IBCEMSR4 ;BI/ALB - non-MRA PRODUCTIVITY REPORT ;02/14/11
;;2.0;INTEGRATED BILLING;**447**;21-MAR-94;Build 80
;;Per VHA Directive 2004-038, this routine should not be modified.
;
Q
;
FFORM ; Detail FORM Setup
;;LINE#;IBACCUM ;TAB^LABEL ^TAB^$J^#D^TAB^LABEL ^TAB^$J^#D
;;1 ; ;3 ^Primary UB04 Claim EEOBs ^41 ^ ^ ^63 ^Primary CMS-1500 Claim EEOBs ^101^ ^
;;2 ; ;3 ^-------------------------- ^41 ^ ^ ^63 ^----------------------------- ^101^ ^
;;3 ;FPA ;3 ^Total number of Processed EOBs: ^41 ^14^0 ^63 ^Total number of Processed EEOBs: ^101^14^0
;;4 ;FPAA ;6 ^Number Auto-processed to 2ndary: ^41 ^14^0 ^66 ^Number Auto-processed to 2ndary: ^101^14^0
;;5 ;FPAAA ;9 ^Number Printed locally: ^41 ^14^0 ^69 ^Number Printed locally: ^101^14^0
;;6 ;FPAAA1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
;;7 ;FPAAB ;9 ^Number Transmitted: ^41 ^14^0 ^69 ^Number Transmitted: ^101^14^0
;;8 ;FPAAB1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
;;9 ;FPAB ;6 ^Total number Sent to worklist: ^41 ^14^0 ^66 ^Total number Sent to worklist: ^101^14^0
;;10 ;FPABA ;9 ^Number Processed from worklist: ^41 ^14^0 ^69 ^Number Processed from worklist: ^101^14^0
;;11 ;FPABA1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
;;12 ;FPABB ;9 ^Number Removed from worklist: ^41 ^14^0 ^69 ^Number Removed from worklist: ^101^14^0
;;13 ;FPABB1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
;;14 ;FPABC ;9 ^Number Cancelled from worklist: ^41 ^14^0 ^69 ^Number Cancelled from worklist: ^101^14^0
;;15 ;FPABC1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
;;16 ;FPABD ;9 ^Number Still on worklist: ^41 ^14^0 ^69 ^Number Still on worklist: ^101^14^0
;;17 ;FPABD1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
;;18 ;FPNCC ;6 ^Number of EEOBs not collected/closed: ^45 ^10^0 ^66 ^Number of EEOBs not collected/closed: ^105^10^0
;;19 ;FPWOS ;6 ^Number of Closed EEOBs w/out 2ndary: ^45 ^10^0 ^66 ^Number of Closed EEOBs w/out 2ndary: ^105^10^0
;;20 ;FPB ;3 ^Total number of Denied EEOBs w/2ndary: ^41 ^14^0 ^63 ^Total number of Denied EEOBs w/2ndary: ^101^14^0
;;21 ;FPSOW ;6 ^Number Still on Worklist: ^41 ^14^0 ^66 ^Number Still on Worklist: ^101^14^0
;;22 ;FPBXD ;6 ^Number Processed from worklist: ^41 ^14^0 ^66 ^Number Processed from worklist: ^101^14^0
;;23 ;FPBXA ;6 ^Number Removed from worklist: ^41 ^14^0 ^66 ^Number Removed from worklist: ^101^14^0
;;24 ;FPBXE ;6 ^Number Cancelled from worklist: ^41 ^14^0 ^66 ^Number Cancelled from worklist: ^101^14^0
