| DESCRIPTION | This report will assist users in reviewing the legitimacy of first party bills for veterans who received a new or updated change to a 0-40% ServiceConnected (SC) eligibility factor and received the change in VistA during the report time frame requested. This report prints information on veterans with an A/R Bill Status of Active, Suspended, Open, Write-Off,Collected/Closed or with an IB Bill Status On Hold, for episodes of carewithin a user selected time frame. The report does not include bills for: debtors whose Service Connection is 50% or more, debtors who are receiving a VA pension (regardless of their SC%), or debtors receiving Aid and Attendance The User is prompted to enter a beginning and ending date related to the rated disabilities/eligibility change, a beginning and ending date for aVistA last status update date range, and a beginning and ending date foran episodes of care date range. Veterans who meet the above criteria, and whose rated disability eligibility has changed during the selectedtimeframe will be included in the report. The report allows users to choose whether to print the report in a detailed format, a summary format, and in screen or Excel Delimitedformat. It is recommended that report is to be sent to a 132 character wide device. The report will include the following data elements: Data Elements From File # ------------------------------- --------------------------------- Veteran's Name #2 (Patient File) SSN (9 digits) #2 Combined SC Percentage #2 VistA Last Status Update Date #430 Rated Disability Name #390 Original Rated Disability Date #390 Bill Number #430 (Accounts Receivable) Charge Amount #430 Medical Care Date (either Outpatient Visit or Inpatient Discharge) #350 or #409.68 or #45 or #405 Medication Fill Date #52 pointed to be File #350 Prescription Number #52 pointed to be File #350 Prescription Name #52 pointed to be File #350 Bill Status #430 for AR Status #350 for IB Status |