Difference between revisions of "Ignacio Valdes Implementation Log/Episode34"

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[[Ignacio_Valdes_Implementation_Log]]
 
First appeared here: http://groups.google.com/group/Hardhats/browse_thread/thread/85354b96e00878c6?hl=en
 
First appeared here: http://groups.google.com/group/Hardhats/browse_thread/thread/85354b96e00878c6?hl=en
  
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To:
Line 332: Line 317:
  
 
           Enter ?? for more
 
           Enter ?? for more
−
actions                                         >>>
+
[[action~|Action]]s                                         >>>
 
BP  Billing Parameters    IO  Inquiry Office        EA  Edit All
 
BP  Billing Parameters    IO  Inquiry Office        EA  Edit All
 
MM  Main Mailing Address  AC  Associate Companies  AI  (In)Activate
 
MM  Main Mailing Address  AC  Associate Companies  AI  (In)Activate
Line 341: Line 326:
 
PC  Prescr Claims Of      RE  Remarks              VP  View Plans
 
PC  Prescr Claims Of      RE  Remarks              VP  View Plans
 
AO  Appeals Office        SY  Synonyms              EX  Exit
 
AO  Appeals Office        SY  Synonyms              EX  Exit
−
Select Action: Quit//    QUIT
+
Select [[Action~|Action]]: Quit//    QUIT
  
 
     Reply to author    Forward       
 
     Reply to author    Forward       
Line 389: Line 374:
 
   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
Line 404: Line 389:
 
There are no Buffer entries that have not been processed.
 
There are no Buffer entries that have not been processed.
  
−
           Enter ?? for more actions
+
           Enter ?? for more [[action~|Action]]s
 
   Process Entry    EE Expand Entry        Sort List        X  Exit
 
   Process Entry    EE Expand Entry        Sort List        X  Exit
 
   (Reject Entry)      Add Entry          Check Ins Co's
 
   (Reject Entry)      Add Entry          Check Ins Co's
−
Select Action: Quit// Add  Add Entry
+
Select [[Action~|Action]]: Quit// Add  Add Entry
 
Select PATIENT NAME: ZZ
 
Select PATIENT NAME: ZZ
 
   1    ZZ PATIENT,TEST ONE          <A>    F 01-24-1945
 
   1    ZZ PATIENT,TEST ONE          <A>    F 01-24-1945
Line 427: Line 412:
  
 
                                 ***WARNING***
 
                                 ***WARNING***
−
                             ***RESTRICTED RECORD***
+
                             ***RESTRICTED [[RECORD~|Record]]***
  
 
                                 ***WARNING***
 
                                 ***WARNING***
−
                             ***RESTRICTED RECORD***
+
                             ***RESTRICTED [[RECORD~|Record]]***
  
 
Insurance Company: ?
 
Insurance Company: ?
Line 521: Line 506:
 
12/05/08
 
12/05/08
  
−
           Enter ?? for more actions
+
           Enter ?? for more [[action~|Action]]s
 
   Process Entry    EE Expand Entry        Sort List        X  Exit
 
   Process Entry    EE Expand Entry        Sort List        X  Exit
 
   (Reject Entry)      Add Entry          Check Ins Co's
 
   (Reject Entry)      Add Entry          Check Ins Co's
−
Select Action: Quit//    QUIT
+
Select [[Action~|Action]]: Quit//    QUIT
  
 
   PI    Patient Insurance Info View/Edit
 
   PI    Patient Insurance Info View/Edit
Line 538: Line 523:
 
   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
Line 1,088: Line 1,073:
 
HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
pt to an insurance company correctly, the insurance button should
 
pt to an insurance company correctly, the insurance button should
−
appear next to the patient record flag panel.
+
appear next to the patient [[record~|Record]] flag panel.
  
 
On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
 
On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
Line 1,199: Line 1,184:
 
> HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
> HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
> pt to an insurance company correctly, the insurance button should
 
> pt to an insurance company correctly, the insurance button should
−
> appear next to the patient record flag panel.
+
> appear next to the patient [[record~|Record]] flag panel.
  