;;25 ;FPBXB ;6 ^Number Corrected from worklist: ^41 ^14^0 ^66 ^Number Corrected from worklist: ^101^14^0
;;26 ;FPBXB1 ;9 ^Total primary charges: ^41 ^14^2 ^69 ^Total primary charges: ^101^14^2
;;27 ;FPBXC ;6 ^Number Cloned from worklist: ^41 ^14^0 ^66 ^Number Cloned from worklist: ^101^14^0
;;28 ;FPBXC1 ;9 ^Total primary charges: ^41 ^14^2 ^69 ^Total primary charges: ^101^14^2
;;29 ; ;20 ^ ^41 ^ ^ ^ ^ ^101^ ^
;;30 ; ;3 ^Secondary UB04 Claim EEOBs ^41 ^ ^ ^63 ^Secondary CMS-1500 Claim EEOBs ^101^ ^
;;31 ; ;3 ^-------------------------- ^41 ^ ^ ^63 ^----------------------------- ^101^ ^
;;32 ;FSA ;3 ^Total number of Processed EOBs: ^41 ^14^0 ^63 ^Total number of Processed EEOBs: ^101^14^0
;;33 ;FSAA ;6 ^Number Auto-processed to 2ndary: ^41 ^14^0 ^66 ^Number Auto-processed to 2ndary: ^101^14^0
;;34 ;FSAAA ;9 ^Number Printed locally: ^41 ^14^0 ^69 ^Number Printed locally: ^101^14^0
;;35 ;FSAAA1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
;;36 ;FSAAB ;9 ^Number Transmitted: ^41 ^14^0 ^69 ^Number Transmitted: ^101^14^0
;;37 ;FSAAB1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
;;38 ;FSAB ;6 ^Total number Sent to worklist: ^41 ^14^0 ^66 ^Total number Sent to worklist: ^101^14^0
;;39 ;FSABA ;9 ^Number Processed from worklist: ^41 ^14^0 ^69 ^Number Processed from worklist: ^101^14^0
;;40 ;FSABA1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
;;41 ;FSABB ;9 ^Number Removed from worklist: ^41 ^14^0 ^69 ^Number Removed from worklist: ^101^14^0
;;42 ;FSABB1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
;;43 ;FSABC ;9 ^Number Cancelled from worklist: ^41 ^14^0 ^69 ^Number Cancelled from worklist: ^101^14^0
;;44 ;FSABC1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
;;45 ;FSABD ;9 ^Number Still on worklist: ^41 ^14^0 ^69 ^Number Still on worklist: ^101^14^0
;;46 ;FSABD1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
;;47 ;FSNCC ;6 ^Number of EEOBs not collected/closed: ^45 ^10^0 ^66 ^Number of EEOBs not collected/closed: ^105^10^0
;;48 ;FSWOT ;6 ^Number of Closed EEOBs w/out tertiary: ^45 ^10^0 ^66 ^Number of Closed EEOBs w/out tertiary: ^105^10^0
;;49 ;FSB ;3 ^Total number of Denied EEOBs w/Tertiary: ^46 ^9 ^0 ^63 ^Total number of Denied EEOBs w/Tertiary: ^105^10^0
;;50 ;FSSOW ;6 ^Number Still on Worklist: ^41 ^14^0 ^66 ^Number Still on Worklist: ^101^14^0
;;51 ;FSBXD ;6 ^Number Processed from worklist: ^41 ^14^0 ^66 ^Number Processed from worklist: ^101^14^0
;;52 ;FSBXA ;6 ^Number Removed from worklist: ^41 ^14^0 ^66 ^Number Removed from worklist: ^101^14^0
