| RCRC VIEW BILL LIST MENU |
menu |
|
This menu contains the actions for reviewing and referring TP Bills. |
|
|
| RCRC VIEW VALIDATION CHECK |
action |
|
This protocol allows users to validate TP bills before they are referred to RC. |
D EN^RCRCVCK |
|
| RCRC VIEW CHECK LIST |
action |
|
This protocol allows users to view a list of criteria items they should have reviewed prior to referring a bill to RC. |
D EN^RCRCVC |
K RCOUT |
| RCRC VIEW REFERRAL TO RC |
action |
|
This protocol allows user to refer TP bills to Regional Counsel. Bills in the Reimbursable Health Category will be electronically referred. |
D EN^RCRCVXM |
|
| RCRC VIEW TPJI |
action |
|
This protocol allows user to access the Third Party Joint Inquiry List Manager screens. |
D IB^RCRCVL |
|
| RCRC VIEW SELECT ITEM |
action |
|
This option is to select or unselect listed bills to take actions on the bills. |
D SEL^RCRCVLE |
S VALMBCK="R" |
| RCRC VIEW EDIT LIST |
action |
|
This option allows the users to change their current list of bills. |
D MOD^RCRCVLE |
S VALMBCK="R" |
| RCRC ACTION BILL LIST |
menu |
|
This menu contains actions and adjustments that can be made to bills that are referred to Regional Counsel. These bills must be Third Party bills. |
|
|
| RCRC ACTION CODE LIST |
action |
|
This protocol list Transaction Codes that can be sent to RC as requests. |
D EN^RCRCAC |
K RCOUT |
| RCRC ACTION EDIT LIST |
action |
|
This protocol allows users to change their current list. They can add or subtract bills from it. |
D MOD^RCRCALE |
S VALMBCK="R" |
| RCRC ACTION SELECT ITEM |
action |
|
This protocol allows users to select a bill(s) on the screen before selecting an action to be posted against them. |
D SEL^RCRCALE |
S VALMBCK="R" |
| RCRC ACTION TPJI |
action |
|
This protocol allows users to enter the Third Party Joint Inquiry List Manager screens. |
D IB^RCRCAL |
|
| RCRC ACTION EOB PROC |
action |
|
This protocol allows user to process EOB Codes for partial payments. |
D EOB^RCRCACP |
|
| RCRC ACTION CODE REQ |
action |
|
This protocol will send a request via E-mail to RC for the selected action to be posted against the bill. |
D REQ^RCRCACP |
|
| RCRC ACTION CODE MENU |
menu |
|
This menu contains the actions to process requests and send information to the Regional Counsel Office. |
|
|
| RCRC ACTION TRANSACTION SEND |
action |
|
This protocol will allow the user to select an existing AR Tranasaction and send it to Regional Counsel. |
D EN^RCRCAT |
|
| RCRC ACTION INCREASE |
action |
|
This protocol allows referred TP Bills to be increased. This should be used if payments received for a bill is greater than the Outstanding Balance. |
D INC^RCRCRT |
|
| RCRC TRANSMISSION LOG |
menu |
|
This protocol allows the user to select,append comments to, delete, veiw and forward message of a regional counsel transmission. |
|
|
| RCRC TRANSMISSION VIEW |
action |
|
This protocol allows viewing of a transmission to Regional Counsel, |
D EN^RCRCXMS("VEW") |
S VALMBCK="R" |
| RCRC TRANSMISSION DELETE |
action |
|
This protocol allow the user to delete a transmission from the transmission log. |
D EN^RCRCXMS("DEL") |
S VALMBCK="R" |
| RCRC TRANSMISSION FORWARD |
action |
|
This protocol allows a user to forward a transmission message to another recepient. |
D EN^RCRCXMS("FRW") |
S VALMBCK="R" |
| RCRC TRANSMISSION COMMENT |
action |
