308 lines
10 KiB
Plaintext
308 lines
10 KiB
Plaintext
English French Notes Complete/Exclude
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Transmission Statement Total :
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CCPC Statements Printed Total :
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Total Not Printed :
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This data can only be entered between the 1st and the 7th of the month.
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Enter Month/Year of Waiver Data
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You must enter month and year
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# OF BILLS:
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Is Data Correct
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Line Number to Edit
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Data Entry for Line
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Enter Total Number of Bills
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Enter Total Amount
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No Forward Jumping Allowed
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Initial Waiver Request
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Waiver Request Resolved
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Appeal Waiver
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Appeal Waiver Resolved
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Waiver Approved Refund
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Appeal Approved Refund
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SC
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Pharmacy Co-Pay Waiver Data for Site
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Rx Copay Waivers-Site #
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Pharmacy Co-pay Waiver Report:
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There were no debtors who defaulted on their repayment plan yesterday.
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There were no debtors with repayment plans who had new active bills yesterday.
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AR REPAYMENT PLAN MONITOR
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G.RC REPAY PLANS
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The following debtors just defaulted on a Repayment Plan by not making a
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scheduled payment on or before the scheduled payment date:
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The following debtors with a Repayment Plan had a new active bill entered:
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New Bill
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The following mailman message is your Accounts Receivable assignment list.
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ASSIGNMENT #:
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ACCOUNT BILL# CATEGORY ACTIVATE
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TOTAL BILL COUNT FOR ASSIGNMENT:
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[Not Specified]
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SUMMARY OF ALL ASSIGNMENTS
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ALL BILLS FOR ALL ASSIGNMENTS COUNT:
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* indicates patient has expired COUNT:
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d indicates bill has been forwarded to DMC COUNT:
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t indicates bill has been forwarded to TOP COUNT:
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r indicates bill is under a repayment plan COUNT:
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R indicates bill in default of repay plan COUNT:
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AR Assignment List for
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TOTAL BILL COUNT FOR ALL CLERKS:
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TOTAL BILL DOLLARS FOR ALL CLERKS:
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IBJD WORKLOAD ASSIGNMENT
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AR Supervisor List for
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[RECEIVABLE TYPE equals
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[CATEGORY equals
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[MINIMUM BILL BALANCE greater than
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[DAYS SINCE LAST PAYMENT greater than
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[PATIENT NAME is after
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and before
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[PATIENT SSN is after
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[DAYS SINCE LAST TRANSACTION greater than
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[INSURANCE COMPANY NAME is after
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Notice Of Active Bill Without Principal Balance
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The following bill has a 0 principal balance,
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but has interest/admin charges remaining.
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These charges should be exempted
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BILL #:
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Deletion of Debtor from DMC
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The following patient has a DMC balance of '0'
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and will be deleted from the DMC system:
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DEBTOR:
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INACTIVE BENEFIT
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Death Notice Received From DMC
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DMC has received a death notice for the following patient:
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Date Of Death:
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Please follow up locally to have this information entered
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into the local VAMC patient file.
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The following debtors will not be followed by DMC
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and are being deleted from the DMC.
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Patients Deleted From DMC: (SEQ. #:
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The following debtors have invalid debtor numbers
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Please verify the debtors
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Notice of Invalid Debtor Number
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END OF TRANSMISSION FOR SITE#
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: TOTAL RECORDS:
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XXX@Q-DMX.MED.VA.GOV
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XXX@Q-DMR.MED.VA.GOV
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/DMC REPORT
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WEEKLY UPDATE
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MASTER FILE
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RECORDS SENT TO DMC ON
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Name Last4 Principle Interest Admin Total
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Total Records Sent:
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Principle:
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Interest:
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Admin:
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Total:
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Notice of debtor eligible for DMC with Pseudo-SSN
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The following patient is eligible for DMC collection,
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but can not be submitted because of a Pseudo-SSN.
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A valid SSN needs to be entered for this patient.
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DMC 90 DAY REFERRAL REPORT
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Select type of report
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Enter 'D' or 'S':
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A detailed report prints out current totals for each individual debtor at DMC.
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A summary report prints out current totals of all accounts at DMC.
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Mailgroup 'DMR' to receive master transaction messages has been set up
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Mailgroup 'DMX' to receive weekly transacton messages have been sent up.
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****Remember to add users to these mailgroups.****
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DMC Lesser Withholding...
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Amount entered exceeds the amount currently at DMC which is
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Re-enter lesser amount
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Deletion of Debtor From DMC
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Enter Debtor To Be Removed From DMC:
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Are you sure you wish to delete this debtor from DMC?
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Notice of Unknown/Corrupted Address to DMC
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Master Record-Monthly was not sent because:
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Address is
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. Verify and re-enter
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address for the following patient:
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PLEASE NOTE: SENT WEEKLY UPDATE WITH ZERO BALANCE!
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This option will allow you to select a new account.
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RCDP TRANSACTIONS LIST
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RCDP BILL PROFILE
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There are NO bills to profile.
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***** Select an ACCOUNT *****
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***** Account does not have any bills *****
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TOTAL BALANCE OWED FOR ALL BILLS DISPLAYED
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Pending Payments
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TOTAL PENDING PAYMENTS
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TOP Hold Date:
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RCDP ACCOUNT PROFILE
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ACCOUNT NOT selected.
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RX Copay Exempt:
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ACCOUNT BALANCE: Unknown
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ACCOUNT BALANCE:
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Pending Payments:
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Select ACCOUNT or BILL NUMBER:
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NO STREET
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This option will allow you to specify which bill statuses to display.