;;53 ;FSBXE ;6 ^Number Cancelled from worklist: ^41 ^14^0 ^66 ^Number Cancelled from worklist: ^101^14^0
;;54 ;FSBXB ;6 ^Number Corrected from worklist: ^41 ^14^0 ^66 ^Number Corrected from worklist: ^101^14^0
;;55 ;FSBXB1 ;9 ^Total secondary charges: ^41 ^14^2 ^69 ^Total secondary charges: ^101^14^2
;;56 ;FSBXC ;6 ^Number Cloned from worklist: ^41 ^14^0 ^66 ^Number Cloned from worklist: ^101^14^0
;;57 ;FSBXC1 ;9 ^Total secondary charges: ^41 ^14^2 ^69 ^Total secondary charges: ^101^14^2
;;END
Q
;
SFORM ; Summary FORM Setup
;;LINE#;IBACCUM ;TAB^LABEL ^TAB^$J^#D^TAB^LABEL ^TAB^$J^#D
;;1 ; ;3 ^Primary UB04 Claim EEOBs ^41 ^ ^ ^63 ^Primary CMS-1500 Claim EEOBs ^101^ ^
;;2 ; ;3 ^-------------------------- ^41 ^ ^ ^63 ^----------------------------- ^101^ ^
;;3 ;SPA ;3 ^Total number of EEOBs received: ^41 ^14^0 ^63 ^Total number of EEOBs received: ^101^14^0
;;4 ;SPACL ;3 ^Number of unique EEOBs received: ^41 ^14^0 ^63 ^Number of unique EEOBs received: ^101^14^0
;;5 ;SPAA ;6 ^% Processed: ^41 ^15^ ^66 ^% Processed: ^101^15^
;;6 ;SPAB ;6 ^% of Processed auto-processed to 2ndary: ^46 ^10^ ^66 ^% of Processed auto-processed to 2ndary: ^106^10^
;;7 ;SPAC ;6 ^Number of Processed EEOBs: ^41 ^14^0 ^66 ^Number of Processed EEOBs: ^101^14^0
;;8 ;SPACA ;9 ^Number Auto-processed to 2ndary: ^42 ^13^0 ^69 ^Number Auto-processed to 2ndary: ^110^5 ^0
;;9 ;SPACAA ;12 ^Number Printed locally: ^41 ^14^0 ^72 ^Number Printed locally: ^101^14^0
;;10 ;SPACAA1 ;15 ^Total secondary charges: ^41 ^14^2 ^75 ^Total secondary charges: ^101^14^2
;;11 ;SPACAB ;12 ^Number Transmitted: ^41 ^14^0 ^72 ^Number Transmitted: ^101^14^0
;;12 ;SPACAB1 ;15 ^Total secondary charges: ^41 ^14^2 ^75 ^Total secondary charges: ^101^14^2
;;13 ;SPACB ;9 ^Number Manually Processed to 2ndary: ^50 ^5 ^0 ^69 ^Number Manually Processed to 2ndary: ^110^5 ^0
;;14 ;SPACBA ;12 ^Number Printed locally: ^41 ^14^0 ^72 ^Number Printed locally: ^101^14^0
;;15 ;SPACBA1 ;15 ^Total secondary charges: ^41 ^14^2 ^75 ^Total secondary charges: ^101^14^2
;;16 ;SPACBB ;12 ^Number Transmitted: ^41 ^14^0 ^72 ^Number Transmitted: ^101^14^0
;;17 ;SPACBB1 ;15 ^Total secondary charges: ^41 ^14^2 ^75 ^Total secondary charges: ^101^14^2
;;18 ;SPNCC ;9 ^Number of EEOBs not collected/closed: ^50 ^5 ^0 ^69 ^Number of EEOBs not collected/closed: ^110^5 ^0
;;19 ;SPWOS ;9 ^Number of Closed EEOBs w/out 2ndary: ^50 ^5 ^0 ^69 ^Number of Closed EEOBs w/out 2ndary: ^110^5 ^0
;;20 ;SPABD ;9 ^Number of EEOBs Still on worklist: ^50 ^5 ^0 ^69 ^Number of EEOBs Still on worklist: ^110^5 ^0
