308 lines
9.4 KiB
Plaintext
308 lines
9.4 KiB
Plaintext
English French Notes Complete/Exclude
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Run report for (A)CTIVE ARs, (S)USPENDED ARs, or (B)OTH: B//
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AaBbSs
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Include (A)LL
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ARs or those within an AGE (R)ANGE: ALL//
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EXAMPLE Range: 31-60 days
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Enter the minimum age of the receivable:
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Enter the maximum age of the receivable:
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Enter the minimum balance amount of the receivable:
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Include the bill comment history with each receivable
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Print (A)LL comments or the (M)OST RECENT comment:
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Minimum age of most recent bill comment (optional):
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Include ARs referred to Regional Counsel
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It is recommended that you queue it to run after normal business hours.
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IB - FIRST PARTY FOLLOW-UP REPORT
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This job has been queued. The task no. is
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First Party Follow-Up Report
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Cat^Patient^VA Empl.?^SSN^Dt Death^Prim.Elig.^Med.Elig.?^
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Means Tst Sts^Means Tst Dt^RX Copay Exemp.Sts^RX Copay Exemp.Dt^
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Bill #^Act/Susp^Refer. to^Dt Bill prep.^Last Pymt Dt^
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Curr.Bal.^Princ.Bal.^Int.^Admin.^Last Comm.Dt^Days Lst Comm.
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referred to
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REFERRED TO RC
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REFERRED TO DMC
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REFERRED TO TOP
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REPAYMENT PLAN ESTABLISHED
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(CURRENTLY IN DEFAULT)
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EMERG/HUMAN.
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C MEANS TEST
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RX COPAY/SC
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RX COPAY/NSC
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ADHC LTC
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DOM LTC
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RESPITE INPT LTC
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RESPITE OPT LTC
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GERIATRIC INPT LTC
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GERIATRIC OPT LTC
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NURSING HOME LTC
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There are no receivables for the parameters entered.
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Patient Name :
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Medicaid:
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RX Copay Status :
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Eligibilities :
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Additional Info :
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AND UNDER
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DAYS OLD
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LAST 4 SSN
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MINIMUM BALANCE
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LESS THAN
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/ RECEIVABLES REFERRED TO RC
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Type of Receivable
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EMERGENCY/HUMANITARIAN^INELIGIBLE^C-MEANS TEST & RX COPAY
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Principal
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Interest
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Account Balance: $
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, '*' - VA EMPLOYEE
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, REFERRED TO RC
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, REFERRED TO DMC
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, REFERRED TO TOP
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, UNDER REPAYMENT PLAN
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, UNDER DEFAULTED REPAYMENT PLAN
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SUSPENDED
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There are no statistics for this category.
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FIRST PARTY FOLLOW-UP SUMMARY REPORT Run Date:
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RECEIVABLES OVER
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AND LESS THAN
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DAYS OLD
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/ PATIENTS FROM '
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/ MINIMUM BALANCE: $
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/ RECEIVABLES REFERRED TO RC
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Choose which category of receivables to print:
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CHAMPUS/TRICARE PATIENT
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SHARING AGREEMENTS
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CHAMPUS THIRD PARTY
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CHAMPVA THIRD PARTY
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NOTE: CHAMPUS/Tricare Patient receivables will NOT be sorted
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by division!
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PHARMACY REFILL
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Enter the minimum age of the active receivable:
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Enter the maximum age of the active receivable:
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You should queue it to run after normal business hours.
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IB - CHAMPVA/CHAMPUS FOLLOW-UP REPORT
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CHAMPVA/CHAMPUS (Tricare) Follow-Up Report
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Patient^VA Empl.?^Age^SSN^Prim.Ins.Carrier^Other Ins.Carrier^
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Dt Bill prep.^Bill From Dt^Bill To Dt^Subsc.ID^Bill #^
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Orig.Amt^Curr.Bal.^Cat.^Bill Type^Lst Comm.Dt^Days Lst Comm.^
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ALL ACTIVE
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OVER
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/ BY PATIENT
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LAST 4 DIGITS OF SSN
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NOT OLDER THAN
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/ '*' AFTER THE PATIENT NAME = VA EMPLOYEE
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Dte Bill
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Original Current
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Age SSN
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Other Insurance
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Bill Number Prepared
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Bill Frm Bill To Amount Balance
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CHAMPVA/CHAMPUS-Tricare Follow-Up Report
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There are no active receivables for the parameters above.