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*:ALL statuses;-:NO statuses;
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Select STATUS of bills to display:
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When using this option, you have the option to select bills to display by
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status. You can select a list of statuses of the bills to display. After
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you select the list of statuses, the option will retain the list of selected
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statuses for the next time you enter this option. Since you currently do
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not have any statuses selected for your list, the default statuses of
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active, open, pending calm, and refund review will be automatically
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selected for your list now.
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The following is a list of available statuses for bills:
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** indicates account has bills under status **
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Date
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Trans Date Type Amount Description
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Qty
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Outpatient Visit Date:
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Inpatient Adm Date:
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Repayment Plan Data
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Repayment Plan Date
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Day of Month Payment Due
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Repayment Amount Due
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Number of Payments
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Forwarded to IRS
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On Date
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Principal Balance:
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Interest Balance:
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Administrative Balance:
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Forwarded to DMC
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Forwarded to TOP
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TOP Hold Date:
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Insurance Data
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Insured Name
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ID Number
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Group Name
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Group Number
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Employer Name
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Employee ID Number
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Employer Location
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Secondary Ins Carrier
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Tertiary Ins Carrier
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Date Prepared
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Date Activated
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Date Status Up
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Resulting From
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Type of Care
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Interest Effective Rate Date:
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Annual Rate:
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Admin Effective Rate Date:
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Monthly Rate:
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Last Int/Admin Charge Date
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Bill Balances Billed Paid
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Original Amt:
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Medicare Contr Adj:
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Marshall Fee:
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Court Cost:
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Administrative:
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Medicare Unreim Exp:
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Refunded Amount
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Accounting Data
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Fiscal Year
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Approp Code
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Rev Srce Code:
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Collection Follow up Data
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IRS Letter
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DC/DOJ Ref Date
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***** ACCOUNTS RECEIVABLE BILL PROFILE FOR
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There are NO transactions to profile.
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RCDP TRANS PROFILE
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TOTAL BALANCE FOR BILL
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STORED BALANCE FOR BILL (** INCORRECT **)
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Bill Balance:
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Select BILL:
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original amount^
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This option will confirm a deposit. Once a deposit is confirmed, receipts
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can no longer be added or changed on the deposit. Before a deposit can be
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confirmed all receipts must be processed and the cash receipt code sheets
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accepted by FMS.
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Deposit NOT Confirmed.
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Use the Edit Deposit option to enter missing bank data.
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Checking receipts on deposit ...
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ON LINE ENTRY
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Cannot confirm deposit until all receipts are closed and the cash
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receipt documents have been accepted in FMS.
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All receipts are closed and accepted.
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Checking the deposit bank data ...
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BANK is missing.
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BANK TRACE NUMBER is missing.
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AGENCY LOCATION CODE is missing.
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AGENCY TITLE is missing.
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RCDP RECEIPT PROFILE
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There are NO receipts to profile.
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This option will allow the user to customize the screen and options
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used for deposit processing.
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Do you want to turn on the display of the FMS CR documents
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Are you sure you want to CONFIRM this deposit
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RCDP DEPOSIT PROFILE
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*** No RECEIPTS for this deposit ***
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TOTAL DOLLARS FOR DEPOSIT
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Bank Trace Number:
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Agency Location Code:
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Agency Title:
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FMS CR Documents
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Deposit Status:
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Deposit Date:
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accounts receivable
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Opened By:
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Date/Time Opened:
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Confirmed By:
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Date/Time Confirmed:
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Deposit confirmed on
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Exit option entirely
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Another user is editing the deposit.
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Sent to: PRCAY PAYMENT SUP security key holders
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This deposit was confirmed and the following action occurred:
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Deposit Processing Audit
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Accounts Receivable Package
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Select DEPOSIT:
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Print Summary 215 Report
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RCFMSCR_SUM
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Appropriation:
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INT:
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TOTAL for
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0160a1 sub-totals Champva receipts
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not sent to FMS on the CR document.
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INTEREST : (APP: 1435)
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ADMIN : (APP: 3220)
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MARSHALL : (APP: 0869)
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COURTCOST: (APP: 0869)
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TOTALS:
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TOTAL AMT POSTED FOR RECEIPT:
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**** GRAND TOTALS FOR DEPOSIT:
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Total Appropriation:
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not sent to FMS on the CR doc.
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Total Appropriation: 3875
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TOT AMT POSTED FOR DEPOSIT:
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Appropriation: 3875
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TOTAL for 3875
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ACCRUED OR DETAILED REPORT
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A DETAILED Report will list out accrued bills separately
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An ACCRUED Report will list just the accrued total under each appropriation
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215 DEPOSIT SUMMARY REPORT
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DEPOSIT #:
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FMS Document #:
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REFERENCE ERA #:
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Start with Deposit Date: FIRST//
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AR - List of unlinked EFT deposit payments
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RCDPE8NZZ_EFT
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DEPOSIT DATE:
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TASK STOPPED BY USER!!
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NO RECEIPT
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PAPER EOB
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MATCHED TO ERA #:
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(TOTALS MISMATCH)
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NO FMS DOCUMENT
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UNAPPLIED EFT PAYMENT DEPOSITS
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DEPOSIT # DEPOSIT DATE TOT AMT OF DEPOSIT TOT AMT UNPOSTED
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TRACE # PAYMENT AMT RECEIPT #
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ERA MATCHED
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FMS DOC #/STATUS
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EDI LBOX ERA UNMATCHED AGING REPORT FOR
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EDI LBOX EFT UNMATCHED AGING REPORT FOR
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Enter the minimum # of days elapsed before including on report (0-1000):
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DO YOU WANT (S)UMMARY OR (D)ETAIL?:
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AR - EDI LOCKBOX ERA AGING REPORT
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RCERA_AGED
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RCERA_ADJ
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(HAC ERA)
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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