;;21 ;SPAD ;6 ^Number of Denied EEOBs: ^41 ^14^0 ^66 ^Number of Denied EEOBS: ^101^14^0
;;22 ; ;3 ^ ^41 ^ ^ ^ ^ ^101^ ^
;;23 ; ;3 ^Secondary UB04 Claim EEOBs ^41 ^ ^ ^63 ^Secondary CMS-1500 Claim EEOBs ^101^ ^
;;24 ; ;3 ^-------------------------- ^41 ^ ^ ^63 ^ ----------------------------- ^101^ ^
;;25 ;SSA ;3 ^Total number of EEOBs received: ^41 ^14^0 ^63 ^Total number of EEOBs received: ^101^14^0
;;26 ;SSACL ;3 ^Number of unique EEOBs received: ^41 ^14^0 ^63 ^Number of unique EEOBs received: ^101^14^0
;;27 ;SSAA ;6 ^% Processed: ^41 ^15^ ^66 ^% Processed: ^101^15^
;;28 ;SSAB ;6 ^% of Processed auto-processed to tertiary:^49 ^7 ^ ^66 ^% of Processed auto-processed to tertiary: ^110^6 ^
;;29 ;SSAC ;6 ^Number of Processed EEOBs: ^41 ^14^0 ^66 ^Number of Processed EEOBs: ^101^14^0
;;30 ;SSACA ;9 ^Number Auto-processed to tertiary: ^44 ^11^0 ^69 ^Number Auto-processed to tertiary: ^110^5 ^0
;;31 ;SSACAA ;12 ^Number Printed locally: ^41 ^14^0 ^72 ^Number Printed locally: ^101^14^0
;;32 ;SSACAA1 ;15 ^Total tertiary charges: ^41 ^14^2 ^75 ^Total tertiary charges: ^101^14^2
;;33 ;SSACAB ;12 ^Number Transmitted: ^41 ^14^0 ^72 ^Number Transmitted: ^101^14^0
;;34 ;SSACAB1 ;15 ^Total tertiary charges: ^41 ^14^2 ^75 ^Total tertiary charges: ^101^14^2
;;35 ;SSADA ;9 ^Number Manually Processed to tertiary: ^50 ^5 ^0 ^69 ^Number Manually Processed to tertiary: ^110^5 ^0
;;36 ;SSADAA ;12 ^Number Printed locally: ^41 ^14^0 ^72 ^Number Printed locally: ^101^14^0
;;37 ;SSADAA1 ;15 ^Total tertiary charges: ^41 ^14^2 ^75 ^Total tertiary charges: ^101^14^2
;;38 ;SSADAB ;12 ^Number Transmitted: ^41 ^14^0 ^72 ^Number Transmitted: ^101^14^0
;;39 ;SSADAB1 ;15 ^Total tertiary charges: ^41 ^14^2 ^75 ^Total tertiary charges: ^101^14^2
;;40 ;SSNCC ;9 ^Number of EEOBs not collected/closed: ^50 ^5 ^0 ^69 ^Number of EEOBs not collected/closed: ^110^5 ^0
;;41 ;SSWOT ;9 ^Number of Closed EEOBs w/out tertiary: ^50 ^5 ^0 ^69 ^Number of Closed EEOBs w/out tertiary: ^110^5 ^0
;;42 ;SSABD ;9 ^Number of EEOBs Still on worklist: ^50 ^5 ^0 ^69 ^Number of EEOBs Still on worklist: ^110^5 ^0
;;43 ;SSAD ;6 ^Number of Denied EEOBs: ^41 ^14^0 ^66 ^Number of Denied EEOBS: ^101^14^0
;;END
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCEMSR4 13833 printed Apr 09, 2024@21:13:31 Page 2
IBCEMSR4 ;BI/ALB - non-MRA PRODUCTIVITY REPORT ;02/14/11
+1 ;;2.0;INTEGRATED BILLING;**447**;21-MAR-94;Build 80
+2 ;;Per VHA Directive 2004-038, this routine should not be modified.