|
This protocol allows a user to append comments to a Regional Counsel transmission. |
D EN^RCRCXMS("COM") |
S VALMBCK="R" |
| RCRC TRANSMISSION SELECT |
action |
|
This protocol allows a user to select a transmission. |
D SEL^RCRCELE |
S VALMBCK="R" |
| RCRC EOB LIST |
menu |
|
This protocol allows user to process EOB Codes for partial payments. |
|
|
| RCRC EOB SELECT ITEM |
action |
|
This protocol allows users to select a transaction(s) on the screen in order to perform EOB processing action. |
D SEL^RCRCBLE |
S VALMBCK="R" |
| RCRC TRANSMISSION RESEQ |
action |
|
This option is used to Resequence the Transmission Log to remove items that were deleted and display added comments. |
D REQ^RCRCELE |
S VALMBCK="R" |
| RCDP ACCOUNT PROFILE MENU |
menu |
|
This option will show a profile of bills for an account. |
|
|
| RCDP ACCOUNT PROFILE SELECT NEW ACCOUNT |
action |
|
This option will allow the user to select a new account. |
D ACCOUNT^RCDPAPL1 |
|
| RCDP ACCOUNT PROFILE BILL TRANSACTIONS |
action |
|
This option will show all transactions for a bill. |
D BILLTRAN^RCDPAPL1 |
|
| RCDP ACCOUNT PROFILE SELECT STATUS |
action |
|
This option will allow the user to select statuses of bills to display. |
D SELSTAT^RCDPAPST |
|
| RCDP TRANSACTIONS LIST MENU |
menu |
|
This option will display all transactions associated with a bill. |
|
|
| RCDP TRANSACTIONS LIST TRANSACTION PROFILE |
action |
|
This option will show a transaction's profile. |
D TRANPROF^RCDPBTL1 |
|
| RCDP TRANSACTION PROFILE MENU |
menu |
|
This option will display a transaction's profile. |
|
|
| RCDP BILL PROFILE MENU |
menu |
|
This option will display a bill's profile. |
|
|
| RCDP TRANSACTIONS LIST BILL PROFILE |
action |
|
This option will show a bill's profile. |
D BILLPROF^RCDPBTL1 |
|
| RCDP ACCOUNT PROFILE BILL PROFILE |
action |
|
This option will display a bill's profile. |
D BILLPROF^RCDPAPL1 |
|
| RCDP BILL PROFILE TRANSACTIONS |
action |
|
This option will list the transactions for a bill. |
D BILLTRAN^RCDPBPL1 |
|
| RCDP BILL PROFILE NEW BILL |
action |
|
This option will allow you to select a new bill to display. |
D NEWBILL^RCDPBPL1 |
|
| RCDP TRANSACTIONS LIST NEW BILL |
action |
|
This option will allow you to select a new bill to display. |
D NEWBILL^RCDPBTL1 |
|
| RCDP TRANSACTION PROFILE SELECT NEW TRANSACTION |
action |
|
This option will allow you to select a new transaction. |
D NEWTRANS^RCDPTPLM |
|
| RCDP RECEIPT PROFILE MENU |
menu |
|
This option will display a receipt's profile. |
|
|
| RCDP RECEIPT PROFILE CANCEL TRANSACTION |
action |
|
This option will cancel a transaction for a receipt. |
D CANCTRAN^RCDPRPL1 |
|
| RCDP RECEIPT PROFILE ADD TRANSACTION |
action |
|
This option will add a payment transaction to a receipt. |
D ENTRTRAN^RCDPRPL1 |
|
| RCDP RECEIPT PROFILE EDIT TRANSACTION |
action |
|
This option will edit a payment transaction for a receipt. |
D EDITTRAN^RCDPRPL1 |
|
| RCDP RECEIPT PROFILE PRINT RECEIPT |
action |
|
This option will print a patient receipt. |
D PRINRECT^RCDPRPL2 |
|
| RCDP RECEIPT PROFILE EDIT RECEIPT |
action |
|
This option will allow editing of the receipt data such as deposit ticket. |
D EDITREC^RCDPRPL3 |
|
| RCDP RECEIPT PROFILE ACCOUNT PROFILE |
action |
|
This option will show the account profile. |
D ACCTPROF^RCDPRPL2 |
|
| RCDP RECEIPT PROFILE MOVE TRANSACTION |
