Difference between revisions of "Ignacio Valdes Implementation Log/Episode34"
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| − | For verification purposes please type the characters you see in the picture below or the numbers you hear by clicking the accessibility icon. Listen and type the numbers you hear | + | For [[verification~~|Verification]] purposes please type the characters you see in the picture below or the numbers you hear by clicking the accessibility icon. Listen and type the numbers you hear |
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MI Medicare Insurance Intake | MI Medicare Insurance Intake | ||
MV Move Subscribers to a Different Plan | MV Move Subscribers to a Different Plan | ||
| − | NC Verification of No Coverage Report | + | NC [[Verification~|Verification]] of No Coverage Report |
NE Active Policies with no Effective Date Report | NE Active Policies with no Effective Date Report | ||
NV List New not Verified Policies | NV List New not Verified Policies | ||
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MI Medicare Insurance Intake | MI Medicare Insurance Intake | ||
MV Move Subscribers to a Different Plan | MV Move Subscribers to a Different Plan | ||
| − | NC Verification of No Coverage Report | + | NC [[Verification~|Verification]] of No Coverage Report |
NE Active Policies with no Effective Date Report | NE Active Policies with no Effective Date Report | ||
NV List New not Verified Policies | NV List New not Verified Policies | ||
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MV Move Subscribers to a Different Plan | MV Move Subscribers to a Different Plan | ||
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NE Active Policies with no Effective Date Report | NE Active Policies with no Effective Date Report | ||
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> MV Move Subscribers to a Different Plan | > MV Move Subscribers to a Different Plan | ||
| − | > NC Verification of No Coverage Report | + | > NC [[Verification~|Verification]] of No Coverage Report |
> NE Active Policies with no Effective Date Report | > NE Active Policies with no Effective Date Report | ||
Revision as of 18:41, 26 April 2012
First appeared here: http://groups.google.com/group/Hardhats/browse_thread/thread/85354b96e00878c6?hl=en
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Ignacio Valdes View profile More options Dec 4 2008, 4:22 pm From: "Ignacio Valdes" <ival...@hal-pc.org> Date: Thu, 4 Dec 2008 15:22:26 -0600 Local: Thurs, Dec 4 2008 4:22 pm Subject: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author Is there a guide for setting up and entering a patients insurance infromation? -- IV
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chappyware
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More options Dec 5 2008, 8:23 am
From: chappyware <chappywa...@verizon.net>
Date: Fri, 5 Dec 2008 05:23:16 -0800 (PST)
Local: Fri, Dec 5 2008 8:23 am
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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Look at the Vista Documentation for Integrated Billing. I was playing
with a Delphi app to setup insurance company in file 36 only to find
that one is strongly advised not to use Fileman to enter this data as
it affects other parts of the system. Make sure you give yourself the
IB SUPERVISOR key and go to option ^INSURANCE to get to the correct
place.
On Dec 4, 4:22 pm, "Ignacio Valdes" <ival...@hal-pc.org> wrote:
- Hide quoted text - - Show quoted text - > Is there a guide for setting up and entering a patients insurance > infromation? -- IV
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David Whitten
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More options Dec 5 2008, 9:15 am
From: "David Whitten" <whit...@worldvista.org>
Date: Fri, 5 Dec 2008 08:15:55 -0600
Local: Fri, Dec 5 2008 9:15 am
Subject: Re: [Hardhats] Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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Which option is the correct one that you are talking about? when you type ^INSURANCE, MenuMan just looks in the options that are accessible for the current person. It also looks at only the "MENU TEXT" to match what you type. Unfortunately we don't have access to your system to find out which one you mean.
David
This is what I found on a WorldVistA EHR system:
VAH>D P^DI VA FileMan 22.0 Select OPTION: INQUIRE TO FILE ENTRIES
OUTPUT FROM WHAT FILE: HOSPITAL LOCATION// 19 OPTION (9686 entries)
Select OPTION NAME: INSURANCE
1 INSURANCE BUFFER ACTIVITY IBCN OUTPUT INS BUFF ACTIVITY
Insurance Buffer Activity
2 INSURANCE BUFFER EMPLOYEE IBCN OUTPUT INS BUFF EMPLOYEE
Insurance Buffer Employee
3 INSURANCE COMPANY EDI PARAMETE IBCN INSURANCE EDI REPORT
Insurance
Company EDI Parameter Report
4 INSURANCE COMPANY ENTRY/EDIT DG INSURANCE COMPANY EDIT
Insurance Company Entry/Edit
5 INSURANCE COMPANY ENTRY/EDIT IBCN INSURANCE CO EDIT Insurance
Company Entry/Edit Press <RETURN> to see more, '^' to exit this list, OR CHOOSE 1-5:
6 INSURANCE LIST OF UNKNOWNS FOR DG INSURANCE LIST Insurance
List of UNKNOWNs for Inpatients
7 INSURANCE PAYMENT TREND REPORT IB OUTPUT TREND REPORT
Insurance Payment Trend Report
8 INSURANCE POLICIES NOT VERIFIE IBJD INTAKE POL NOT VER
Insurance Policies Not Verified
9 INSURANCE REVIEW EDIT IBT EDIT COMMUNICATIONS Insurance Review
Edit
10 INSURANCE UPLOAD IVM UPLOAD INS Insurance Upload
CHOOSE 1-10:
Select OPTION NAME:
- Hide quoted text - - Show quoted text - On Fri, Dec 5, 2008 at 7:23 AM, chappyware <chappywa...@verizon.net> wrote:
> Look at the Vista Documentation for Integrated Billing. I was playing > with a Delphi app to setup insurance company in file 36 only to find > that one is strongly advised not to use Fileman to enter this data as > it affects other parts of the system. Make sure you give yourself the > IB SUPERVISOR key and go to option ^INSURANCE to get to the correct > place.
> On Dec 4, 4:22 pm, "Ignacio Valdes" <ival...@hal-pc.org> wrote: > > Is there a guide for setting up and entering a patients insurance > > infromation? -- IV
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chappyware
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More options Dec 5 2008, 12:00 pm
From: chappyware <chappywa...@verizon.net>
Date: Fri, 5 Dec 2008 09:00:34 -0800 (PST)
Local: Fri, Dec 5 2008 12:00 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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INSURANCE COMPANY ENTRY/EDIT IBCN INSURANCE CO EDIT is the best
starting point
On Dec 5, 9:15 am, "David Whitten" <whit...@worldvista.org> wrote:
- Hide quoted text - - Show quoted text - > Which option is the correct one that you are talking about? > when you type ^INSURANCE, MenuMan just looks in the options > that are accessible for the current person. It also looks at only > the "MENU TEXT" to match what you type. Unfortunately we don't > have access to your system to find out which one you mean.
