please note that
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Benefits Used are transferable.
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All Benefits Used
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Note that those Benefits Used which cannot be merged
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will be deleted!
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Do you want to merge the transferable Benefits Used
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The transferable
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Benefits Used will be
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Okay to change the subscribed-to plan
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The subscribed-to plan for this policy was not changed.
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Changing the subscribed-to plan...
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Deleting the formerly subscribed-to Individual Plan...
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There are no longer any subscribers to the previous plan. You may wish
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to inactivate or delete this plan using the 'Inactivate Plan' action.
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There is no plan associated with this policy!
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Please use the action 'Change Plan Info', which will create a plan
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for the policy.
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Please note that this is an Individual Plan.
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This plan is currently inactive.
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There are Benefits Used associated with this plan!
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This patient has riders associated with this policy!
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There are insurance reviews associated with this policy.
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Existing Benefit Used Yr
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Annual Benefit for Proposed Plan
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Merge BU?
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Merging previous benefits used into the new plan...
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Deleting previous benefits used...
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If you change the plan for this policy,
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all existing benefits will be deleted.
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all existing benefits will be merged.
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all transferable benefits
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will be merged. All others will be deleted.
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Do you wish to add a new Insurance Plan
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If you have identified a new plan that has not been previously entered, and you wish to add it, answer 'YES'. If you do not wish to add a new plan, enter 'NO'.
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IS THIS A GROUP PLAN
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Searching for potential duplicate plans offered by
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No potential duplicate plans have been identified.
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The following plans have been identified as potential duplicates:
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PLAN?
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<NO PLAN NUM>
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<NO PLAN NAME>
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Do you still want to add a new plan with Plan Name
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and Plan Number
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<NO PLAN NUMBER>
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This process will allow you to transfer subscribers from many insurance
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plans into one 'master' plan. After the subscribers from each selected
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plan are transferred to the master plan, the selected plan will be deleted
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from your system.
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You should be very careful when you use this tool.
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You must first select the master plan into which you will transfer all
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selected plan subscribers. This plan must be an active group plan.
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Annual Benefits have been established for this plan.
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This plan has no Annual Benefits on file! Do you wish to continue
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If you wish to continue with this processing, enter 'YES.' Otherwise, enter 'NO.'
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Please note that any Benefits Used on file for subscribers who
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will be merged into the master plan will be deleted!
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Any Benefits Used on file for subscribers who will be merged into the
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master plan will also be merged if the master plan has any Annual Benefits
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dated in the same year as the Benefits Used. Please note that the
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Benefits Used date will be changed to match the date of the Annual Benefit.
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You may now select the plans to be merged into the master plan... (type <CR>)
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No plans were selected!
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selected to be merged into the master plan.
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Okay to merge th
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into the master plan
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If you wish to merge the selected plans into the master plan, enter 'YES.' Otherwise, enter 'NO.'
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Merging each selected plan into the master plan...
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All selected plans have been deleted.
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transferred to the master plan.
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had the date changed)
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Plan Company:
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Do you wish to delete multiple plans simultaneously
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If you wish to transfer subscribers from many duplicate plans into a master plan, enter 'YES.' To inactivate a single plan, enter 'NO.'
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IBCNS PLAN LIST
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You cannot inactivate an individual plan.
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IBCNS INS CO PLAN DETAIL
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You may now enter comments about this plan.
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Do you want to see the list of plans for this insurance company
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Enter 'YES' if you want to use the LIST MANAGER lookup facility on the previous screen to select a plan. Enter 'NO' to select a plan using the standard Fileman lookup.
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coverage category -OR-
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Press ENTER if selection is complete
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'ALL' to select all coverage categories
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This category already selected.
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Coverage Category:
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Editing existing record.
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A new record will be added for this EFFECTIVE DATE/coverage category.
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New record added.
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Do you want to exit this function now
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No current dates on file for this plan.
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Current dates on file for this plan:
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(and more)
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Enter a coverage category to add/edit coverage limitations for.
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Enter ALL to select all coverage categories.
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You may enter multiple coverage categories by entering them one at a time.
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After you have selected all needed categories, press ENTER at this prompt to
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An effective date later than the one you selected
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already exists for
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Are you sure you want to
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this earlier date for the category
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Select Patient Name or Insurance Co.
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No Insurance Policies on file for this patient.
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Verification of No Coverage
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Insurance Management for Patient:
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REPORT OF NEW NOT VERIFIED INSURANCE
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You can't delete this policy, there are bills associated with it.
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Please note that there are Insurance Reviews associated with this policy!!
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Are You Sure you want to delete policy #
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not Deleted!
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WARNING: Patient Name: '
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' DOES NOT MATCH
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Name of Insured: '
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' for this
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LAST VERIFIED BY
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COVERAGE VERIFIED TODAY,
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NEVER PREVIOUSLY VERIFIED. DO YOU WISH TO VERIFY COVERAGE
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ARE YOU RE-VERIFYING COVERAGE TODAY
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VERIFIED BY
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Patient has no effective insurance coverage on file.