+3 ;
+4 QUIT
+5 ;
FFORM ; Detail FORM Setup
+1 ;;LINE#;IBACCUM ;TAB^LABEL ^TAB^$J^#D^TAB^LABEL ^TAB^$J^#D
+2 ;;1 ; ;3 ^Primary UB04 Claim EEOBs ^41 ^ ^ ^63 ^Primary CMS-1500 Claim EEOBs ^101^ ^
+3 ;;2 ; ;3 ^-------------------------- ^41 ^ ^ ^63 ^----------------------------- ^101^ ^
+4 ;;3 ;FPA ;3 ^Total number of Processed EOBs: ^41 ^14^0 ^63 ^Total number of Processed EEOBs: ^101^14^0
+5 ;;4 ;FPAA ;6 ^Number Auto-processed to 2ndary: ^41 ^14^0 ^66 ^Number Auto-processed to 2ndary: ^101^14^0
+6 ;;5 ;FPAAA ;9 ^Number Printed locally: ^41 ^14^0 ^69 ^Number Printed locally: ^101^14^0
+7 ;;6 ;FPAAA1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
+8 ;;7 ;FPAAB ;9 ^Number Transmitted: ^41 ^14^0 ^69 ^Number Transmitted: ^101^14^0
+9 ;;8 ;FPAAB1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
+10 ;;9 ;FPAB ;6 ^Total number Sent to worklist: ^41 ^14^0 ^66 ^Total number Sent to worklist: ^101^14^0
+11 ;;10 ;FPABA ;9 ^Number Processed from worklist: ^41 ^14^0 ^69 ^Number Processed from worklist: ^101^14^0
+12 ;;11 ;FPABA1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
+13 ;;12 ;FPABB ;9 ^Number Removed from worklist: ^41 ^14^0 ^69 ^Number Removed from worklist: ^101^14^0
+14 ;;13 ;FPABB1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
+15 ;;14 ;FPABC ;9 ^Number Cancelled from worklist: ^41 ^14^0 ^69 ^Number Cancelled from worklist: ^101^14^0
+16 ;;15 ;FPABC1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
+17 ;;16 ;FPABD ;9 ^Number Still on worklist: ^41 ^14^0 ^69 ^Number Still on worklist: ^101^14^0
+18 ;;17 ;FPABD1 ;12 ^Total secondary charges: ^41 ^14^2 ^72 ^Total secondary charges: ^101^14^2
+19 ;;18 ;FPNCC ;6 ^Number of EEOBs not collected/closed: ^45 ^10^0 ^66 ^Number of EEOBs not collected/closed: ^105^10^0
+20 ;;19 ;FPWOS ;6 ^Number of Closed EEOBs w/out 2ndary: ^45 ^10^0 ^66 ^Number of Closed EEOBs w/out 2ndary: ^105^10^0
+21 ;;20 ;FPB ;3 ^Total number of Denied EEOBs w/2ndary: ^41 ^14^0 ^63 ^Total number of Denied EEOBs w/2ndary: ^101^14^0
+22 ;;21 ;FPSOW ;6 ^Number Still on Worklist: ^41 ^14^0 ^66 ^Number Still on Worklist: ^101^14^0
+23 ;;22 ;FPBXD ;6 ^Number Processed from worklist: ^41 ^14^0 ^66 ^Number Processed from worklist: ^101^14^0
+24 ;;23 ;FPBXA ;6 ^Number Removed from worklist: ^41 ^14^0 ^66 ^Number Removed from worklist: ^101^14^0
+25 ;;24 ;FPBXE ;6 ^Number Cancelled from worklist: ^41 ^14^0 ^66 ^Number Cancelled from worklist: ^101^14^0
+26 ;;25 ;FPBXB ;6 ^Number Corrected from worklist: ^41 ^14^0 ^66 ^Number Corrected from worklist: ^101^14^0