> David
> This is what I found on a WorldVistA EHR system:
> VAH>D P^DI > VA FileMan 22.0 > Select OPTION: INQUIRE TO FILE ENTRIES > OUTPUT FROM WHAT FILE: HOSPITAL LOCATION// 19 OPTION (9686 entries) > Select OPTION NAME: INSURANCE > 1 INSURANCE BUFFER ACTIVITY IBCN OUTPUT INS BUFF ACTIVITY > Insurance > Buffer Activity > 2 INSURANCE BUFFER EMPLOYEE IBCN OUTPUT INS BUFF EMPLOYEE > Insurance > Buffer Employee > 3 INSURANCE COMPANY EDI PARAMETE IBCN INSURANCE EDI REPORT > Insurance > Company EDI Parameter Report > 4 INSURANCE COMPANY ENTRY/EDIT DG INSURANCE COMPANY EDIT > Insurance Company Entry/Edit > 5 INSURANCE COMPANY ENTRY/EDIT IBCN INSURANCE CO EDIT Insurance > Company Entry/Edit > Press <RETURN> to see more, '^' to exit this list, OR > CHOOSE 1-5: > 6 INSURANCE LIST OF UNKNOWNS FOR DG INSURANCE LIST Insurance > List of UNKNOWNs for Inpatients > 7 INSURANCE PAYMENT TREND REPORT IB OUTPUT TREND REPORT > Insurance Payment Trend Report > 8 INSURANCE POLICIES NOT VERIFIE IBJD INTAKE POL NOT VER > Insurance Policies Not Verified > 9 INSURANCE REVIEW EDIT IBT EDIT COMMUNICATIONS Insurance Review > Edit > 10 INSURANCE UPLOAD IVM UPLOAD INS Insurance Upload > CHOOSE 1-10:
> Select OPTION NAME:
> On Fri, Dec 5, 2008 at 7:23 AM, chappyware <chappywa...@verizon.net> wrote:
> > Look at the Vista Documentation for Integrated Billing. I was playing > > with a Delphi app to setup insurance company in file 36 only to find > > that one is strongly advised not to use Fileman to enter this data as > > it affects other parts of the system. Make sure you give yourself the > > IB SUPERVISOR key and go to option ^INSURANCE to get to the correct > > place.
> > On Dec 4, 4:22 pm, "Ignacio Valdes" <ival...@hal-pc.org> wrote: > > > Is there a guide for setting up and entering a patients insurance > > > infromation? -- IV
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I, Valdes
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More options Dec 5 2008, 5:29 pm
From: "I, Valdes" <ival...@hal-pc.org>
Date: Fri, 5 Dec 2008 14:29:54 -0800 (PST)
Local: Fri, Dec 5 2008 5:29 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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Here's my first venture into adding an insurance company:
Setting up programmer environment This is a TEST account.
Terminal Type set to: C-VT100
Select OPTION NAME: Insurance
1 INSURANCE BUFFER ACTIVITY IBCN OUTPUT INS BUFF ACTIVITY
Insurance Buffer Activity
2 INSURANCE BUFFER EMPLOYEE IBCN OUTPUT INS BUFF EMPLOYEE
Insurance Buffer Employee
3 INSURANCE COMPANY EDI PARAMETE IBCN INSURANCE EDI REPORT
Insurance
Company EDI Parameter Report
4 INSURANCE COMPANY ENTRY/EDIT DG INSURANCE COMPANY EDIT
Insurance C ompany Entry/Edit
5 INSURANCE COMPANY ENTRY/EDIT IBCN INSURANCE CO EDIT
Insurance Comp any Entry/Edit Press <RETURN> to see more, '^' to exit this list, OR CHOOSE 1-5: 5 IBCN INSURANCE CO EDIT Insurance Company Entry/Edit Insurance Company Entry/Edit Select INSURANCE COMPANY NAME: ?
You may enter a new INSURANCE COMPANY, if you wish
ANSWER MUST BE 3-30 CHARACTERS IN LENGTH
Select INSURANCE COMPANY NAME: Amerigroup
Are you adding 'Amerigroup' as a new INSURANCE COMPANY? No// Y
(Yes)
INSURANCE COMPANY STREET ADDRESS [LINE 1]: ??
Enter the first line of this company's street address with 3-35
characters.
INSURANCE COMPANY STREET ADDRESS [LINE 1]: 4425 Corporation Lane
INSURANCE COMPANY STREET ADDRESS [LINE 2]:
INSURANCE COMPANY STREET ADDRESS [LINE 3]:
INSURANCE COMPANY CITY: Virginia Beach
INSURANCE COMPANY STATE: VA VIRGINIA
INSURANCE COMPANY ZIP CODE: 23462
INSURANCE COMPANY REIMBURSE?: ?
Choose from:
Y WILL REIMBURSE
* WILL REIMBURSE IF TREATED UNDER VAR 6046(C) OR VAR
6060.2(A)
** DEPENDS ON POLICY, CHECK WITH COMPANY
N WILL NOT REIMBURSE
INSURANCE COMPANY REIMBURSE?: Y WILL
REIMBURSE..................... Insurance Company Editor Dec 05, 2008@16:31:06 Page: 8 of 8 Insurance Company Information for: Amerigroup Type of Company: Currently Active +
Remarks
Synonyms
Enter ?? for more
actions >>> BP Billing Parameters IO Inquiry Office EA Edit All MM Main Mailing Address AC Associate Companies AI (In)Activate Company IC Inpt Claims Office ID Prov IDs/ID Param CC Change Insurance Co. OC Opt Claims Office PA Payer DC Delete Company PC Prescr Claims Of RE Remarks VP View Plans AO Appeals Office SY Synonyms EX Exit Select Action: Quit// QUIT
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I, Valdes
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More options Dec 5 2008, 5:36 pm
From: "I, Valdes" <ival...@hal-pc.org>
Date: Fri, 5 Dec 2008 14:36:49 -0800 (PST)
Local: Fri, Dec 5 2008 5:36 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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Here is another foray, adding insurance information to ZZPatient, Test
One:
Select OPTION NAME: patient insurance
1 PATIENT INSURANCE INFO VIEW/ED IBCN PATIENT INSURANCE
Patient Insu rance Info View/Edit
2 PATIENT INSURANCE MENU IBCN INSURANCE MGMT MENU Patient
Insurance Menu CHOOSE 1-2: 2 IBCN INSURANCE MGMT MENU Patient Insurance Menu
PI Patient Insurance Info View/Edit VP View Patient Insurance EI Insurance Company Entry/Edit VI View Insurance Company EPR Insurance Company EDI Parameter Report BI Process Insurance Buffer EPH e-Pharmacy Menu ... IIV IIV Menu ... LC List Inactive Ins. Co. Covering Patients LP List Plans by Insurance Company MI Medicare Insurance Intake MV Move Subscribers to a Different Plan NC Verification of No Coverage Report NE Active Policies with no Effective Date Report NV List New not Verified Policies RQI Remote Insurance Query WO Patients with or without Insurance Report
Select Patient Insurance Menu Option: BI Process Insurance Buffer Insurance Buffer List Dec 05, 2008@16:35:05 Page: 1 of 1 Buffer File entries not yet processed. (sorted by Patient Name)
Patient Name Insurance Company Subscr Id Src
Entered iIEYH
There are no Buffer entries that have not been processed.
Enter ?? for more actions Process Entry EE Expand Entry Sort List X Exit (Reject Entry) Add Entry Check Ins Co's
Select Action: Quit// Add Add Entry Select PATIENT NAME: ZZ
1 ZZ PATIENT,TEST ONE <A> F 01-24-1945
000003322 1
2 ZZ PATIENT,TEST THREE <CA> M
01-15-1968 3
3 ZZ PATIENT,TEST TWO <A> M
12-25-1957 2
4 ZZFAKE,PATIENT F 01-18-2000 111188541
111188541
5 ZZFAKE,PATIENT M 03-24-2000 111101008
111101008 ENTER '^' TO STOP, OR CHOOSE 1-5: 1
ZZ PATIENT,TEST ONE <A> F 01-24-1945
000003322 1
***WARNING***
***RESTRICTED Record***
***WARNING***
***RESTRICTED Record***
Insurance Company: ?