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Re-v
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erify that patient has No Insurance Coverage
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Enter 'Yes' to enter a Verification of No Coverage Date
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<Try again Later>
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COVERED BY HEALTH INSURANCE changed to '
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NKNOWN'
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Select the Insurance Company for the policy you are entering
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This company does not reimburse.
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Warning: Inactive Company
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The patient currently has the following Insurance Policies
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Can't identify the policy!
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This company does not offer any active group plans.
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This company offers active group plans. Do you wish to select one
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The look-up facility to select an active group plan has been enhanced to use the List Manager. Enter 'YES' if you wish to select a plan from this look-up, or 'NO' to add your own plan.
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Select an Active GROUP PLAN:
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Select GROUP INSURANCE PLAN:
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WARNING: The expiration date for this policy is in the future!
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Normally this is a past date or left blank or a past date
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GROUP NAME:
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GROUP NUMBER:
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WARNING: This appears to be an expired policy!
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WARNING: This insurance company is INACTIVE!
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Since you have changed the Insurance Company to
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you must now change the Insurance Plan to which this veteran
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is subscribing to one which is offered by this company!
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The current policy plan has Benefits Used associated with it!
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If you add or select another plan to associate with this policy,
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these Benefits Used will be deleted!
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*** Please note: Since the veteran's current plan is an Individual Plan,
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this plan will be deleted if you add or select a new
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plan to associate with this policy.
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A new plan was not added or selected!
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Changing the policy company back to
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Changing the policy plan...
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current Individual
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plan for
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Deleting current Benefits Used...
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Repointing all Insurance Reviews to
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The policy company and plan company are not the same!!
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This inconsistency probably occurred in the past when changing
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the policy company through Screen 5 of Registration.
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You must resolve this inconsistency. If you do not choose a new plan
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offered by the policy company, the policy company will be changed to
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the plan company (
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Enter Medicare Claim Number (Subscriber ID) exactly as it
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appears on the Medicare Insurance Card including All Characters.
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Valid HICN formats are: 1-3 alpha characters followed by 6 or 9 digits,
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or 9 digits followed by 1 alpha character optionally followed by another
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alpha character or 1 digit.
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DATE OF PREVIOUS ENTRY IS
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MOST RECENT ENTRY IS
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. ENTRY CANNOT BE MORE THAN A YEAR OLD.
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YOU MAY PRINT ENTRY UNDER 'PC'.
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INSURANCE MANAGEMENT WORKSHEET
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INSURANCE COVERAGE FOR
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CURRENT ENTRY
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NEXT-MOST-CURRENT ENTRY
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PT ID:
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DOB:
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For YEAR:
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Ins. Type:
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No Benefit Years on File. Do you want to fill out a worksheet
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** INSURANCE COMPANY **
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** PLAN INFO, UR **
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Company:
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Require UR?:
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Street:
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Require Pre-cert?:
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Street 2:
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Benefits Assignable?:
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Precert Phone:
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Subscriber ID:
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Verification Phone:
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Insured's Name:
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Filing Time Frame:
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* ANNUAL BENEFITS *
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** INPATIENT ANNUAL BENEFITS **
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** OUTPATIENT ANNUAL BENEFITS **
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Annual Ded ($):
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Per Admis Ded ($):
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Per Visit Ded ($):
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Inpt Lifet Max ($):
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Lifet Max ($):
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Inpt Annual Max ($):
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Annual Max ($):
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Room & Board (%):
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Visit (%):
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Drug/Alc Lifet Max ($):
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Max Visits/Yr:
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Drug/Alc An Max ($):
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Surgery (%):
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Nursing Home (%):
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Emergency (%):
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Other Inpt Charges (%):
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Prescription (%):
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Adult Day Health Care?:
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Dnt Cov Type (NONE/PER VIS $ / % AMT):
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Dental Cov ($):
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Dental Cov (%):
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Dental Cov $ Or %:
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** MENTAL HEALTH INPATIENT **
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** MENTAL HEALTH OUTPATIENT **
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MH Inpt Max Days/Year:
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MH Opt Max Days/Year:
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MH Lifet Inpt Max ($):
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MH Lifet Opt Max ($):
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MH Annual Inpt Max ($):
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MH Annual Opt Max ($):
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MH Inpt (%):
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MH Opt (%):
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** HOME HEALTH CARE **
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Care Level:
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Visits/Year:
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Max Days/Year:
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Med Equipment (%):
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Visit Definition:
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** IV MANAGEMENT **
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OT Visits/Yr:
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IV Infusion Opt?:
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PT Visits/Yr:
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IV Infusion Inpt?:
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ST Visits/Yr:
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IV Antibiotics Opt?:
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Med Cnslg Visits/Yr:
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IV Antibiotics Inpt?:
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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