+27 ;;26 ;FPBXB1 ;9 ^Total primary charges: ^41 ^14^2 ^69 ^Total primary charges: ^101^14^2
+28 ;;27 ;FPBXC ;6 ^Number Cloned from worklist: ^41 ^14^0 ^66 ^Number Cloned from worklist: ^101^14^0
+29 ;;28 ;FPBXC1 ;9 ^Total primary charges: ^41 ^14^2 ^69 ^Total primary charges: ^101^14^2
+30 ;;29 ; ;20 ^ ^41 ^ ^ ^ ^ ^101^ ^
+31 ;;30 ; ;3 ^Secondary UB04 Claim EEOBs ^41 ^ ^ ^63 ^Secondary CMS-1500 Claim EEOBs ^101^ ^
+32 ;;31 ; ;3 ^-------------------------- ^41 ^ ^ ^63 ^----------------------------- ^101^ ^
+33 ;;32 ;FSA ;3 ^Total number of Processed EOBs: ^41 ^14^0 ^63 ^Total number of Processed EEOBs: ^101^14^0
+34 ;;33 ;FSAA ;6 ^Number Auto-processed to 2ndary: ^41 ^14^0 ^66 ^Number Auto-processed to 2ndary: ^101^14^0
+35 ;;34 ;FSAAA ;9 ^Number Printed locally: ^41 ^14^0 ^69 ^Number Printed locally: ^101^14^0
+36 ;;35 ;FSAAA1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
+37 ;;36 ;FSAAB ;9 ^Number Transmitted: ^41 ^14^0 ^69 ^Number Transmitted: ^101^14^0
+38 ;;37 ;FSAAB1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
+39 ;;38 ;FSAB ;6 ^Total number Sent to worklist: ^41 ^14^0 ^66 ^Total number Sent to worklist: ^101^14^0
+40 ;;39 ;FSABA ;9 ^Number Processed from worklist: ^41 ^14^0 ^69 ^Number Processed from worklist: ^101^14^0
+41 ;;40 ;FSABA1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
+42 ;;41 ;FSABB ;9 ^Number Removed from worklist: ^41 ^14^0 ^69 ^Number Removed from worklist: ^101^14^0
+43 ;;42 ;FSABB1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
+44 ;;43 ;FSABC ;9 ^Number Cancelled from worklist: ^41 ^14^0 ^69 ^Number Cancelled from worklist: ^101^14^0
+45 ;;44 ;FSABC1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
+46 ;;45 ;FSABD ;9 ^Number Still on worklist: ^41 ^14^0 ^69 ^Number Still on worklist: ^101^14^0
+47 ;;46 ;FSABD1 ;12 ^Total tertiary charges: ^41 ^14^2 ^72 ^Total tertiary charges: ^101^14^2
+48 ;;47 ;FSNCC ;6 ^Number of EEOBs not collected/closed: ^45 ^10^0 ^66 ^Number of EEOBs not collected/closed: ^105^10^0
+49 ;;48 ;FSWOT ;6 ^Number of Closed EEOBs w/out tertiary: ^45 ^10^0 ^66 ^Number of Closed EEOBs w/out tertiary: ^105^10^0
+50 ;;49 ;FSB ;3 ^Total number of Denied EEOBs w/Tertiary: ^46 ^9 ^0 ^63 ^Total number of Denied EEOBs w/Tertiary: ^105^10^0
+51 ;;50 ;FSSOW ;6 ^Number Still on Worklist: ^41 ^14^0 ^66 ^Number Still on Worklist: ^101^14^0
+52 ;;51 ;FSBXD ;6 ^Number Processed from worklist: ^41 ^14^0 ^66 ^Number Processed from worklist: ^101^14^0
