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WWW.PRIMECLINICAL.COM

 

OnSTAFF 2000

 

When Statement Printing Fails

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                                                                                                                                                    _________________________