308 lines
12 KiB
Plaintext
308 lines
12 KiB
Plaintext
English French Notes Complete/Exclude
|
|
New Policy:
|
|
Previous Policy(s):
|
|
Buffer Policy(s):
|
|
Possible billable Inpt. Care:
|
|
Possible billable Opt. Care:
|
|
Added by:
|
|
No Previous Policies On file!
|
|
Insurance Co. Subscriber ID Group Holder Effective Expires
|
|
Too many to list
|
|
Outpatient Visit on
|
|
No Scheduled appointments found.
|
|
Currently an Inpatient on
|
|
Entry Added to Claims Tracking for Current Admission.
|
|
Previously an inpatient on ward
|
|
Inpatient Admission on
|
|
No Admissions found.
|
|
No Insurance Buffer entries for this Patient.
|
|
Ind. Plan
|
|
You should prepare a claim to be sent to the CHAMPVA Center.
|
|
This claim was sent to the CHAMPUS Supplemental insurance carrier.
|
|
You should send a copayment charge to the patient.
|
|
You should prepare a claim to send to the CHAMPUS Fiscal Intermediary.
|
|
The patient has a CHAMPUS Supplemental policy.
|
|
There is a
|
|
payor associated with this claim.
|
|
You may need to prepare a claim to be sent to
|
|
Notification of Subsequent Payor
|
|
A payment has been made on the following claim, which has been identified
|
|
as potentially having a subsequent payor:
|
|
Bill Number:
|
|
Bill Type:
|
|
Orig Amount: $
|
|
Amount Paid: $
|
|
Bill Sequence:
|
|
Bill Payer:
|
|
Primary Carrier:
|
|
Secondary Carrier:
|
|
Tertiary Carrier:
|
|
Insurance Company Information for:
|
|
Type of Company:
|
|
Appeals Office Information
|
|
Company Name:
|
|
Inquiry Office Information
|
|
Inpatient Claims Office Information
|
|
Outpatient Claims Office Information
|
|
Billing Parameters
|
|
Signature Required?:
|
|
One Opt. Visit:
|
|
Rx Refill Rev. Code:
|
|
Filing Time Frame:
|
|
Type Of Coverage:
|
|
Hosp. Provider No.:
|
|
Prof. Provider No.:
|
|
Primary Form Type:
|
|
Verification Phone:
|
|
Precert Comp. Name:
|
|
Bin Number:
|
|
Max # Test Bills/Day:
|
|
Electronic Type:
|
|
Electronic Transmit?:
|
|
YES-LIVE
|
|
TEST ONLY
|
|
Main Mailing Address
|
|
Claim Off. ID:
|
|
Payer Information/Electronic Insurance Verification
|
|
Payer Application data is not defined!
|
|
Auto-Accept Info:
|
|
Ident Req Subscr ID:
|
|
SSN = Subscr ID:
|
|
...edit to see more...
|
|
IB INSURANCE SUPERVISOR
|
|
You do not have access to Inactivate entries. See your application coordinator.
|
|
Prescription Claims Office Information
|
|
Provider ID Parameters
|
|
Please note that Insurance Reviews have been conducted with this company!!
|
|
IS CURRENTLY
|
|
. DO YOU WISH TO
|
|
Company should be INACTIVE if it is no longer
|
|
active in your area. This will disallow users
|
|
from selecting this insurance company entry.
|
|
THERE
|
|
ARE NO PATIENTS
|
|
IS ONE PATIENT
|
|
ARE MORE THAN 20 PATIENTS
|
|
ARE
|
|
COVERED BY THIS
|
|
INSURANCE COMPANY....
|
|
DO YOU WISH TO PRINT
|
|
THE NAME OF THIS PATIENT
|
|
A LIST OF ALL OF THE PATIENTS
|
|
*** You will need a 132 column printer for this report. ***
|
|
PATIENTS WITH INACTIVATED INSURANCE
|
|
DO YOU WISH TO REPOINT
|
|
THIS PATIENT
|
|
THESE PATIENTS
|
|
TO ANOTHER INSURANCE COMPANY
|
|
REPOINT
|
|
TO WHICH (ACTIVE) INSURANCE COMPANY:
|
|
ARE YOU REALLY SURE YOU WISH TO INACTIVATE
|
|
You are about to change
|
|
to inactive.
|
|
This means you will no longer be able to bill
|
|
for its patients' charges.
|
|
PATIENTS WITH
|
|
IR?