+53 ;;52 ;FSBXA ;6 ^Number Removed from worklist: ^41 ^14^0 ^66 ^Number Removed from worklist: ^101^14^0
+54 ;;53 ;FSBXE ;6 ^Number Cancelled from worklist: ^41 ^14^0 ^66 ^Number Cancelled from worklist: ^101^14^0
+55 ;;54 ;FSBXB ;6 ^Number Corrected from worklist: ^41 ^14^0 ^66 ^Number Corrected from worklist: ^101^14^0
+56 ;;55 ;FSBXB1 ;9 ^Total secondary charges: ^41 ^14^2 ^69 ^Total secondary charges: ^101^14^2
+57 ;;56 ;FSBXC ;6 ^Number Cloned from worklist: ^41 ^14^0 ^66 ^Number Cloned from worklist: ^101^14^0
+58 ;;57 ;FSBXC1 ;9 ^Total secondary charges: ^41 ^14^2 ^69 ^Total secondary charges: ^101^14^2
+59 ;;END
+60 QUIT
+61 ;
SFORM ; Summary FORM Setup
+1 ;;LINE#;IBACCUM ;TAB^LABEL ^TAB^$J^#D^TAB^LABEL ^TAB^$J^#D
+2 ;;1 ; ;3 ^Primary UB04 Claim EEOBs ^41 ^ ^ ^63 ^Primary CMS-1500 Claim EEOBs ^101^ ^
+3 ;;2 ; ;3 ^-------------------------- ^41 ^ ^ ^63 ^----------------------------- ^101^ ^
+4 ;;3 ;SPA ;3 ^Total number of EEOBs received: ^41 ^14^0 ^63 ^Total number of EEOBs received: ^101^14^0
+5 ;;4 ;SPACL ;3 ^Number of unique EEOBs received: ^41 ^14^0 ^63 ^Number of unique EEOBs received: ^101^14^0
+6 ;;5 ;SPAA ;6 ^% Processed: ^41 ^15^ ^66 ^% Processed: ^101^15^
+7 ;;6 ;SPAB ;6 ^% of Processed auto-processed to 2ndary: ^46 ^10^ ^66 ^% of Processed auto-processed to 2ndary: ^106^10^
+8 ;;7 ;SPAC ;6 ^Number of Processed EEOBs: ^41 ^14^0 ^66 ^Number of Processed EEOBs: ^101^14^0
+9 ;;8 ;SPACA ;9 ^Number Auto-processed to 2ndary: ^42 ^13^0 ^69 ^Number Auto-processed to 2ndary: ^110^5 ^0
+10 ;;9 ;SPACAA ;12 ^Number Printed locally: ^41 ^14^0 ^72 ^Number Printed locally: ^101^14^0
+11 ;;10 ;SPACAA1 ;15 ^Total secondary charges: ^41 ^14^2 ^75 ^Total secondary charges: ^101^14^2
+12 ;;11 ;SPACAB ;12 ^Number Transmitted: ^41 ^14^0 ^72 ^Number Transmitted: ^101^14^0
+13 ;;12 ;SPACAB1 ;15 ^Total secondary charges: ^41 ^14^2 ^75 ^Total secondary charges: ^101^14^2
+14 ;;13 ;SPACB ;9 ^Number Manually Processed to 2ndary: ^50 ^5 ^0 ^69 ^Number Manually Processed to 2ndary: ^110^5 ^0
+15 ;;14 ;SPACBA ;12 ^Number Printed locally: ^41 ^14^0 ^72 ^Number Printed locally: ^101^14^0
+16 ;;15 ;SPACBA1 ;15 ^Total secondary charges: ^41 ^14^2 ^75 ^Total secondary charges: ^101^14^2
+17 ;;16 ;SPACBB ;12 ^Number Transmitted: ^41 ^14^0 ^72 ^Number Transmitted: ^101^14^0
+18 ;;17 ;SPACBB1 ;15 ^Total secondary charges: ^41 ^14^2 ^75 ^Total secondary charges: ^101^14^2
+19 ;;18 ;SPNCC ;9 ^Number of EEOBs not collected/closed: ^50 ^5 ^0 ^69 ^Number of EEOBs not collected/closed: ^110^5 ^0