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CHAMPVA/CHAMPUS-TRICARE FOLLOW-UP SUMMARY REPORT
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NO-FAULT AUTO ACCIDENT
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TORT FEASOR
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WORKMEN'S COMP
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CURRENT EMPLOYEE
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EX-EMPLOYEE
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FEDERAL AGENCIES-REFUND
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FEDERAL AGENCIES-REIMBURSEMENT
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NOTE: The receivables of these types will NOT be sorted by division:
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These receivables will be sorted by PATIENT/SSN:
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These receivables will be sorted by DEBTOR:
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IB - MISC. BILLS FOLLOW-UP REPORT
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Miscellaneous Bills Follow-Up Report
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Division^Cat.^Prim.Ins.Carrier^Patient/Debtor^VA Empl.?^SSN^Age^
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Other Ins.Carrier^Bill #^Dt Bill prep.^Bill From Dt^Bill To Dt^
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Orig.Amt^Lst Pymt Amt^Curr.Bal.^Lst Comm.Dt^Days Lst Comm.
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Run Date:
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/ BY DEBTOR NAME
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MINIMUM BALANCE
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/ '*' AFTER THE PATIENT/DEBTOR NAME = VA EMPLOYEE
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Original Current
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Prepared From Dte To Date
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Amount Balance
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Date Bill
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Original Last Amt Current
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Debtor
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Bill Number Prepared Processed By
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Paid Balance
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MISCELLANEOUS BILLS FOLLOW-UP SUMMARY REPORT
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Print (C)URRENT, (D)EFAULTED Repayment Plans or (B)OTH:
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Minimum number of days defaulted:
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Print (M)CCR or (N)ON-MCCR Receivables:
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Do you want to include TOTALs by Patient
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This report requires a
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column printer.
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IB - REPAYMENT PLAN REPORT
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Repayment Plan Report
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There are no Repayment Plan for the parameters selected.
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->REPAYMENT PLAN INCOMPLETE. PLEASE CHECK!
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Run Date:
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DEFAULTED
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REPAYMENT PLAN /
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MCCR RECEIVABLES ONLY /
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BY DEBTOR
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'*' AFTER THE NAME = DEBTOR HAS DEFAULTED ON A REPAYMENT PLAN
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Debtor Name
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Monthly
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Last Payment
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Def
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SUMMARY REPAYMENT PLAN REPORT
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MCCR RECEIVABLES
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Debtor^SSN^Plan Type^Death Dt^Bill #^Start Dt^Mo.Pymt Amt^
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Due Day^Lst Pymt Dt^Lst Pymt Amt^Curr.Bal.^Pymts Due^Pymts Def.
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REPAYMENT PLANS
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Number of Bills:
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Number of Debtors
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Outstanding balance of Bills:
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Number of payments due:
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FROM Transaction Date:
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TO Transaction Date:
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Clerks^Clerk
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Do you wish to print with Clerk (N)ame or (I)dentifier?
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Choose transaction type(s) to print:
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Do you want to print the summary by Clerk
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IB - AR PRODUCTIVITY REPORT
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AR Productivity Report
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INCREASE ADJUSTMENT
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PAYMENT (IN PART)
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REFER TO RC
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REFER TO DOJ
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REESTABLISH TO RC
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RETURNED BY RC
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CASH COLLECTION BY RC
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WRITE-OFF
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TERMINATE BY FISCAL OFFICER
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TERMINATE BY COMPROMISE
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WAIVED IN FULL
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WAIVED IN PART
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ADMIN COST CHARGE
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INTEREST/ADMIN CHARGE
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EXEMPT INTEREST/ADMIN COST
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IN-ACTIVE
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NEW BILL
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PENDING APPROVAL
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PENDING CALM CODE
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COLLECTED/CLOSED
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MARSHAL/COURT COST
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REPAYMENT PLAN
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CANCELLED BILL
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BILL INCOMPLETE
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OLD BILL
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TERMINATE BY RC
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DEBIT VOUCHER (SF 5515)
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RETURNED FROM AR (NEW)
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RETURNED FOR AMENDMENT
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AMENDED BILL
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PAYMENT (IN FULL)
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DEC.ADJ./CONTR
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DEC.ADJ./NON-CONTR
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DELETE (AMEND)
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ADD (AMEND)
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RE-ESTABLISH
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REFUND REVIEW
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CHARGE SUSPENDED
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PENDING ARCHIVE
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There is no AR Productivity information for the parameters selected.