 
> On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
 
> On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
Line 1,317: Line 1,302:
 
> > HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
> > HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
> > pt to an insurance company correctly, the insurance button should
 
> > pt to an insurance company correctly, the insurance button should
−
> > appear next to the patient record flag panel.
+
> > appear next to the patient [[record~|Record]] flag panel.
  
 
> > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
 
> > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
Line 1,440: Line 1,425:
 
> > > HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
> > > HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
> > > pt to an insurance company correctly, the insurance button should
 
> > > pt to an insurance company correctly, the insurance button should
−
> > > appear next to the patient record flag panel.
+
> > > appear next to the patient [[record~|Record]] flag panel.
  
 
> > > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
 
> > > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
Line 1,562: Line 1,547:
 
   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
Line 1,590: Line 1,575:
 
Insurance Management for Patient: PUG,DUDLEY P0014
 
Insurance Management for Patient: PUG,DUDLEY P0014
  
−
*** Patient has Insurance Buffer Records
+
*** Patient has Insurance Buffer [[Record~|Record]]s
  
 
     Insurance Co.    Type of Policy  Group        Holder  Effect.
 
     Insurance Co.    Type of Policy  Group        Holder  Effect.
Line 1,599: Line 1,584:
  
 
           Enter ?? for more
 
           Enter ?? for more
−
actions                                         >>>
+
[[action~|Action]]s                                         >>>
  
 
AP  Add Policy            EA  Fast Edit All        CP  Change Patient
 
AP  Add Policy            EA  Fast Edit All        CP  Change Patient
Line 1,831: Line 1,816:
 
1 of    1
 
1 of    1
 
Insurance Management for Patient: PUG,DUDLEY P0014
 
Insurance Management for Patient: PUG,DUDLEY P0014
−
*** Patient has Insurance Buffer Records
+
*** Patient has Insurance Buffer [[Record~|Record]]s
 
     Insurance Co.    Type of Policy  Group        Holder  Effect.
 
     Insurance Co.    Type of Policy  Group        Holder  Effect.
 
Expires
 
Expires
Line 1,838: Line 1,823:
  
 
           Enter ?? for more
 
           Enter ?? for more
−
actions                                         >>>
+
[[action~|Action]]s                                         >>>
 
AP  Add Policy            EA  Fast Edit All        CP  Change Patient
 
AP  Add Policy            EA  Fast Edit All        CP  Change Patient
 
VP  Policy Edit/View      BU  Benefits Used        WP  Worksheet
 
VP  Policy Edit/View      BU  Benefits Used        WP  Worksheet
Line 1,877: Line 1,862:
 
> > > > HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
> > > > HAS INSURANCE. I've not gotten that far but if someone has assigned a
 
> > > > pt to an insurance company correctly, the insurance button should
 
> > > > pt to an insurance company correctly, the insurance button should
−
> > > > appear next to the patient record flag panel.
+
> > > > appear next to the patient [[record~|Record]] flag panel.
  
 
> > > > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
 
> > > > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:
Line 2,003: Line 1,988:
 
>    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
Line 2,031: Line 2,016:
 
> Insurance Management for Patient: PUG,DUDLEY P0014
 
> Insurance Management for Patient: PUG,DUDLEY P0014
  
−
> *** Patient has Insurance Buffer Records
+
> *** Patient has Insurance Buffer [[Record~|Record]]s
  
 
>    Insurance Co.    Type of Policy  Group        Holder  Effect.
 
