OnSTAFF 2000
Prime Clinical Systems, Inc.
When Printing Statement Fails, Please answer the following questions and fax to (626) 449-5615. For Guarantor accounts, please start with the Guarantor's Information.
Client I.D._____________ Reference:___________________ Contact:_____________________
1) Account No. _________________________
2) Guarantor No. _________________________
3) Category Code _________________________
4) \Utility\Category\View:
enter patient's category code
a) Statement (R/O/N/S/P) _________________________
b) Responsibility (G/P/X) _________________________
5) \Ledger\Open Item\View:
enter patient's account number _________________________
a) Balance _________________________
b) Patient Bal _________________________
c) DOS _________________________
d) Who _________________________
e) Code _________________________
6) [Control X] to go to the System Status Screen. statement press 'I'. Please
copy below the information from this screen.
Selection Criteria OR Patient No.: _________________
From Date: _________________
Message Code: _________________
Patient's Category: _________________
Statement Selection: _________________
Please provide the above information for each member of the Family when using Guarantors.
1) 1) 1) 1)
2) 2) 2) 2)
3) 3) 3) 3)
4) 4) 4) 4)
5) 5) 5) 5)
6) 6) 6) 6)
7) \Utility\Set Up\System
a) Statement Selection _________________________
b) Statement Sorting (Z/N/A) _________________________
c) Minimum Statement _________________________