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AHIS Control Record, Page 2

 

 

•Send Zero Due A/R Stmts (Y or N): The system will generate a statement for all accounts with a patient portion of zero when this field is set to Y. An N will prevent a statement from printing for accounts with a patient portion of zero.

 

•Send A/R Stmts For MCAID (Y/N/P/S): The system will generate a statement based on the following settings:

▪Y - All Medicaid patients will receive a statement when statement criteria are met.

▪N - Medicaid patients will never receive a First Time or Cycle Statement if Medicaid is the primary payor. When the First Time Statements are printed, and a patient’s Medicaid claim is paid in full or rejected, the following message will be on their Account Detail:  “Cycle/No Stmt MM/DD/YY”. This indicates the Cycle number and the date of the File Build and shows the patient did not receive a statement.

▪P - When a Medicaid claim is paid in full or rejected, a First Time Statement will not generate, and a Cycle/No Stmt message will generate once all claims are paid or rejected. If there is an account balance greater than the statement minimum, a cycle statement will print. The normal aging process will begin at this time.

▪S - Medicaid patients will never receive a First Time or Cycle Statement regardless if Medicaid is the primary or secondary payor.

 

NOTE: Selection N are applicable on primary Medicaid claims only.

 

•Send Stmts Coll Code 3 (Y or N): A Cycle Statement and Collection Letter 1 will be generated when this field is set to Y. When N is entered, the system will generate only Collection Letter 1 for those patients with a Collect Code 3.