Description
This report lets you charge off dunned copayment requests, and print alist of the copayments that have not been received for each insuranceprovider.
In general, hospitals have to send out one dunning notice relating to acopayment request. If payment from the patient is still notforthcoming, you inform the insurance provider that the patient hasrefused to pay. The insurance provider then checks the case and thehospital can reverse the copayment request.
You can restrict the copayment requests you want to check on theselection screen.
The program has an interactive mode and a batch input mode.
In interactive mode, the program first outputs a list of copaymentrequests that match your selection criteria. From this list you canselect and reverse particular copayment requests. You can also printone form per insurance provider. Using the function Reverse andprint you can execute both functions Reverse and Printadvice in a single operation.
You can, of course, execute the individual functions independently ofeach other; in other words, print a form, without reversing a copaymentrequest.
Select Reverse immediately if you wish to reverse copaymentrequests without further intervention. If you wish to print additionalforms for the insurance providers, also select Print immediately
.
By selecting Address to head office, you will create the listfor the insurance provider's head office if a branch office-head officerelationship exists.
To prevent the copayment generation program from generating newcopayment requests for cases whose copayment requests have been chargedoff, the program can set the copayment waiver "Not paid despitereminder" for a case-related insurance relationship. To achieve this,select Set copayment waiver, and enter a copayment waiver withthe internal reason 7 (Not paid despite reminder). Any existingcopayment waiver will be overwritten.
If you execute the report with the option Set copayment waiverflagged in interactive mode, the copayment waiver is always set when acopayment request is reversed.
By specifying a printer on the selection screen, you can override thedefault form control settings.
Further functions
Legend
Print list (Menu List)
Save list as sequential file (Menu List)
Maintain list headers (Menu Edit)
Find string (Menu Edit)
Resort list (Menu Edit)
Function Choose:
You can call up detailed information on key fields displayed on acolored background in the list by double-clicking these fields or bypositioning the cursor on them, and choosing F2.
This functionality is currently available for the following fields:
Insurance provider
Document number of the copayment requests
Mode Choose form.../Standard form:
From the Settings menu, you can stipulate whether the forms tobe printed are to be chosen (Choose form...), or whether the formdefined as standard in Customizing should be used.
Whether several forms are defined in your system or whether one form isdefined as the standard form depends on the Customizing settings forform control.
If necessary, ask your system administrator.

Precondition
This report is only useful if your institution uses thecollection procedure for handlingcopayment.
If copayment is handled using thereceivable procedure, you cannot executethis function.
Copayment requests only appear in the list if the followingprerequisites are met:
They must match the selection criteria.
At least one dunning notice must have been sent for the copaymentrequest.
The grace period must be exceeded: Dunning date plus dunning deadlinein days (defined in the copayment request control table) must be beforeor identical to the key date that can be modified on the selectionscreen.
The copayment must have been posted in current year or in the precedingyear (posting date).

Output
In interactive mode, the program lists the copayment requests found foryou to process.
In non-dialog mode, the program reverses all of the copayment requestsmatching your selection criteria, and, if required, prints a form perinsurance provider.

Technical notes on form control
When the event Charge off copayment request occurs, thefollowing filled data structures are made available:
RNF11 (Insurance Provider Data - Insurance)
RNF19 (Forms Text Modules)
RNZUZ4* (Copayment Request Data)
The * identifies a repeating group.
The structures listed above are available for creating and filling yourforms.