|
|
EXP DATE
|
|
SUBSCR ID
|
|
WHOSE INS
|
|
Name Missing>
|
|
Utilization Review Info
|
|
Require UR:
|
|
Require Amb Cert:
|
|
Require Pre-Cert:
|
|
Exclude Pre-Cond:
|
|
Annual Benefit Dates
|
|
No Annual Benefits Information
|
|
*More dates on file - use AB to see them
|
|
No User Information
|
|
Entered By:
|
|
Entered On:
|
|
Last Updated By:
|
|
Last Updated On:
|
|
Plan Comments
|
|
Active
|
|
Plans for:
|
|
Insurance Company
|
|
* => Inactive Plan
|
|
Pre- Pre- Ben
|
|
Plan Information for:
|
|
** Plan Currently
|
|
Ina
|
|
Plan Coverage Limitations
|
|
Coverage Effective Date Covered? Limit Comments
|
|
BY DEFAULT
|
|
UNKNOWN
|
|
This Insurance Company does not exist!
|
|
This Insurance Company is still active! You must use the
|
|
'Inactivate Company' action to inactivate this company before
|
|
you can delete it.
|
|
There are still patient policies with this company! These policies
|
|
must be deleted or re-pointed to another company before you can
|
|
delete the company.
|
|
There are still Insurance Plans on file with this company! These plans
|
|
Is it okay to
|
|
this company
|
|
information into the other
|
|
The company was not deleted.
|
|
>> Merging known Insurance Reviews into
|
|
>> Merging known bills and receivables into
|
|
AR Error:
|
|
All done.
|
|
for deletion...
|
|
>> Queuing the final clean-up job...
|
|
This job is already queued as task number
|
|
IB - INSURANCE COMPANY DELETION
|
|
The job has been queued to run
|
|
. The task number is
|
|
Unable to queue this job. Please contact your IRM Service.
|
|
Insurance Company Deletion Clean-up Completion
|
|
The final clean-up for deleted Insurance Company(s) has completed.
|
|
Job Start Time:
|
|
Job End Time:
|
|
DELETED COMPANY
|
|
REPOINTED TO
|
|
not repointed
|
|
1. Correction of the Disposition (sub-file #2.101) field
|
|
'INJURING PARTIES INSURANCE' (#25)
|
|
Number of Disposition records updated:
|
|
The following dispositions had this field deleted and not merged:
|
|
REPOINT PATIENTS TO^.16
|
|
CLAIMS (INPT) COMPANY NAME^.127
|
|
PRECERT COMPANY NAME^.139
|
|
APPEALS COMPANY NAME^.147
|
|
CLAIMS (OPT) COMPANY NAME^.167
|
|
CLAIMS (RX) COMPANY NAME^.187
|
|
2. Correction of other Insurance Company (file #36) records:
|
|
Number of records with '
|
|
The following companies had this field deleted and not merged:
|
|
3. Correction of the Insurance Review (file #356.2) field
|
|
'INSURANCE COMPANY CONTACTED' (#.08)
|
|
Number of Insurance Review records updated:
|
|
The following Insurance reviews had this field deleted and not merged:
|
|
PRIMARY INSURANCE CARRIER^101
|
|
SECONDARY INSURANCE CARRIER^102
|
|
TERTIARY INSURANCE CARRIER^103
|
|
4. Correction of Bill/Claims (file #399) records:
|
|
The following bills had this field deleted and not merged:
|
|
5. Number of updated secondary and tertiary carriers of AR receivables:
|
|
>> This company is not established as a debtor in Accounts Receivable.
|
|
>> There is a debtor, but no bills, for this company in Accounts Receivable.
|
|
>> There is billing activity associated with this company!
|
|
>> There are known Insurance Reviews associated with this company.
|
|
** This company may be deleted from your system without merging. **
|
|
You must merge the information from this company into another company!
|
|
Please note that insurance policy and plan information was repointed to:
|
|
ctive Company)
|
|
Select Company to Merge Information:
|
|
No 'merge' company selected!
|
|
This company is not established as a debtor in Accounts Receivable!
|
|
It will be established as a debtor prior to merging the billing activity.
|
|
This action is designed to allow the deletion of Insurance companies
|
|
which meet one of the following criteria:
|
|
o The company was entered by error, and there is little or no insurance
|
|
or billing activity associated with the company.
|
|
o The company is really the same company as another entry in your file
|
|
and you wish to merge all activity for the company to the other entry.
|
|
It is not necessary, nor desirable, to delete every company which is inactive.
|
|
There may be entries in various files which point to
|
|
which are not immediately obvious.
|
|
Merg
|
|
Delet
|
|
ing this company
|
|
will cause a background job to be queued later in the day which will
|
|
find all such entries and delete or merge these pointers as necessary.
|
|
You will receive a mail message from the system when this job is complete.
|
|
Please note that there is a potential problem where pointers will be
|
|
deleted when there is no company into which the pointed fields may be
|
|
merged. The mail message will indicate which records those are so they
|
|
may be reviewed.