action |
|
This option will move a payment from one receipt to another. |
D MOVETRAN^RCDPRPL1 |
|
| RCDP DEPOSIT PROFILE MENU |
menu |
|
This option will display a deposit's profile. |
|
|
| RCDP DEPOSIT PROFILE EDIT DEPOSIT |
action |
|
This option will allow the user to edit the deposit ticket. |
D EDITDEP^RCDPDPL1 |
|
| RCDP DEPOSIT PROFILE RECEIPT PROFILE |
action |
|
This option will jump to receipt profile listmanager screen. |
D RECEIPTS^RCDPDPL1 |
|
| RCDP RECEIPT PROFILE CUSTOMIZE |
action |
|
This option will allow the user to customize receipt processing. |
D CUSTOMIZ^RCDPRPL2 |
|
| RCDP RECEIPT PROFILE PROCESS RECEIPT |
action |
|
This option will process a receipt. |
D PROCESS^RCDPRPL3 |
|
| RCDP DEPOSIT PROFILE CUSTOMIZE |
action |
|
This option will allow the user to customize the listmanager screen for deposits. |
D CUSTOMIZ^RCDPDPL1 |
|
| RCDP DEPOSIT PROFILE ADD RECEIPT |
action |
|
This option will allow a new receipt to be added to the deposit. |
D ADDREC^RCDPDPL1 |
|
| RCDP RECEIPT PROFILE 215 REPORT |
action |
|
This option will print the 215 report for the receipt. |
D PRINT215^RCDPRPL2 |
|
| RCDP DEPOSIT PROFILE CONFIRM DEPOSIT |
action |
|
This option will confirm a deposit. All receipts must be processed and accepted in FMS. |
D CONFIRM^RCDPDPL1 |
|
| RCDP LINK PAYMENTS MENU |
menu |
|
This protocol is the top level menu for linking accounts to payments. |
|
|
| RCDP LINK PAYMENTS SEARCH CHECK |
action |
|
This option will look for a specific check used for a payment. |
D CHKTRACE^RCDPLPL1 |
|
| RCDP LINK PAYMENTS SEARCH CREDIT |
action |
|
This option will search payments with matching credit card numbers. |
D FINDCRED^RCDPLPL1 |
|
| RCDP LINK PAYMENTS TO ACCOUNT |
action |
|
This option will link an unapplied payment to an account and process the payment in the Accounts Receivable package. |
D LINKPAY^RCDPLPL3 |
|
| RCDP LINK PAYMENTS RECEIPT PROFILE |
action |
|
This option will jump to the receipt profile listmanager screen. |
D RECEIPT^RCDPLPL1 |
|
| RCDP LINK PAYMENTS ACCOUNT PROFILE |
action |
|
This option will jump to the Account Profile listmanager screen. |
D ACCOUNT^RCDPLPL1 |
|
| RCDP LINK PAYMENTS CLEAR SUSPENSE |
action |
|
This option will allow you to enter the FMS Document ID Number used to clear the payment from suspense in FMS. |
D CLEARSUS^RCDPLPL1 |
|
| RCDP LINK PAYMENTS SUSPENSE REPORT |
action |
|
This option will allow you to print a report showing the payments processed to suspense and the associated FMS Document ID Number used to clear the payment from suspense in FMS. |
D REPORT^RCDPLPS1 |
|
| RCDP FAST EXIT |
action |
|
This option will allow the user to exit back to the menu from any of the deposit management listmanager screens. |
D FASTEXIT^RCDPDPLM |
|
| RCDP LINK PAYMENTS SHOW PAYMENT |
action |
|
This option will show how a payment was applied to an account. |
D SHOWPAY^RCDPLPL2 |
|
| RCBD PATIENT STATEMENT MENU |
menu |
|
|
|
|
| RCDP RECEIPT PROFILE ONLINE |
action |
|
This option will allow you to mark the CR document as being entered online. |
D ONLINE^RCDPRPL4 |
|
| RCDPEX EOB EXCEPTION MENU |
menu |
|
This is the main menu that contains the actions that can be performed manually on EOB return messages. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPEX FILE EXCEPTION MESSAGE |
action |
|
