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412 WinCare User Guide User's Guide Some payors require that all ancillaries given to a resident be recorded on the UB Claim, regardless of who will pay. Eg, Medicaid programs normally do not pay for personal purchase items, yet some states require that these items be listed on the UB Claim. Selecting this item will place all ancillaries that are billed for a resident onto the UB Claim. Report co-insurance days times Medicare A co-pay rate in FL 55. Required for Medicare-A If secondary or tertiary payor have insurance detail option 'Pays Part-A Copay' set, then if there are Medicare co-pay days then the CoPay amount is recorded in FL-55 Value of UB04 FL-66 as required on claim. For Medicare A, this is required to be '9' - for ICD9. Warn if Ancillary Issue Date not during Stay Period. Required for Medicare-A If selected, a warning message will be put into the Autocreate UB log when an ancillary charge exists for this payor where the issue date is NOT during the stay period. **Below are documented, but not implemented at this time. Include Bedhold Not implemented at this time. - Forced to be True Select this option if you wish BedHold charges to be included on the Claim. Use CMS Descript for Rev Codes less than 200. Not implemented at this time. Forced to be True This would modify the option 'Use Detail Description on Claim'
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