Please enter the name of the insurance company that provides coverage for this patient. This response is a free text response, however, a partial insurance company name look-up is available here.
Insurance Company: Amerigrou
Add a new Insurance Buffer entry for this patient and company? YES//
INSURANCE COMPANY INFORMATION
INSURANCE COMPANY NAME: AMERIGROU// AMERIGROUP REIMBURSE?: ?
Does this company reimburse the VA for care provided to it's
policy
holders?
Choose from:
Y WILL REIMBURSE
* WILL REIMBURSE IF TREATED UNDER VAR 6046(C) OR VAR
6060.2(A)
** DEPENDS ON POLICY, CHECK WITH COMPANY
N WILL NOT REIMBURSE
REIMBURSE?: Y WILL REIMBURSE PHONE NUMBER: BILLING PHONE NUMBER: PRECERTIFICATION PHONE NUMBER: STREET ADDRESS [LINE 1]: CITY: STATE: ZIP CODE:
GROUP/PLAN INFORMATION
The following data defines a specific Group or Plan provided by an
Insurance
Company. This may be either a group plan with many potential members
or an
individual plan with a single member.
IS THIS A GROUP POLICY?: GROUP NAME: GROUP NUMBER: BANKING IDENTIFICATION NUMBER: PROCESSOR CONTROL NUMBER (PCN): TYPE OF PLAN: UTILITZATION REVIEW REQUIRED: PRECERTIFICATION REQUIRED: AMBULATORY CARE CERTIFICATION: EXCLUDE PREEXISTING CONDITION: BENEFITS ASSIGNABLE:
POLICY AND SUBSCRIBER INFORMATION
The following data defines the subscriber specific policy information
for a
particular Insurance Plan. The subscriber, the insured, and the
policy holder
all refer to the person who is a member of the plan and therefore
holds the
policy. The patient must be covered under the plan but may not be
the policy
holder.
EFFECTIVE DATE: EXPIRATION DATE: WHOSE INSURANCE: PT. RELATIONSHIP TO INSURED: SUBSCRIBER ID: NAME OF INSURED: INSURED'S DOB: INSURED'S SSN: INSURED'S SEX: PRIMARY CARE PROVIDER: PRIMARY PROVIDER PHONE: COORDINATION OF BENEFITS: SOURCE OF INFORMATION: INTERVIEW// ESGHP?: | Insurance Buffer List Dec 05, 2008@16:36:33 Page: 1 of 1 Buffer File entries not yet processed. (sorted by Patient Name)
Patient Name Insurance Company Subscr Id Src
Entered iIEYH 1 !ZZ PATIENT,TEST 3322 AMERIGROUP INTVW 12/05/08
Enter ?? for more actions Process Entry EE Expand Entry Sort List X Exit (Reject Entry) Add Entry Check Ins Co's
Select Action: Quit// QUIT
PI Patient Insurance Info View/Edit VP View Patient Insurance EI Insurance Company Entry/Edit VI View Insurance Company EPR Insurance Company EDI Parameter Report BI Process Insurance Buffer EPH e-Pharmacy Menu ... IIV IIV Menu ... LC List Inactive Ins. Co. Covering Patients LP List Plans by Insurance Company MI Medicare Insurance Intake MV Move Subscribers to a Different Plan NC Verification of No Coverage Report NE Active Policies with no Effective Date Report NV List New not Verified Policies RQI Remote Insurance Query WO Patients with or without Insurance Report
Select Patient Insurance Menu Option:
Do you really want to halt? YES//
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I, Valdes
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More options Dec 5 2008, 5:47 pm
From: "I, Valdes" <ival...@hal-pc.org>
Date: Fri, 5 Dec 2008 14:47:48 -0800 (PST)
Local: Fri, Dec 5 2008 5:47 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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So if the insurance information on a particular patient is entered,
can it be seen via CPRS? I've looked around in CPRS for this on
patient ZZTest, Patient One that I just entered the insurance info on
but so far do not see it. -- IV
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Nancy Anthracite
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More options Dec 6 2008, 7:53 am
From: Nancy Anthracite <nanthrac...@verizon.net>
Date: Sat, 06 Dec 2008 07:53:29 -0500
Local: Sat, Dec 6 2008 7:53 am
Subject: Re: [Hardhats] Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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Did you double click on the demographics part which is where the patient's
name is in the upper left hand corner of the cover sheet (and probably the
other sheets as well)?
On Friday 05 December 2008, I, Valdes wrote:
> So if the insurance information on a particular patient is entered, > can it be seen via CPRS? I've looked around in CPRS for this on > patient ZZTest, Patient One that I just entered the insurance info on > but so far do not see it. -- IV
-- Nancy Anthracite
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I, Valdes
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More options Dec 6 2008, 9:21 am
From: "I, Valdes" <ival...@hal-pc.org>
Date: Sat, 6 Dec 2008 06:21:07 -0800 (PST)
Local: Sat, Dec 6 2008 9:21 am
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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Ah! That pops up the following which doesn't seem to list the
insurance company name although it notes that it has 'Insurance
Buffer' entries which sounds like some kind of medication :-) This
looks very useful though.
Health Insurance Information:
Insurance COB Subscriber ID Group Holder Effective
Expires
===============================================================
No Insurance Information
*** Patient has Insurance Buffer entries ***
Can custom fields be added to this whole page that pops up?
-- IV
On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote:
- Hide quoted text - - Show quoted text - > Did you double click on the demographics part which is where the patient's > name is in the upper left hand corner of the cover sheet (and probably the > other sheets as well)?
> On Friday 05 December 2008, I, Valdes wrote:
> > So if the insurance information on a particular patient is entered, > > can it be seen via CPRS? I've looked around in CPRS for this on > > patient ZZTest, Patient One that I just entered the insurance info on > > but so far do not see it. -- IV
> -- > Nancy Anthracite
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Nancy Anthracite
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More options Dec 6 2008, 11:27 am
From: Nancy Anthracite <nanthrac...@verizon.net>
Date: Sat, 06 Dec 2008 11:27:57 -0500
Local: Sat, Dec 6 2008 11:27 am
Subject: Re: [Hardhats] Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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I don't know how, yet, but I am sure we can program it in, and frankly, I have
been eyeing that for some of the CCHIT requirements, so that might not be a
bad idea to put in there, too.
On Saturday 06 December 2008, I, Valdes wrote:
- Hide quoted text - - Show quoted text - > Ah! That pops up the following which doesn't seem to list the > insurance company name although it notes that it has 'Insurance > Buffer' entries which sounds like some kind of medication :-) This > looks very useful though.
> Health Insurance Information: > Insurance COB Subscriber ID Group Holder Effective > Expires
> =========================================================================== > No Insurance Information
> *** Patient has Insurance Buffer entries ***
> Can custom fields be added to this whole page that pops up?
> -- IV
> On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > Did you double click on the demographics part which is where the > > patient's name is in the upper left hand corner of the cover sheet (and > > probably the other sheets as well)?
