SQL Report for 270/271 Responses

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Willett,Cerene J

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Sep 18, 2017, 4:49:39 PM9/18/17
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Does anyone have a report that is used to identify patient responsibility based on the response from the 270/271 message in STAR? The goal is to work by exception and only bring results back for in-house accounts that has financial responsibility.

 

-       Eligibility status

-       Admit date

-       Process date

-       Patient type

-       Account number

-       FC

-       Last name

-       First name

-       Room number

-       Payer ID (returned)

-       Payer ID (initial)

-       Subscriber member ID

-       Discrepancy

-       Part A Deductible Met (R)

-       Part A Deductible Remaining (R)

-       Mcare Hosp Copay Days Remaining (1-60) (R)

-       Mcare Hosp Copay Days Remaining (61-90) (R)

-       InN Hosp InP Fam Annual Remaining (R)

-       InN Hosp InP Fam Annual Max (R)

-       InN Hosp InP Fam Annual Met (R)

-       InN Hosp InP Ind Annual Remaining (R)

-       InN Hosp InP Ind Annual Max (R)

-       InN Hosp InP Ind Annual Met (R)

-       InN Out of Pocket Ind Remaining (R)

-       InN Out of Pocket Ind Annual Max (R)

-       InN Out of Pocket Fam Remaining (R)

-       InN Out of Pocket Fam Annual Max (R)

-       InN Out of Pocket Fam Annual Met (R)

-       In Network Inpatient Copay

-       Deductible Individual

-       InN Inpatient Coinsurance (R)

-       Inpatient Copay Days (R)

-       Policy Number

-       COB

-       HMO Name

-       HIC Number (R)

-       Plan Number

-       Plan Name(R)

-       Group Number(R)

-       Group Name(R)

-       Group or Policy Name(R)

-       Group Policy Number(R)

-       InN Out of Pocket Ind Annual Met (R)

 

 

Cerene Willett

Systems Manager, Revenue Operations

Health First, Inc

3300 Fiske Blvd

Building A

Rockledge, Fl 32955

(321) 434-5015

Cerene....@Health-First.org

 

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