This action allows a user to manually force a message to process through the EDI Lockbox ERA/EOB file process. |
D UPD^RCDPEX |
|
| RCDPEX DELETE MESSAGE |
action |
RCDPE ERA EXCEPT |
This action allows a user to manually delete a message that you either can't or don't want to continue through the EDI Lockbox message process. A bulletin is sent to alert that this action has been taken. |
D DEL^RCDPEX |
|
| RCDPEX VIEW/PRINT MESSAGE |
action |
|
This option allows the user to view an EDI Lockbox message. |
D VP^RCDPEX |
|
| RCDPEX EOB_SUM EXCEPTION MENU |
menu |
|
This is the main menu that contains the actions that can be performed manually on 837 return messages. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPEX EOB_SUM REMOVE EXCEPT |
action |
|
This action allows a user to manually delete a message that you either can't or don't want to continue through the EDI Lockbox message process. A bulletin is sent to alert that this action has been taken. |
D DEL^RCDPEX31 |
|
| RCDPEX SUM_FILE EXCEPTION |
action |
|
This action allows a user to manually force a message to process through the EDI Lockbox EOB file process to store the detail data in IB. |
D UPD^RCDPEX3 |
|
| RCDPEX SUM_VIEW/PRINT MESSAGE |
action |
|
This option allows the user to view an EDI Lockbox message. |
D VP^RCDPEX3 |
|
| RCDPEX SUM_TRANSFER EOB OUT |
action |
|
|
D XFR^RCDPEX3 |
I '$D(IOUON) D ENS^%ZISS |
| RCDPE EOB WORKLIST MENU |
menu |
|
This is the main menu that contains the actions that can be performed manually on ERAs received. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPE EOB WORKLIST RESEARCH MENU |
menu |
|
This is the main menu that contains the actions that can be performed to research a payment/denial for a claim when reviewing an EOB. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPE VIEW/PRINT WORKLIST EOB |
action |
|
This option allows the user to view the detail of a selected EOB from the list of EOB's presented in the Worklist Scratch pad function for an ERA. |
D PREOB^RCDPEWL2 |
|
| RCDPE EOB WORKLIST TPJI |
action |
|
This option allows the user access the third party joint inquiry (TPJI) functions for an electronic EOB's claim. |
D TPJI^RCDPEWL2 |
|
| RCDPE EOB WORKLIST REL HOLD |
action |
|
This option allows the user access the AR function for releasing a hold on a patient's bill(s) from within the EDI Lockbox worklist function. |
D RELHOLD^RCDPEWL2 |
|
| RCDPE EOB WORKLIST CHG MAINT |
action |
|
This option allows the user access to the IB options for cancel, edit, add patient charges from within the EDI Lockbox worklist function. |
D CHGMNT^RCDPEWL2 |
|
| RCDPE EOB WORKLIST FULL ACCT PROF |
action |
|
This option allows the user access to the AR function FULL ACCOUNT PROFILE. |
D FAP^RCDPEWL2 |
|
| RCDPE EOB WORKLIST ON HOLD RPT |
action |
|
This option allows the user access to the List On Hold Charges report in IB from within the EDI Lockbox worklist function. |
D LSTHLD^RCDPEWL2 |
|
| RCDPE EOB WORKLIST CL MATCH RPT |
action |
|
This option allows the user access to the Claims Matching report in AR from within the EDI Lockbox worklist function. |
D CMRPT^RCDPEWL2 |
|
| RCDPE EOB WORKLIST SPLIT LINE |
action |
|
This option allows the user to split the payment and adjustment amounts of a selected line in the ERA to redistribute the funds to more accurately reflect the disposition of the payment/adjustment. |