> > On Friday 05 December 2008, I, Valdes wrote: > > > So if the insurance information on a particular patient is entered, > > > can it be seen via CPRS? I've looked around in CPRS for this on > > > patient ZZTest, Patient One that I just entered the insurance info on > > > but so far do not see it. -- IV
> > -- > > Nancy Anthracite
-- Nancy Anthracite
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chappyware
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More options Dec 6 2008, 12:04 pm
From: chappyware <chappywa...@verizon.net>
Date: Sat, 6 Dec 2008 09:04:01 -0800 (PST)
Local: Sat, Dec 6 2008 12:04 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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CPRS has a button that lights up blue when a pt is insured.It pops up
a box with insurance information. I notice worldvista CPRS lacks this
button. This was introduced in version 26 so its been around for at
least a year.
On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote:
- Hide quoted text - - Show quoted text - > I don't know how, yet, but I am sure we can program it in, and frankly, I have > been eyeing that for some of the CCHIT requirements, so that might not be a > bad idea to put in there, too.
> On Saturday 06 December 2008, I, Valdes wrote:
> > Ah! That pops up the following which doesn't seem to list the > > insurance company name although it notes that it has 'Insurance > > Buffer' entries which sounds like some kind of medication :-) This > > looks very useful though.
> > Health Insurance Information: > > Insurance COB Subscriber ID Group Holder Effective > > Expires
> > =========================================================================== > > No Insurance Information
> > *** Patient has Insurance Buffer entries ***
> > Can custom fields be added to this whole page that pops up?
> > -- IV
> > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > Did you double click on the demographics part which is where the > > > patient's name is in the upper left hand corner of the cover sheet (and > > > probably the other sheets as well)?
> > > On Friday 05 December 2008, I, Valdes wrote: > > > > So if the insurance information on a particular patient is entered, > > > > can it be seen via CPRS? I've looked around in CPRS for this on > > > > patient ZZTest, Patient One that I just entered the insurance info on > > > > but so far do not see it. -- IV
> > > -- > > > Nancy Anthracite
> -- > Nancy Anthracite- Hide quoted text -
> - Show quoted text -
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I, Valdes
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More options Dec 6 2008, 12:09 pm
From: "I, Valdes" <ival...@hal-pc.org>
Date: Sat, 6 Dec 2008 09:09:09 -0800 (PST)
Local: Sat, Dec 6 2008 12:09 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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So CPRS 27 would have this, I wonder if that is coming along? -- IV
On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote:
- Hide quoted text - - Show quoted text - > CPRS has a button that lights up blue when a pt is insured.It pops up > a box with insurance information. I notice worldvista CPRS lacks this > button. This was introduced in version 26 so its been around for at > least a year.
> On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote:
> > I don't know how, yet, but I am sure we can program it in, and frankly, I have > > been eyeing that for some of the CCHIT requirements, so that might not be a > > bad idea to put in there, too.
> > On Saturday 06 December 2008, I, Valdes wrote:
> > > Ah! That pops up the following which doesn't seem to list the > > > insurance company name although it notes that it has 'Insurance > > > Buffer' entries which sounds like some kind of medication :-) This > > > looks very useful though.
> > > Health Insurance Information: > > > Insurance COB Subscriber ID Group Holder Effective > > > Expires
> > > =========================================================================== > > > No Insurance Information
> > > *** Patient has Insurance Buffer entries ***
> > > Can custom fields be added to this whole page that pops up?
> > > -- IV
> > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > Did you double click on the demographics part which is where the > > > > patient's name is in the upper left hand corner of the cover sheet (and > > > > probably the other sheets as well)?
> > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > So if the insurance information on a particular patient is entered, > > > > > can it be seen via CPRS? I've looked around in CPRS for this on > > > > > patient ZZTest, Patient One that I just entered the insurance info on > > > > > but so far do not see it. -- IV
> > > > -- > > > > Nancy Anthracite
> > -- > > Nancy Anthracite- Hide quoted text -
> > - Show quoted text -
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More options Dec 6 2008, 7:12 pm
From: chappyware <chappywa...@verizon.net>
Date: Sat, 6 Dec 2008 16:12:16 -0800 (PST)
Local: Sat, Dec 6 2008 7:12 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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V27 has a number of unresolved issues. I would not rush to that
version.
On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote:
- Hide quoted text - - Show quoted text - > So CPRS 27 would have this, I wonder if that is coming along? -- IV
> On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote:
> > CPRS has a button that lights up blue when a pt is insured.It pops up > > a box with insurance information. I notice worldvista CPRS lacks this > > button. This was introduced in version 26 so its been around for at > > least a year.
> > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote:
> > > I don't know how, yet, but I am sure we can program it in, and frankly, I have > > > been eyeing that for some of the CCHIT requirements, so that might not be a > > > bad idea to put in there, too.
> > > On Saturday 06 December 2008, I, Valdes wrote:
> > > > Ah! That pops up the following which doesn't seem to list the > > > > insurance company name although it notes that it has 'Insurance > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > looks very useful though.
> > > > Health Insurance Information: > > > > Insurance COB Subscriber ID Group Holder Effective > > > > Expires
> > > > =========================================================================== > > > > No Insurance Information
> > > > *** Patient has Insurance Buffer entries ***
> > > > Can custom fields be added to this whole page that pops up?
> > > > -- IV
> > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > Did you double click on the demographics part which is where the > > > > > patient's name is in the upper left hand corner of the cover sheet (and > > > > > probably the other sheets as well)?
> > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > So if the insurance information on a particular patient is entered, > > > > > > can it be seen via CPRS? I've looked around in CPRS for this on > > > > > > patient ZZTest, Patient One that I just entered the insurance info on > > > > > > but so far do not see it. -- IV
> > > > > -- > > > > > Nancy Anthracite
> > > -- > > > Nancy Anthracite- Hide quoted text -
> > > - Show quoted text -
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More options Dec 6 2008, 10:59 pm
From: Nancy Anthracite <nanthrac...@verizon.net>
Date: Sat, 06 Dec 2008 22:59:16 -0500
Local: Sat, Dec 6 2008 10:59 pm
Subject: Re: [Hardhats] Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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I have been hearing about the problems as well and am concerned about moving
to it right away.
It is a moot point anyway since we don't have it, and I suspect because of the problems, it may not be released right away.
On Saturday 06 December 2008, chappyware wrote:
- Hide quoted text - - Show quoted text - > V27 has a number of unresolved issues. I would not rush to that > version.
> On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > So CPRS 27 would have this, I wonder if that is coming along? -- IV
> > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > a box with insurance information. I notice worldvista CPRS lacks this > > > button. This was introduced in version 26 so its been around for at > > > least a year.
> > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > I don't know how, yet, but I am sure we can program it in, and > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > so that might not be a bad idea to put in there, too.
> > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > insurance company name although it notes that it has 'Insurance > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > looks very useful though.
> > > > > Health Insurance Information: > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > Expires
> > > > > =================================================================== > > > > >======== No Insurance Information
> > > > > *** Patient has Insurance Buffer entries ***
> > > > > Can custom fields be added to this whole page that pops up?
> > > > > -- IV
> > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > Did you double click on the demographics part which is where the > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > sheet (and probably the other sheets as well)?
> > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > So if the insurance information on a particular patient is > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > insurance info on but so far do not see it. -- IV
> > > > > > -- > > > > > > Nancy Anthracite
> > > > -- > > > > Nancy Anthracite- Hide quoted text -
> > > > - Show quoted text -
-- Nancy Anthracite
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More options Dec 8 2008, 9:15 am
From: chappyware <chappywa...@verizon.net>
Date: Mon, 8 Dec 2008 06:15:33 -0800 (PST)
Local: Mon, Dec 8 2008 9:15 am
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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I stand corrected on the insurance button. It only appears IF THE PT
HAS INSURANCE. I've not gotten that far but if someone has assigned a
pt to an insurance company correctly, the insurance button should
appear next to the patient Record flag panel.
On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
- Hide quoted text - - Show quoted text - > I have been hearing about the problems as well and am concerned about moving > to it right away.
> It is a moot point anyway since we don't have it, and I suspect because of the > problems, it may not be released right away.
> On Saturday 06 December 2008, chappyware wrote:
> > V27 has a number of unresolved issues. I would not rush to that > > version.
> > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV
> > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > a box with insurance information. I notice worldvista CPRS lacks this > > > > button. This was introduced in version 26 so its been around for at > > > > least a year.
> > > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > I don't know how, yet, but I am sure we can program it in, and > > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > > so that might not be a bad idea to put in there, too.
> > > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > > insurance company name although it notes that it has 'Insurance > > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > > looks very useful though.
> > > > > > Health Insurance Information: > > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > > Expires
> > > > > > =================================================================== > > > > > >======== No Insurance Information
> > > > > > *** Patient has Insurance Buffer entries ***
> > > > > > Can custom fields be added to this whole page that pops up?
> > > > > > -- IV
> > > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > Did you double click on the demographics part which is where the > > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > > sheet (and probably the other sheets as well)?
> > > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > > So if the insurance information on a particular patient is > > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > > insurance info on but so far do not see it. -- IV
> > > > > > > -- > > > > > > > Nancy Anthracite
> > > > > -- > > > > > Nancy Anthracite- Hide quoted text -
> > > > > - Show quoted text -
> -- > Nancy Anthracite- Hide quoted text -
> - Show quoted text -
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I, Valdes
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More options Dec 8 2008, 9:27 am
From: "I, Valdes" <ival...@hal-pc.org>
Date: Mon, 8 Dec 2008 06:27:06 -0800 (PST)
Local: Mon, Dec 8 2008 9:27 am
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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So I have the patients 'insurance buffer' um, titrated :-) How then do
I confirm to the system that ZZPatient, Test One has Fine Print
Insurance Group, Inc such that all the bells and whistles go off and
it appears in CPRS?
-- IV
On Dec 8, 8:15 am, chappyware <chappywa...@verizon.net> wrote:
- Hide quoted text - - Show quoted text - > I stand corrected on the insurance button. It only appears IF THE PT > HAS INSURANCE. I've not gotten that far but if someone has assigned a > pt to an insurance company correctly, the insurance button should > appear next to the patient Record flag panel.
> On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
> > I have been hearing about the problems as well and am concerned about moving > > to it right away.
> > It is a moot point anyway since we don't have it, and I suspect because of the > > problems, it may not be released right away.
> > On Saturday 06 December 2008, chappyware wrote:
> > > V27 has a number of unresolved issues. I would not rush to that > > > version.
> > > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV
> > > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > > a box with insurance information. I notice worldvista CPRS lacks this > > > > > button. This was introduced in version 26 so its been around for at > > > > > least a year.
> > > > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > I don't know how, yet, but I am sure we can program it in, and > > > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > > > so that might not be a bad idea to put in there, too.
> > > > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > > > insurance company name although it notes that it has 'Insurance > > > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > > > looks very useful though.
> > > > > > > Health Insurance Information: > > > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > > > Expires
> > > > > > > =================================================================== > > > > > > >======== No Insurance Information
> > > > > > > *** Patient has Insurance Buffer entries ***
> > > > > > > Can custom fields be added to this whole page that pops up?
> > > > > > > -- IV
> > > > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > > Did you double click on the demographics part which is where the > > > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > > > sheet (and probably the other sheets as well)?
> > > > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > > > So if the insurance information on a particular patient is > > > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > > > insurance info on but so far do not see it. -- IV
> > > > > > > > -- > > > > > > > > Nancy Anthracite
> > > > > > -- > > > > > > Nancy Anthracite- Hide quoted text -
> > > > > > - Show quoted text -
> > -- > > Nancy Anthracite- Hide quoted text -
> > - Show quoted text -
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chappyware
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More options Dec 8 2008, 12:43 pm
From: chappyware <chappywa...@verizon.net>
Date: Mon, 8 Dec 2008 09:43:52 -0800 (PST)
Local: Mon, Dec 8 2008 12:43 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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I've not had time to do it but first set up the insurance company.
Then Register a pt. The insurance info goes into a temporary buffer
waiting for someone to process it--don't know the key you need for
that but it should be in the documentation. Once the pt is registered
with insurance, I suspect the Insurance panel will show up on the
coversheet.
On Dec 8, 9:27 am, "I, Valdes" <ival...@hal-pc.org> wrote:
- Hide quoted text - - Show quoted text - > So I have the patients 'insurance buffer' um, titrated :-) How then do > I confirm to the system that ZZPatient, Test One has Fine Print > Insurance Group, Inc such that all the bells and whistles go off and > it appears in CPRS?
> -- IV
> On Dec 8, 8:15 am, chappyware <chappywa...@verizon.net> wrote:
> > I stand corrected on the insurance button. It only appears IF THE PT > > HAS INSURANCE. I've not gotten that far but if someone has assigned a > > pt to an insurance company correctly, the insurance button should > > appear next to the patient Record flag panel.
> > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
> > > I have been hearing about the problems as well and am concerned about moving > > > to it right away.
> > > It is a moot point anyway since we don't have it, and I suspect because of the > > > problems, it may not be released right away.
> > > On Saturday 06 December 2008, chappyware wrote:
> > > > V27 has a number of unresolved issues. I would not rush to that > > > > version.
> > > > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV
> > > > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > > > a box with insurance information. I notice worldvista CPRS lacks this > > > > > > button. This was introduced in version 26 so its been around for at > > > > > > least a year.
> > > > > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > I don't know how, yet, but I am sure we can program it in, and > > > > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > > > > so that might not be a bad idea to put in there, too.
> > > > > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > > > > insurance company name although it notes that it has 'Insurance > > > > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > > > > looks very useful though.
> > > > > > > > Health Insurance Information: > > > > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > > > > Expires
> > > > > > > > =================================================================== > > > > > > > >======== No Insurance Information
> > > > > > > > *** Patient has Insurance Buffer entries ***
> > > > > > > > Can custom fields be added to this whole page that pops up?
> > > > > > > > -- IV
> > > > > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > > > Did you double click on the demographics part which is where the > > > > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > > > > sheet (and probably the other sheets as well)?
> > > > > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > > > > So if the insurance information on a particular patient is > > > > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > > > > insurance info on but so far do not see it. -- IV
> > > > > > > > > -- > > > > > > > > > Nancy Anthracite
> > > > > > > -- > > > > > > > Nancy Anthracite- Hide quoted text -
> > > > > > > - Show quoted text -
> > > -- > > > Nancy Anthracite- Hide quoted text -
> > > - Show quoted text -
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chappyware
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More options Dec 8 2008, 12:47 pm
From: chappyware <chappywa...@verizon.net>
Date: Mon, 8 Dec 2008 09:47:49 -0800 (PST)
Local: Mon, Dec 8 2008 12:47 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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look at page 154 of the Integrated Billing User Manual. I think you'll
find some answers there.