+20 ;;19 ;SPWOS ;9 ^Number of Closed EEOBs w/out 2ndary: ^50 ^5 ^0 ^69 ^Number of Closed EEOBs w/out 2ndary: ^110^5 ^0
+21 ;;20 ;SPABD ;9 ^Number of EEOBs Still on worklist: ^50 ^5 ^0 ^69 ^Number of EEOBs Still on worklist: ^110^5 ^0
+22 ;;21 ;SPAD ;6 ^Number of Denied EEOBs: ^41 ^14^0 ^66 ^Number of Denied EEOBS: ^101^14^0
+23 ;;22 ; ;3 ^ ^41 ^ ^ ^ ^ ^101^ ^
+24 ;;23 ; ;3 ^Secondary UB04 Claim EEOBs ^41 ^ ^ ^63 ^Secondary CMS-1500 Claim EEOBs ^101^ ^
+25 ;;24 ; ;3 ^-------------------------- ^41 ^ ^ ^63 ^ ----------------------------- ^101^ ^
+26 ;;25 ;SSA ;3 ^Total number of EEOBs received: ^41 ^14^0 ^63 ^Total number of EEOBs received: ^101^14^0
+27 ;;26 ;SSACL ;3 ^Number of unique EEOBs received: ^41 ^14^0 ^63 ^Number of unique EEOBs received: ^101^14^0
+28 ;;27 ;SSAA ;6 ^% Processed: ^41 ^15^ ^66 ^% Processed: ^101^15^
+29 ;;28 ;SSAB ;6 ^% of Processed auto-processed to tertiary:^49 ^7 ^ ^66 ^% of Processed auto-processed to tertiary: ^110^6 ^
+30 ;;29 ;SSAC ;6 ^Number of Processed EEOBs: ^41 ^14^0 ^66 ^Number of Processed EEOBs: ^101^14^0
+31 ;;30 ;SSACA ;9 ^Number Auto-processed to tertiary: ^44 ^11^0 ^69 ^Number Auto-processed to tertiary: ^110^5 ^0
+32 ;;31 ;SSACAA ;12 ^Number Printed locally: ^41 ^14^0 ^72 ^Number Printed locally: ^101^14^0
+33 ;;32 ;SSACAA1 ;15 ^Total tertiary charges: ^41 ^14^2 ^75 ^Total tertiary charges: ^101^14^2
+34 ;;33 ;SSACAB ;12 ^Number Transmitted: ^41 ^14^0 ^72 ^Number Transmitted: ^101^14^0
+35 ;;34 ;SSACAB1 ;15 ^Total tertiary charges: ^41 ^14^2 ^75 ^Total tertiary charges: ^101^14^2
+36 ;;35 ;SSADA ;9 ^Number Manually Processed to tertiary: ^50 ^5 ^0 ^69 ^Number Manually Processed to tertiary: ^110^5 ^0
+37 ;;36 ;SSADAA ;12 ^Number Printed locally: ^41 ^14^0 ^72 ^Number Printed locally: ^101^14^0
+38 ;;37 ;SSADAA1 ;15 ^Total tertiary charges: ^41 ^14^2 ^75 ^Total tertiary charges: ^101^14^2
+39 ;;38 ;SSADAB ;12 ^Number Transmitted: ^41 ^14^0 ^72 ^Number Transmitted: ^101^14^0
+40 ;;39 ;SSADAB1 ;15 ^Total tertiary charges: ^41 ^14^2 ^75 ^Total tertiary charges: ^101^14^2
+41 ;;40 ;SSNCC ;9 ^Number of EEOBs not collected/closed: ^50 ^5 ^0 ^69 ^Number of EEOBs not collected/closed: ^110^5 ^0
+42 ;;41 ;SSWOT ;9 ^Number of Closed EEOBs w/out tertiary: ^50 ^5 ^0 ^69 ^Number of Closed EEOBs w/out tertiary: ^110^5 ^0
+43 ;;42 ;SSABD ;9 ^Number of EEOBs Still on worklist: ^50 ^5 ^0 ^69 ^Number of EEOBs Still on worklist: ^110^5 ^0
+44 ;;43 ;SSAD ;6 ^Number of Denied EEOBs: ^41 ^14^0 ^66 ^Number of Denied EEOBS: ^101^14^0
+45 ;;END
+46 QUIT