D SPLIT^RCDPEWL0 |
|
| RCDPE EOB WORKLIST DIST ADJ |
action |
|
This option allows the user to select an adjustment line that has a negative net payment to allow this amount to be distributed to other lines so the total amount of payments received to post equals the total amount of the deposit. |
D DISTADJ^RCDPEWL6 |
|
| RCDPE EOB WORKLIST REFRESH |
action |
|
This option allows the user to 'refresh' the worklist scratch pad entry to remove all previously entered edits/splits/adjustments and restore it to the state it was in before any manual changes were made. |
D REFRESH^RCDPEWL6 |
|
| RCDPE VIEW/PRINT WORKLIST ERA |
action |
|
This option allows the user to view the summary or summary and detail information for an electronic remittance advice (ERA). |
D PRERA^RCDPEWL0 |
|
| RCDPE EOB WORKLIST RECEIPT |
action |
|
|
D NEWREC^RCDPEWL4 |
|
| RCDPE EOB WL RESEARCH EXIT |
action |
|
This option allows the user access to exit back to the ERA display menu |
D EXIT^RCDPEWL2 |
|
| RCDPE EOB WORKLIST RESEARCH |
action |
|
This option allows the user access to the IB options for cancel, edit, add patient charges from within the EDI Lockbox worklist function. |
D RESEARCH^RCDPEWL2 |
|
| RCDPE EOB WORKLIST SPLIT MENU |
menu |
|
This is the main menu that contains the actions that can be performed manually on ERAs received. |
|
D:$G(^TMP($J,"RCDPE_SPLIT_FILE"))&($G(VALMBCK)'="R") CHKFILE^RCDPEWL2 I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPE EOB WL SPLIT LINE |
action |
|
|
D FILESP^RCDPEWL8 |
|
| RCDPE EOB WL EDIT SPLIT |
action |
|
|
D EDITSP^RCDPEWL2 |
|
| RCDPE EOB WL RECEIPT VIEW |
action |
|
|
D VRECPT^RCDPEWL4 |
|
| RCDPE EOB WORKLIST PREVIEW MENU |
menu |
|
This is the main menu that contains the actions that can be performed manually on ERAs received. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPE EOB WORKLIST PREVIEW PRINT |
action |
|
This option allows the user to view the detail of a selected EOB from the list of EOB's presented in the Worklist Scratch pad function for an ERA. |
D PREOB^RCDPEWL2 |
|
| RCDP RECEIPT PROFILE ERA WORKLIST |
action |
|
This option will allow entry into the ERA Worklist screens in view only mode. |
D WL^RCDPEWL2(RCRECTDA) |
|
| RCDPE EOB WORKLIST ADJUST |
action |
|
|
D ADJUST^RCDPEWL6 |
|
| RCDPE EOB WORKLIST REESTABLISH |
action |
|
|
D REEST^RCDPEWL2 |
|
| RCDPE EOB WORKLIST BILL COMMENT |
action |
|
|
D BILLCOM^RCDPEWL2 |
|
| RCDPE EOB WORKLIST RECEIPT COMMENT |
action |
|
|
D RCOMM^RCDPEWL5 |
|
| RCDPEX SUM_EDIT CLAIM |
action |
|
|
D EDITNUM^RCDPEX32 |
I '$D(IOUON) D ENS^%ZISS |
| RCDPE EOB WL REVIEW |
action |
|
|
D REVIEW^RCDPEWL5 |
|
| RCDPE WORKLIST ERA LIST MENU |
menu |
|
This is the main menu that contains the actions that can be performed manually on ERAs received. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPE WORKLIST ERA SELECT |
action |
|
|
D ENTERWL^RCDPEWL7 |
|
| RCDPE WORKLIST ERA SORT |
action |
|
|
D SORT^RCDPEWL8 |
|
| RCDPE ERA LIST VIEW ERA |
action |
|
This option allows the user to view the summary or summary and detail information for an electronic remittance advice (ERA). |
D PRERA^RCDPEWL7 |
|
| RCDPE ERA LIST BATCH HIDE |
action |
|
This action allows the user to remove from or add the batch listings for each ERA on the screen display. |
D BATDSP^RCDPEWL8 |
|
| RCDPE EOB WORKLIST BATCH |
action |
|