On Dec 8, 12:43 pm, chappyware <chappywa...@verizon.net> wrote:
- Hide quoted text - - Show quoted text - > I've not had time to do it but first set up the insurance company. > Then Register a pt. The insurance info goes into a temporary buffer > waiting for someone to process it--don't know the key you need for > that but it should be in the documentation. Once the pt is registered > with insurance, I suspect the Insurance panel will show up on the > coversheet.
> On Dec 8, 9:27 am, "I, Valdes" <ival...@hal-pc.org> wrote:
> > So I have the patients 'insurance buffer' um, titrated :-) How then do > > I confirm to the system that ZZPatient, Test One has Fine Print > > Insurance Group, Inc such that all the bells and whistles go off and > > it appears in CPRS?
> > -- IV
> > On Dec 8, 8:15 am, chappyware <chappywa...@verizon.net> wrote:
> > > I stand corrected on the insurance button. It only appears IF THE PT > > > HAS INSURANCE. I've not gotten that far but if someone has assigned a > > > pt to an insurance company correctly, the insurance button should > > > appear next to the patient Record flag panel.
> > > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
> > > > I have been hearing about the problems as well and am concerned about moving > > > > to it right away.
> > > > It is a moot point anyway since we don't have it, and I suspect because of the > > > > problems, it may not be released right away.
> > > > On Saturday 06 December 2008, chappyware wrote:
> > > > > V27 has a number of unresolved issues. I would not rush to that > > > > > version.
> > > > > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV
> > > > > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > > > > a box with insurance information. I notice worldvista CPRS lacks this > > > > > > > button. This was introduced in version 26 so its been around for at > > > > > > > least a year.
> > > > > > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > > I don't know how, yet, but I am sure we can program it in, and > > > > > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > > > > > so that might not be a bad idea to put in there, too.
> > > > > > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > > > > > insurance company name although it notes that it has 'Insurance > > > > > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > > > > > looks very useful though.
> > > > > > > > > Health Insurance Information: > > > > > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > > > > > Expires
> > > > > > > > > =================================================================== > > > > > > > > >======== No Insurance Information
> > > > > > > > > *** Patient has Insurance Buffer entries ***
> > > > > > > > > Can custom fields be added to this whole page that pops up?
> > > > > > > > > -- IV
> > > > > > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > > > > Did you double click on the demographics part which is where the > > > > > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > > > > > sheet (and probably the other sheets as well)?
> > > > > > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > > > > > So if the insurance information on a particular patient is > > > > > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > > > > > insurance info on but so far do not see it. -- IV
> > > > > > > > > > -- > > > > > > > > > > Nancy Anthracite
> > > > > > > > -- > > > > > > > > Nancy Anthracite- Hide quoted text -
> > > > > > > > - Show quoted text -
> > > > -- > > > > Nancy Anthracite- Hide quoted text -
> > > > - Show quoted text -
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chappyware
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More options Dec 8 2008, 1:58 pm
From: chappyware <chappywa...@verizon.net>
Date: Mon, 8 Dec 2008 10:58:28 -0800 (PST)
Local: Mon, Dec 8 2008 1:58 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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I got the insurance panel to appear in CPRS. Its a multi-step process
but here's some of the menu activity
PI Patient Insurance Info View/Edit
VP View Patient Insurance
EI Insurance Company Entry/Edit
VI View Insurance Company
EPR Insurance Company EDI Parameter Report
BI Process Insurance Buffer
EPH e-Pharmacy Menu ...
IIV IIV Menu ...
LC List Inactive Ins. Co. Covering Patients
LP List Plans by Insurance Company
MI Medicare Insurance Intake
MV Move Subscribers to a Different Plan
NC Verification of No Coverage Report
NE Active Policies with no Effective Date Report
NV List New not Verified Policies
PM Payer Maintenance Menu ...
RQI Remote Insurance Query
WO Patients with or without Insurance Report
Select Patient Insurance Menu Option: pi Patient Insurance Info View/ Edit
Select PATIENT NAME:
PUG,DUDLEY M 07-28-2007 000000014
000000014
AB Annual Benefits RI Personal Riders EX Exit
Patient Insurance Management Dec 08, 2008@13:52:21 Page: 1 of 1
Insurance Management for Patient: PUG,DUDLEY P0014
- Patient has Insurance Buffer Records
Insurance Co. Type of Policy Group Holder Effect.
Expires
No Insurance Policies on file for this
patient.
Enter ?? for more
actions >>>
AP Add Policy EA Fast Edit All CP Change Patient
VP Policy Edit/View BU Benefits Used WP Worksheet Print
DP Delete Policy VC Verify Coverage PC Print Insurance Cov.
AB Annual Benefits RI Personal Riders EX Exit
Select Item(s): Quit// ap Add Policy
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
used.
To start, you must select the insurance company for the patient's policy.
Select INSURANCE COMPANY: Aetna 123 MAIN Y
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.
This company does not offer any active group plans.
Do you wish to add a new Insurance Plan? NO// y YES
IS THIS A GROUP PLAN: y YES
GROUP PLAN NAME: STANDARD
GROUP PLAN NUMBER: 12345
Searching for potential duplicate plans offered by AETNA...
No potential duplicate plans have been identified.
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.
EFFECTIVE DATE OF POLICY: 1/1/08 (JAN 01, 2008)
INSURANCE EXPIRATION DATE: 1/1/10 (JAN 01, 2010)
WARNING: The expiration date for this policy is in the future!
Normally this is a past date or left blank or a past date
INSURANCE EXPIRATION DATE: JAN 1,2010//
WHOSE INSURANCE: p??
Choose from:
v VETERAN
s SPOUSE
o OTHER
WHOSE INSURANCE: v VETERAN
SUBSCRIBER ID: 12345
INSURED'S DOB: 7/28/07 (JUL 28, 2007)
INSURED'S SEX: m MALE
SOURCE OF INFORMATION: INTERVIEW//
COORDINATION OF BENEFITS:
PRIMARY CARE PROVIDER:
PRIMARY PROVIDER PHONE:
WARNING: The expiration date for this policy is in the future!
Normally this is a past date or left blank or a past date
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.
GROUP NAME: STANDARD//
GROUP NUMBER: 12345//
BANKING IDENTIFICATION NUMBER:
PROCESSOR CONTROL NUMBER (PCN):
TYPE OF PLAN: ?
Enter the type of policy that best describes this policy.
Active Types of Plans Only!