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COMMENT:
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CLERK #
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GRAND TOTALS
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Detail By
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Clerk Name
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Clerk Identifier
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Trx.
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Follow-Up
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SUMMARY AR PRODUCTIVITY REPORT
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Transaction Category
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Total Number
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Total Dollar Amt
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Select Clerk:
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There are existing assignments for this clerk.
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Those assignments must be deleted before the 'Productivity Report Only'
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flag can be changed to 'Yes'.
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Do you want to delete the existing assignments now
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Productivity Report Only? changed to 'YES'...
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Assignment #
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LAST PMT
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LAST TRX
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REC.TYPE
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EXCLUDE REFER
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MIN BALANCE
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TO REG COUNSEL
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LIMITED BY CARRIER/NAME/SSN
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(A)dd, (E)dit, or (D)elete Assignment
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Adding new assignment - #
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Choose a valid Assignment Number to delete
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Not a valid assignment number
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Assignment #
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No more valid assignments on file for this clerk. Changing the 'Productivity Report Only' flag to Yes.
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Choose a valid Assignment Number to edit:
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Must be a valid assignment listed above...
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Bill Category for assignment #
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EXCLUDE RECEIVABLES REFERRED TO RC
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LAST 4 OF SSN
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* The Go To Patient Name/SSN must follow after the Start With Name/SSN. *
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TYPE OF RECEIVABLE:
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START WITH INSURANCE CARRIER
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GO TO INSURANCE CARRIER
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* The Go to Insurance Carrier Name must follow after the Start with Insurance Carrier. *
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Sort Patients by (N)ame or (L)ast 4 of the SSN:
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Run list for (S)pecific clerks or (A)ll clerks: ALL//
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SAsa
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Already selected. Choose another clerk.
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This report requires an 80 column printer.
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IB - AR WORKLOAD ASSIGNMENTS LIST
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There is no AR Workload Assignment information for the parameters selected.
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Productivity report only?
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Assignment #:
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Bill Category:
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Min Acct Bal:
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Supervisor:
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Exclude Reg Counsel:
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------ End of Assignment List ------
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AR Workload Assignments List
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FIRST PARTY PARAMETERS:
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Days Since Last Payment
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First Patient Name
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Last Patient Name
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First Social Security Number
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Last Social Security Number
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THIRD PARTY PARAMETERS:
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Days Since Last Transaction
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First Insurance Carrier
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Last Insurance Carrier
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Pharmacy Refill
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All Receivables
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This report measures the number of registrations which are being entered
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without inconsistencies. Please enter a date range representing the dates
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that patients were first entered into the system.
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IB - COMPLETED REGISTRATIONS
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Completed Registrations Report
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There were no registrations with inconsistencies found in this date range.
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NON-VETERAN
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Percentage of Completed Registrations
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Detailed Report of Incomplete
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Registrations for the Period
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(*=Had inpat. care, +=Had no treatment)
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Primary Eligibility*
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Next Date of
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Type of Care
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Inconsistencies
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Registered By
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Appt/Adm Death
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PERCENTAGE OF COMPLETED REGISTRATIONS
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SUMMARY REPORT for
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For the Period
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Number of Registrations:
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Number of Regs with Treatment Rendered:
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Number of Regs with No Treatment Rendered:
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Number of Complete Registrations:
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Number of Complete Veteran Regs:
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Number of Complete Non-Veteran Regs:
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Number of Incomplete Registrations:
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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