>    Insurance Co.    Type of Policy  Group        Holder  Effect.
Line 2,040: Line 2,025:
  
 
>          Enter ?? for more
 
>          Enter ?? for more
−
> actions                                         >>>
+
> [[action~|Action]]s                                         >>>
  
 
> AP  Add Policy            EA  Fast Edit All        CP  Change Patient
 
> AP  Add Policy            EA  Fast Edit All        CP  Change Patient
Line 2,272: Line 2,257:
 
> 1 of    1
 
> 1 of    1
 
> Insurance Management for Patient: PUG,DUDLEY P0014
 
> Insurance Management for Patient: PUG,DUDLEY P0014
−
> *** Patient has Insurance Buffer Records
+
> *** Patient has Insurance Buffer [[Record~|Record]]s
 
>    Insurance Co.    Type of Policy  Group        Holder  Effect.
 
>    Insurance Co.    Type of Policy  Group        Holder  Effect.
 
> Expires
 
> Expires
Line 2,279: Line 2,264:
  
 
>          Enter ?? for more
 
>          Enter ?? for more
−
> actions                                         >>>
+
> [[action~|Action]]s                                         >>>
 
> AP  Add Policy            EA  Fast Edit All        CP  Change Patient
 
> AP  Add Policy            EA  Fast Edit All        CP  Change Patient
 
> VP  Policy Edit/View      BU  Benefits Used        WP  Worksheet
 
> VP  Policy Edit/View      BU  Benefits Used        WP  Worksheet
Line 2,332: Line 2,317:
  
 
All content is owned by its author/poster
 
All content is owned by its author/poster
 +
</pre>

Latest revision as of 05:03, 13 November 2020

Ignacio_Valdes_Implementation_Log First appeared here: http://groups.google.com/group/Hardhats/browse_thread/thread/85354b96e00878c6?hl=en 

	
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Ignacio Valdes   	
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	 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?
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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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author

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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author
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   	
View profile  
	 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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author
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
[[action~|Action]]s                                          >>>
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~|Action]]: Quit//    QUIT

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I, Valdes   	
View profile  
	 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~|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 [[action~|Action]]s
   Process Entry    EE Expand Entry        Sort List        X  Exit
   (Reject Entry)      Add Entry           Check Ins Co's
Select [[Action~|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~|Record]]***

                                 ***WARNING***
                            ***RESTRICTED [[RECORD~|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 [[action~|Action]]s
   Process Entry    EE Expand Entry        Sort List        X  Exit
   (Reject Entry)      Add Entry           Check Ins Co's
Select [[Action~|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~|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   	
View profile  
	 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   	
View profile  
	 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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author
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   	
View profile  
	 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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author
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   	
View profile  
	 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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author
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   	
View profile  
	 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   	
View profile  
	 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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chappyware   	
View profile  
	 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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Nancy Anthracite   	
View profile  
	 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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chappyware   	
View profile  
	 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~|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   	
View profile  
	 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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author
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~|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   	
View profile  
	 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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author
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~|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   	
View profile  
	 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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author
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~|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   	
View profile  
	 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?
Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author
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~|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 [[Record~|Record]]s

    Insurance Co.    Type of Policy   Group        Holder   Effect.
Expires

    No Insurance Policies on file for this
patient.

          Enter ?? for more
[[action~|Action]]s                                          >>>

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 [[Record~|Record]]s
    Insurance Co.    Type of Policy   Group        Holder   Effect.
Expires
1   AETNA            COMPREHENSIVE M  12345        SELF     01/01/08
01/01/10

          Enter ?? for more
[[action~|Action]]s                                          >>>
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~|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

...

read more »

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ivaldes1@gmail.com   	
View profile  
	 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?
Reply to author | Forward | Print | Individual message | Show original | Remove | Report this message | Find messages by this author
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~|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 [[Record~|Record]]s

>     Insurance Co.    Type of Policy   Group        Holder   Effect.
> Expires

>     No Insurance Policies on file for this
> patient.

>           Enter ?? for more
> [[action~|Action]]s                                          >>>

> 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 [[Record~|Record]]s
>     Insurance Co.    Type of Policy   Group        Holder   Effect.
> Expires
> 1   AETNA            COMPREHENSIVE M  12345        SELF     01/01/08
> 01/01/10

>           Enter ?? for more
> [[action~|Action]]s                                          >>>
> 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

...

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