Answer with TYPE OF PLAN NAME, or ABBREVIATION, or MAJOR CATEGORY
Do you want the entire TYPE OF PLAN List? y (Yes)
Choose from:
ACCIDENT AND HEALTH INSURANCE MAJOR MEDICAL
AUTOMOBILE MAJOR MEDICAL
CARVE-OUT MAJOR MEDICAL
CATASTROPHIC INSURANCE MAJOR MEDICAL
CHAMPVA MAJOR MEDICAL
COMPREHENSIVE MAJOR MEDICAL MAJOR MEDICAL
DENTAL INSURANCE DENTAL
HEALTH MAINTENANCE ORGANIZ MAJOR MEDICAL
INCOME PROTECTION (INDEMNITY) INDEMNITY
INDIVIDUAL PRACTICE ASSOCATION MAJOR MEDICAL
INPATIENT (BASIC HOSPITAL) MAJOR MEDICAL
LABS, PROCEDURES, X-RAY, ETC. ALL OTHER
MANAGED CARE SYSTEM (MCS) MAJOR MEDICAL
MEDI-CAL MEDICAIDE
MEDICAID MEDICAIDE
MEDICAL EXPENSE (OPT/PROF) MAJOR MEDICAL
MEDICARE (M) MEDICARE
MEDICARE SECONDARY MAJOR MEDICAL
MEDICARE/MEDICAID (MEDI-CAL) MEDICARE
MEDIGAP (SUPPLEMENTAL) MEDICARE SUPPLEMENTAL
MENTAL HEALTH ALL OTHER
NO-FAULT INSURANCE MAJOR MEDICAL
POINT OF SERVICE HMO
PREFERRED PROVIDER ORGANIZATIO PPO
PREPAID GROUP PRACTICE PLAN HMO
PRESCRIPTION PRESCRIPTION
RETIREE MAJOR MEDICAL
SPECIAL CLASS INSURANCE MAJOR MEDICAL
SPECIAL RISK INSURANCE MAJOR MEDICAL
SPECIFIED DISEASE INSURANCE MAJOR MEDICAL
SURGICAL EXPENSE INSURANCE MAJOR MEDICAL
TORT FEASOR ALL OTHER
TRICARE CHAMPUS
TRICARE SUPPLEMENTAL MAJOR MEDICAL
WORKERS' COMPENSATION INSURANC WORKMANS COMP
TYPE OF PLAN: comPREHENSIVE MAJOR MEDICAL MAJOR MEDICAL
ELECTRONIC PLAN TYPE:
PLAN FILING TIME FRAME:
IS UTILIZATION REVIEW REQUIRED:
AMBULATORY CARE CERTIFICATION:
IS PRE-CERTIFICATION REQUIRED?: n NO
EXCLUDE PRE-EXISTING CONDITION: n NO
BENEFITS ASSIGNABLE?: YES// YES
COVERED BY HEALTH INSURANCE changed to 'YES'.
.
AB Annual Benefits RI Personal Riders EX Exit
Patient Insurance Management Dec 08, 2008@13:54:13 Page: 1 of 1 Insurance Management for Patient: PUG,DUDLEY P0014
- Patient has Insurance Buffer Records
Insurance Co. Type of Policy Group Holder Effect.
Expires 1 AETNA COMPREHENSIVE M 12345 SELF 01/01/08 01/01/10
Enter ?? for more
actions >>> AP Add Policy EA Fast Edit All CP Change Patient VP Policy Edit/View BU Benefits Used WP Worksheet Print DP Delete Policy VC Verify Coverage PC Print Insurance Cov. AB Annual Benefits RI Personal Riders EX Exit Select Item(s): Quit//
On Dec 8, 12:47 pm, chappyware <chappywa...@verizon.net> wrote:
- Hide quoted text - - Show quoted text - > look at page 154 of the Integrated Billing User Manual. I think you'll > find some answers there.
> On Dec 8, 12:43 pm, chappyware <chappywa...@verizon.net> wrote:
> > I've not had time to do it but first set up the insurance company. > > Then Register a pt. The insurance info goes into a temporary buffer > > waiting for someone to process it--don't know the key you need for > > that but it should be in the documentation. Once the pt is registered > > with insurance, I suspect the Insurance panel will show up on the > > coversheet.
> > On Dec 8, 9:27 am, "I, Valdes" <ival...@hal-pc.org> wrote:
> > > So I have the patients 'insurance buffer' um, titrated :-) How then do > > > I confirm to the system that ZZPatient, Test One has Fine Print > > > Insurance Group, Inc such that all the bells and whistles go off and > > > it appears in CPRS?
> > > -- IV
> > > On Dec 8, 8:15 am, chappyware <chappywa...@verizon.net> wrote:
> > > > I stand corrected on the insurance button. It only appears IF THE PT > > > > HAS INSURANCE. I've not gotten that far but if someone has assigned a > > > > pt to an insurance company correctly, the insurance button should > > > > appear next to the patient Record flag panel.
> > > > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
> > > > > I have been hearing about the problems as well and am concerned about moving > > > > > to it right away.
> > > > > It is a moot point anyway since we don't have it, and I suspect because of the > > > > > problems, it may not be released right away.
> > > > > On Saturday 06 December 2008, chappyware wrote:
> > > > > > V27 has a number of unresolved issues. I would not rush to that > > > > > > version.
> > > > > > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > > > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV
> > > > > > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > > > > > a box with insurance information. I notice worldvista CPRS lacks this
...
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ivaldes1@gmail.com
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More options Dec 8 2008, 6:39 pm
From: "ivald...@gmail.com" <ivald...@gmail.com>
Date: Mon, 8 Dec 2008 15:39:54 -0800 (PST)
Local: Mon, Dec 8 2008 6:39 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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Hmm, which manual are we talking about? This page has several:
http://www.va.gov/vdl/search.asp?group=document&terms=Integrated+bill...
On Dec 8, 11:47 am, chappyware <chappywa...@verizon.net> wrote:
- Hide quoted text - - Show quoted text - > look at page 154 of the Integrated Billing User Manual. I think you'll > find some answers there.
> On Dec 8, 12:43 pm, chappyware <chappywa...@verizon.net> wrote:
> > I've not had time to do it but first set up the insurance company. > > Then Register a pt. The insurance info goes into a temporary buffer > > waiting for someone to process it--don't know the key you need for > > that but it should be in the documentation. Once the pt is registered > > with insurance, I suspect the Insurance panel will show up on the > > coversheet.
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I, Valdes
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More options Dec 15 2008, 12:21 pm
From: "I, Valdes" <ival...@hal-pc.org>
Date: Mon, 15 Dec 2008 09:21:46 -0800 (PST)
Local: Mon, Dec 15 2008 12:21 pm
Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information?
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Thanks, this worked and it now shows up on the patient 'Patient
Inquiry' display. I have put this on the Clerk menu now using the
Intracare Implementation Log Episode 29: Adding Appointment Schedule
Menu to Clerk ID example.
http://groups.google.com/group/Hardhats/browse_frm/thread/2fd72547249...
-- IV
On Dec 8, 12:58 pm, chappyware <chappywa...@verizon.net> wrote:
- Hide quoted text - - Show quoted text - > I got the insurance panel to appear in CPRS. Its a multi-step process > but here's some of the menu activity
> PI Patient Insurance Info View/Edit
> VP View Patient Insurance
> EI Insurance Company Entry/Edit
> VI View Insurance Company
> EPR Insurance Company EDI Parameter Report
> BI Process Insurance Buffer
> EPH e-Pharmacy Menu ...
> IIV IIV Menu ...
> LC List InactiveIns. Co. Covering Patients
> LP List Plans by Insurance Company
> MI Medicare Insurance Intake
> MV Move Subscribers to a Different Plan
> NC Verification of No Coverage Report
> NE Active Policies with no Effective Date Report
> NV List New not Verified Policies
> PM Payer Maintenance Menu ...