This option allows the user access to the options for batch editing. It cannot be used if there are no batches defined for an ERA worklist entry and can only be accessed if the full ERA entry (not an individual batch) has been selected. |
D BATED^RCDPEWL8 |
|
| RCDPE EOB WORKLIST VERIFY |
action |
|
This option allows the user to access the options for verifying the EEOBs against the data on the VistA system to insure the payments are being made for the correct claim. |
D VERIF^RCDPEWL8 |
|
| RCDPE EOB WORKLIST ADMIN COST ADJ |
action |
|
Used to adjust the administrative costs, IRS cost, DMV cost, etc |
S PRCASUP=1 D FULL^VALM1 D EN1^PRCAEXM(1) K DTOUT |
S VALMBCK="R" K PRCASUP |
| PRCA MDA TPJI |
action |
|
|
D TPJI^PRCAMDA2 |
|
| PRCA MDA MANAGEMENT |
menu |
|
|
|
|
| PRCA MDA ENTER/VIEW COMMENTS |
action |
|
|
D CMNT^PRCAMDA2 |
|
| PRCA MDA REVIEW STATUS |
action |
|
|
D STATUS^PRCAMDA2 |
|
| PRCA MDA EXIT |
action |
|
|
|
|
| PRCA MDA ENTER COMMENT |
action |
|
|
D CMNT^PRCAMDA3 |
|
| PRCA MDA COMMENT EXIT |
action |
|
|
|
|
| PRCA MDA COMMENT MENU |
menu |
|
|
|
|
| RCDPE ERA WORKLIST CHANGE VIEW |
action |
|
|
D CV^RCDPEWLP |
|
| RCDPEX RX_COMMENT |
action |
|
This option allows the user to enter a comment for an unreleased prescription. |
D EDITRXC^RCDPEX32 |
|
| RCDPE EOB WORKLIST CHANGE VIEW |
action |
|
|
D CV^RCDPEWL |
|
| RCDPE APAR EEOB LIST MENU |
menu |
|
This is the menu that contains the actions that can performed manually on the EEOBs for APAR. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPE APAR SELECT EEOB |
action |
|
Protocol allows the selection of an EEOB line item off the AUTO-POST - AWAITING RESOLUTION screen. |
D ENTEREOB^RCDPEAA1 |
|
| RCDPE APAR VIEW/PRINT ERA |
action |
|
This option allows the user to view the summary or summary and detail information for an electronic remittance advice (ERA). |
D VIEWERA^RCDPEAA2($G(RCIENS)) |
|
| RCDPE APAR CHANGE VIEW |
action |
|
Provides capability to change and save preferred view for the next time the option is executed. |
D CV^RCDPEAA1 |
|
| RCDPE APAR SELECTED EEOB MENU |
menu |
|
The APAR selected EEOB menu contains the actions that can be performed manually on the EEOB item that did not get a receipt when the associated ERA record was processed during the auto-post nightly process. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPE MARK FOR AUTOPOST |
action |
|
Protocol will check the EEOB for auto-posting criteria and mark the EEOB for auto-posting if all criteria are met. |
D MARK^RCDPEAA2(RCIENS) |
|
| RCDPE APAR SPLIT LINE |
action |
|
This option allows the user to split the payment and adjustment amount of an EEOB line item to redistribute the funds to more accurately reflect the disposition of the payment/adjustment. |
D SPLIT^RCDPEAA3(RCIENS) |
|
| RCDPE APAR EEOB REFRESH |
action |
|
This option allows the user to 'refresh' the APAR scratch pad entry to remove all previously entered edits/splits/adjustments and restore it to the state it was in before any manual changes were made. |
D REFRESH^RCDPEAA3(RCIENS) |
|
| RCDPE APAR RESEARCH |
action |
|
This option allows the user access to the IB options for cancel, edit, add patient charges from within the APAR screen of EDI Lockbox. |
D RESEARCH^RCDPEAA3 |
|
| RCDPE APAR EEOB REVIEW |
action |
|