|
|
If you wish to delete this company, enter 'YES.' Otherwise, enter 'NO.'
|
|
If you enter 'YES,' all information pertaining to
|
|
will be repointed to
|
|
will then be flagged for deletion from your system.
|
|
If you do not want this action to occur, enter 'NO.'
|
|
IB,0),0)
|
|
Amt. of Ded. Met:
|
|
Coord. of Ben. Data:
|
|
Outpatient Deductibles
|
|
Deduct. Met?:
|
|
Amt. of Ded. Met:
|
|
MH Ded. (Opt.) Met?:
|
|
Amt. of MH Ded. Met:
|
|
Amt. Lifet. Max. Used:
|
|
Amt. MH Lifet. Max. Used:
|
|
Inpatient Deductibles
|
|
MH Ded. (Inpt.) Met?:
|
|
Amt. Lifet. Max Used:
|
|
Amt. MH Lifet. Max Used:
|
|
The way we store and think about patient insurance information has been
|
|
dramatically changed. We are separating out information that is specific
|
|
to an insurance company, specific to the patient, specific to the group plan,
|
|
specific to the annual benefits available, and the annual benefits already
|
|
To start, you must select the insurance company for the patient's policy.
|
|
Now you may enter the patient specific policy information.
|
|
Most of these fields will be familiar to experienced users. The field
|
|
'SUBSCRIBER ID' used to be called 'INSURANCE NUMBER' and
|
|
has been modified to allow entering just 'SS' to retrieve
|
|
the patients SSN. This field is the identifier for the policy or patient
|
|
that the carrier uses. See the new help.
|
|
You can now edit information specific to the PLAN. Remember, updating
|
|
PLAN information will affect all patients with this plan, if it is a
|
|
group plan, and not just the current patient.
|
|
Each Insurance policy entry for a patient must be associated with an
|
|
Insurance Plan offered by the Insurance company you just selected.
|
|
You will be given a choice of selecting previously entered Group Plans or
|
|
you may enter a new one. If you enter a new Insurance Plan you
|
|
must enter whether or not this is a group or individual plan.
|
|
IBCN NEW INSURANCE EVENTS
|
|
This plan has no company! Please contact your IRM for assistance.
|
|
This action will allow you to inactivate an insurance plan.
|
|
Inactivating a plan will inactivate all current subscribers to the plan.
|
|
Do you wish to inactivate another plan
|
|
To inactivate another plan, answer 'YES.' Otherwise, answer 'NO.'
|
|
This is not a valid insurance plan!
|
|
You cannot inactivate an Individual Plan!
|
|
You must either delete the policy using the 'Delete Policy' action,
|
|
or change the plan to which the patient has subscribed, using the action
|
|
'Change Policy Plan'.
|
|
There are no subscribers to this plan. Would you like to inactivate it
|
|
There are currently subscribers to this plan.
|
|
** There are Annual Benefits associated with this plan!
|
|
** There are Benefits Used associated with this plan!
|
|
Would you like to re-point these policies to a new plan
|
|
Okay to inactivate this plan
|
|
Plan Number:
|
|
<not specified>
|
|
Plan Name:
|
|
This plan has already been inactivated!
|
|
Do you wish to reactivate this plan
|
|
To reactivate this plan, answer 'YES.' Otherwise, answer 'NO.'
|
|
There are still subscribers to this plan. The plan cannot be deleted.
|
|
There are still subscribers to this plan! Reactivating the plan will activate
|
|
the policies of these subscribers.
|
|
Is it okay to continue
|
|
Answer 'YES' to reactivate this plan. Otherwise, answer 'NO.'
|
|
The plan was not reactivated.
|
|
Reactivating the plan...
|
|
Please note there are no subscribers to this plan.
|
|
Updating the 'Covered by Insurance?' field for all plan subscribers...
|
|
If you wish to delete this inactive plan, answer 'YES.' Otherwise, answer 'NO.'
|
|
The plan was not deleted.
|
|
Deleting the plan...
|
|
If you wish to change the subscribed-to plan of ALL policies which are
|
|
currently associated with this plan, enter 'YES.' Otherwise, enter 'NO.'
|
|
You may only repoint all policies to a single plan. If you enter 'NO,'
|
|
you will receive a mailman message of all the inactivated policies which
|
|
will result from inactivating the plan, and then you may use the 'Change
|
|
Policy Plan' action to change the subscribed-to plan on an individual basis.
|
|
The policies will not be re-pointed. You will receive a mail message of
|
|
all the subscribers to this plan if you choose to inactivate it.
|
|
Deleting the newly-added plan...
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|