> RQI Remote Insurance Query
> WO Patients with or without Insurance Report
> Select Patient Insurance Menu Option: pi Patient Insurance Info View/ > Edit
> Select PATIENT NAME:
> PUG,DUDLEY M 07-28-2007 000000014
> 000000014
> AB Annual Benefits RI Personal Riders EX Exit
> Patient Insurance Management Dec 08, 2008@13:52:21 Page: > 1 of 1
> Insurance Management for Patient: PUG,DUDLEY P0014
> *** Patient has Insurance Buffer Records
> Insurance Co. Type of Policy Group Holder Effect. > Expires
> No Insurance Policies on file for this > patient.
> Enter ?? for more > actions >>>
> AP Add Policy EA Fast Edit All CP Change Patient
> VP Policy Edit/View BU Benefits Used WP Worksheet > Print
> DP Delete Policy VC Verify Coverage PC Print > Insurance Cov.
> AB Annual Benefits RI Personal Riders EX Exit
> Select Item(s): Quit// ap Add Policy
> 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
> used.
> To start, you must select the insurance company for the patient's > policy.
> Select INSURANCE COMPANY: Aetna 123 MAIN Y
> 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.
> This company does not offer any active group plans.
> Do you wish to add a new Insurance Plan? NO// y YES
> IS THIS A GROUP PLAN: y YES
> GROUP PLAN NAME: STANDARD
> GROUP PLAN NUMBER: 12345
> Searching for potential duplicate plans offered by AETNA...
> No potential duplicate plans have been identified.
> 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.
> EFFECTIVE DATE OF POLICY: 1/1/08 (JAN 01, 2008)
> INSURANCE EXPIRATION DATE: 1/1/10 (JAN 01, 2010)
> WARNING: The expiration date for this policy is in the future!
> Normally this is a past date or left blank or a past date
> INSURANCE EXPIRATION DATE: JAN 1,2010//
> WHOSE INSURANCE: p??
> Choose from:
> v VETERAN
> s SPOUSE
> o OTHER
> WHOSE INSURANCE: v VETERAN
> SUBSCRIBER ID: 12345
> INSURED'S DOB: 7/28/07 (JUL 28, 2007)
> INSURED'S SEX: m MALE
> SOURCE OF INFORMATION: INTERVIEW//
> COORDINATION OF BENEFITS:
> PRIMARY CARE PROVIDER:
> PRIMARY PROVIDER PHONE:
> WARNING: The expiration date for this policy is in the future!
> Normally this is a past date or left blank or a past date
> 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.
> GROUP NAME: STANDARD//
> GROUP NUMBER: 12345//
> BANKING IDENTIFICATION NUMBER:
> PROCESSOR CONTROL NUMBER (PCN):
> TYPE OF PLAN: ?
> Enter the type of policy that best describes this policy.
> Active Types of Plans Only!
> Answer with TYPE OF PLAN NAME, or ABBREVIATION, or MAJOR CATEGORY
> Do you want the entire TYPE OF PLAN List? y (Yes)
> Choose from:
> ACCIDENT AND HEALTH INSURANCE MAJOR MEDICAL
> AUTOMOBILE MAJOR MEDICAL
> CARVE-OUT MAJOR MEDICAL
> CATASTROPHIC INSURANCE MAJOR MEDICAL
> CHAMPVA MAJOR MEDICAL
> COMPREHENSIVE MAJOR MEDICAL MAJOR MEDICAL
> DENTAL INSURANCE DENTAL
> HEALTH MAINTENANCE ORGANIZ MAJOR MEDICAL
> INCOME PROTECTION (INDEMNITY) INDEMNITY
> INDIVIDUAL PRACTICE ASSOCATION MAJOR MEDICAL
> INPATIENT (BASIC HOSPITAL) MAJOR MEDICAL
> LABS, PROCEDURES, X-RAY, ETC. ALL OTHER
> MANAGED CARE SYSTEM (MCS) MAJOR MEDICAL
> MEDI-CAL MEDICAIDE
> MEDICAID MEDICAIDE
> MEDICAL EXPENSE (OPT/PROF) MAJOR MEDICAL
> MEDICARE (M) MEDICARE
> MEDICARE SECONDARY MAJOR MEDICAL
> MEDICARE/MEDICAID (MEDI-CAL) MEDICARE
> MEDIGAP (SUPPLEMENTAL) MEDICARE SUPPLEMENTAL
> MENTAL HEALTH ALL OTHER
> NO-FAULT INSURANCE MAJOR MEDICAL
> POINT OF SERVICE HMO
> PREFERRED PROVIDER ORGANIZATIO PPO
> PREPAID GROUP PRACTICE PLAN HMO
> PRESCRIPTION PRESCRIPTION
> RETIREE MAJOR MEDICAL
> SPECIAL CLASS INSURANCE MAJOR MEDICAL
> SPECIAL RISK INSURANCE MAJOR MEDICAL
> SPECIFIED DISEASE INSURANCE MAJOR MEDICAL
> SURGICAL EXPENSE INSURANCE MAJOR MEDICAL
> TORT FEASOR ALL OTHER
> TRICARE CHAMPUS
> TRICARE SUPPLEMENTAL MAJOR MEDICAL
> WORKERS' COMPENSATION INSURANC WORKMANS COMP
> TYPE OF PLAN: comPREHENSIVE MAJOR MEDICAL MAJOR MEDICAL
> ELECTRONIC PLAN TYPE:
> PLAN FILING TIME FRAME:
> IS UTILIZATION REVIEW REQUIRED:
> AMBULATORY CARE CERTIFICATION:
> IS PRE-CERTIFICATION REQUIRED?: n NO
> EXCLUDE PRE-EXISTING CONDITION: n NO
> BENEFITS ASSIGNABLE?: YES// YES
> COVERED BY HEALTH INSURANCE changed to 'YES'.
> .
> AB Annual Benefits RI Personal Riders EX Exit
> Patient Insurance Management Dec 08, 2008@13:54:13 Page: > 1 of 1 > Insurance Management for Patient: PUG,DUDLEY P0014 > *** Patient has Insurance Buffer Records > Insurance Co. Type of Policy Group Holder Effect. > Expires > 1 AETNA COMPREHENSIVE M 12345 SELF 01/01/08 > 01/01/10
> Enter ?? for more > actions >>> > AP Add Policy EA Fast Edit All CP Change Patient > VP Policy Edit/View BU Benefits Used WP Worksheet > Print > DP Delete Policy VC Verify Coverage PC Print > Insurance Cov. > AB Annual Benefits RI Personal Riders EX Exit > Select Item(s): Quit//
> On Dec 8, 12:47 pm, chappyware <chappywa...@verizon.net> wrote:
> > look at page 154 of the Integrated Billing User Manual. I think you'll > > find some answers there.
> > On Dec 8, 12:43 pm, chappyware <chappywa...@verizon.net> wrote:
> > > I've not had time to do it but first set up the insurance company. > > > Then Register a pt. The insurance info goes into a temporary buffer > > > waiting for someone to process it--don't know the key you need for > > > that but it should be in the documentation. Once the pt is registered > > > with insurance, I suspect the Insurance panel will show up on the > > > coversheet.
> > > On Dec 8, 9:27 am, "I, Valdes" <ival...@hal-pc.org> wrote:
> > > > So I have the patients 'insurance buffer' um, titrated :-) How then do > > > > I confirm to the system that ZZPatient, Test One has Fine Print > > > > Insurance Group, Inc such that all the bells and
...
read more »
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