Allows addition of comments or used as a bookmark on a specific EEOB line in case processing was interrupted, thereby allowing the user to more easily resume where they left off. This option must be turned 'on' each time the user enters the EEOB to enter or view comments. |
D REVIEW^RCDPEAA3(RCIENS) |
|
| RCDPE APAR VIEW/PRINT EOB |
action |
|
This option allows the user to view the detail of a selected EOB presented in the APAR Scratch pad screen. |
D PREOB^RCDPEAA3($G(RCIENS)) |
|
| RCDPE APAR EEOB RESEARCH MENU |
menu |
|
This is the main menu that contains the actions that can be performed to research a payment/denial for a claim when reviewing an EOB. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPE APAR VERIFY |
action |
|
This option allows the user to access the options for verifying the EEOBs against the data on the VistA system to ensure the payments are being made for the correct claim. |
D VERIF^RCDPEAA3(RCIENS) |
|
| RCDPE EFT ERA MANUAL MATCH |
action |
|
|
D MATCHWL^RCDPEM2 |
|
| RCDPE EOB WORKLIST RECEIPT PROCESSING |
action |
|
This option will jump to the receipt profile listmanager |
D RECPROC^RCDPEWL4 |
|
| RCDPE ECME INFORMATION |
action |
|
|
D GOECME^RCDPEWL2 |
|
| RCDPE APAR CLAIM COMMENT |
action |
|
This protocol is used to capture a comment about the current claim. |
D COMNT^RCDPEAA3 |
|
| RCDPE WORKLIST ERA MARK FOR AUTO POST |
action |
|
This option allows the user to mark an ERA for auto-posting. If the ERA passes validation, the ERA will be marked as an auto-post candidate to get posted by the Nightly Background Job. |
D AUTOPOST^RCDPEWL8(1) |
|
| RCDPE EOB WORKLIST MARK FOR AUTO POST |
action |
|
This option allows the user to mark an ERA for auto-posting. If the ERA passes validation, the ERA will be marked as an auto-post candidate to get posted by the Nightly Background Job. |
D AUTOPOST^RCDPEWL8(2) |
|
| PRCA TCSP WORKLIST MENU |
menu |
|
This is the main cross-servicing worklist protocol. |
|
|
| PRCA TCSP WORKLIST EXPAND |
action |
|
|
D EXPAND^RCTCSWL |
|
| PRCA TCSP WORKLIST EXPAND MENU PROTOCOL |
menu |
|
|
|
|
| PRCA TCSP WORKLIST INSURANCE |
action |
|
|
D LINKI^RCTCSWL |
|
| PRCA TCSP WORKLIST ACCOUNT PROFILE |
action |
|
|
D ACCTPR^RCTCSWL |
|
| PRCA TCSP WORKLIST VIEW PATIENT |
action |
|
|
D PTVW^RCTCSWL |
|
| PRCA TCSP WORKLIST CANCEL/EDIT/ADD |
action |
|
|
D CEA^RCTCSWL |
|
| RCDP ACCT PROFILE INCREASE TRANS |
action |
|
This is the action for Increase Adjustment on the Account Profile screen. Multiple selection allowed. |
D INC^RCDPAPL1 |
|
| RCDP ACCT PROFILE DECREASE TRANS |
action |
|
This is the action for Decrease Adjustment on the Account Profile screen. Multiple selection allowed. |
D DEC^RCDPAPL1 |
|
| PRCA TCSP WORKLIST PRINT STATEMENT |
action |
|
|
D PRTSTAT^RCTCSWL |
|
| RCDP ACCT PROFILE STOP |
action |
|
This is the action for Stop TCSP on the Account Profile screen. Multiple selection allowed. |
D STOP^RCDPAPL1 |
|
| RCDP ACCT PROFILE TERM FISCAL |
action |
|
This is the action for Term Fiscal on the Account Profile screen. Multiple selection allowed. |
D TERM^RCDPAPL1 |
|
| RCDP ACCT PROFILE RECALL BILL |
action |
|
This is the action for Recall Bill on the Account Profile screen. Multiple selection allowed. |
D RECALLB^RCDPAPL1 |
|
| RCDP ACCT PROFILE RECALL DEBTOR |
action |
|
This is the action for Recall Debtor on the Account Profile screen. No multiple selection. |
D RECALLD^RCDPAPL1 |
|
| PRCA TCSP WORKLIST REMOVE |
action |
|
|
D REMOVE^RCTCSWL |
|
| RCDP ACCT PROFILE SUSPEND |
action |
|
This is the action for Suspend Bill on the Account Profile screen. Multiple selection allowed. |
D SUSPEND^RCDPAPL1 |
|
| PRCA TCSP ACCOUNT PROFILE MENU |
menu |
|
This option will show a profile of bills for an account. |
|
|
| RCDP ACCT PROFILE RE-ESTABLISH |
action |
|
This is the action protocol for the Re-Establish Bill on the Account Profile screen. Multiple selection is allowed. |
D REESTAB^RCDPAPL1 |
|
| RCDPE PAYER FLAGS EDIT |
action |
|
|
D EDIT^RCDPEP |
|
| RCDPE PAYER FLAGS FILTER |
action |
|
|
D FILTER^RCDPEP |
|
| RCDPE PAYER FLAG PHARM |
action |
|
|
D FLAGP^RCDPEP |
|
| RCDPE PAYER FLAG TRIC |
action |
|
|
D FLAGT^RCDPEP |
|
| RCDPE PAYER FLAGS MENU |
menu |
|
|
|
|
| RCDP LIST OF RECEIPTS PROCESS |
action |
|
|
D RP^RCDPRL |
|
| RCDP LIST OF RECEIPTS MENU |
menu |
|
|
|
|
| RCDPE EOB AUTO-DECREASE |
action |
|
This option allows the user to stop or allow auto-decreasing of CARC adjustments on a zero balance no-pay ERA. |
D BLOCK^RCDPEWLZ(RCSCR) |
|
| RCDPEX DUP EXCEPTION MENU |
menu |
|
This is the main menu that contains the actions that can be manually performed on duplicate ERA messages |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| RCDPEX DELETE DUP MESSAGE |
action |
RCDPE ERA EXCEPT |
This action allows a user to manually delete a duplicate ERA message that either cannot continue, or is not wanted to continue, through the EDI Lockbox message process. A MailMan message is sent to alert that this action has been taken. |
D DEL^RCDPEX5 |
|
| RCDPEX FILE DUPLICATE MESSAGE |
action |
|
This action allows a user to manually force a duplicate ERA message to process through the EDI Lockbox ERA/EOB file process. |
D UPD^RCDPEX5 |
|
| RCDPEX VIEW/PRINT DUP MESSAGE |
action |
|
This action allows the user to view a duplicate EDI Lockbox ERA message. |
D VP^RCDPEX5 |
|
| RCDPE EFT PARTIAL MATCH SELECT |
action |
|
|
D SELEFT^RCDPEE |
|
| RCDPE EFT PARTIAL MATCH MENU |
menu |
|
|
|
|
| RCDPE EOB WL PREVIEW AM MENU |
menu |
|
This is the main menu that contains the actions the can be performed manually on ERAS received by Account Manaagers. |
|
I $G(RCFASTXT) S VALMBCK="Q" |
| PRCA RPP WL EDIT |
action |
|
This action protocol allows user to edit terms of a selected repayment plan. |
D ED^RCRPWL1 |
|
| PRCA RPP WL REVIEW |
action |
|
This action protocol allows user to review a selected repayment plan. |
D RV^RCRPWL1 |
|
| PRCA RPP WL EXPORT |
action |
|
This action protocol allows user to export the list of repayment plans to Excel format. |
D EX^RCRPWL1 |
|
| PRCA RPP WL INQ |
action |
|
This action protocol allows user to call RPP Inquiry for a selected repayment plan. |
D IN^RCRPWL1 |
|
| PRCA RPP WL PROFILE |
action |
|
This action protocol allows user to view full account profile for a selected repayment plan. |
D AP^RCRPWL1 |
|
| PRCA RPP WL VIEW |
action |
|
This action protocol allows user to change current view on the List Manager screen. |
D CV^RCRPWL1 |
|
| PRCA RPP WL MENU |
menu |
|
This protocol menu contains all the activities for repayment plan worklist. |
|
|
| PRCA RPP WL ADD |
action |
|
This action protocol allows user to add new bills to a selected repayment plan. |
D AB^RCRPWL1 |
|
| RCDPE PAYER FLAG CVA |
action |
|
|
D FLAGC^RCDPEP |
|
