Traceability: Screen → DataWindows → Tables
Each window (screen), the DataWindows it hosts, and the tables those touch. Use this to confirm nothing is missed when migrating a screen.
app_sec — 12 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_cust_group_sec | Window to maintain Customer Group security for application users | d_class_groups d_get_parent_group | |
w_maint_security | Main Security maintenance window - used to Create and Maintain user security for Homer | d_user_group | security_user_group |
w_new_user | Response window for entering new user information | d_new_user | security_users |
w_sec_report1 | d_rpt_function_by_user | ||
w_system_menu_security | d_security_menu_options d_security_menu_users d_user_ini | security_menu_options security_users user_ini | |
w_user_assignment | Window used to assign users to groups | d_user_asgwiz_coveragetype d_user_assignment_selection d_user_group_criteria d_user_group_selection | codes groups user_assignments |
w_user_assignment_error | List of conflicting user group assignments | d_user_assignment_selection | user_assignments |
w_user_dept_group | Windwo to to catagorize departments | d_available_departments_selection d_deptgroup_criteria d_deptgroup_edit | security_users user_dept_group |
w_user_info_edit | User profile edit window | d_user_assignment_selection d_user_info_edit d_user_supervisor_selection | security_groupings user_assignments user_dept_group user_info user_supervisor |
w_user_info_maint_selection | User profile list window | d_deptgroup_criteria d_user_info_selection | security_users user_dept_group user_info |
w_user_maint | User Maintenance | d_all_user_classes d_db_roles d_new_user d_user_classes d_user_roles | security_user_class_user security_users security_users_db_role |
w_user_supervisor_edit | User supervisor assignment window | d_user_supervisor_edit d_user_supervisor_selection | security_groupings user_dept_group user_info user_supervisor |
base — 1 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_provider_consolidate_vendors | Consolidate Vendors | d_provider_consolidate_vendors | pm_addresses vendors |
benplans — 9 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_benefit_def_maint | Main benefit definition maintenance window | d_benefit_def_diags d_benefit_def_header1 d_benefit_def_picklist d_benefit_def_procs d_benefit_def_rpt1 d_benefit_def_summary d_benefit_def_usage d_compound_ben_def d_def_list d_diag_cd_and_groups_list d_diag_cd_and_groups_selected d_diag_code_type d_diagnosis_groups_rpt d_modifier_list d_pos_list d_proc_cd_and_groups_list d_proc_cd_and_groups_selected d_proc_code_type d_revenue_list d_specialty_list | benefit_def_diags benefit_def_procs benefit_defs benefit_rules compound_ben_defs diagnosis_codes modifiers place_of_service_codes procedure_codes rule_defs specialties |
w_benefit_def_response | Response window to select/return benefit def | d_benefit_def_selection | benefit_defs |
w_benefit_def_selection | main selection window for benefit definitions | d_benefit_def_selection d_modifier_list d_pos_list d_revenue_list d_specialty_list | benefit_defs modifiers place_of_service_codes procedure_codes specialties |
w_benefit_pkg_maint | Main window for benefit package maintenance | d_benefit_pkg_header1 d_benefit_pkg_header2 d_benefit_rule_picklist d_pkg_rider_maint d_pkg_rule_dep d_pkg_rule_ful d_pkg_rule_maint d_pkg_rule_req d_pkg_rule_row d_pkg_summary d_print_ben_pkg d_rider_rule | benefit_defs benefit_pkgs benefit_rules pkg_riders pkg_rule_dependencies pkg_rule_fulfillments pkg_rule_requirements pkg_rules reason_codes rider_rules riders |
w_benefit_pkg_selection | Selection window for benefit packages | d_benefit_coverage d_benefit_pkg_selection | benefit_pkgs |
w_benefit_plan_selection | Mainselection window for benefit plans | d_benefit_coverage_type d_benefit_plan_select | benefit_plans |
w_benefit_rule_select | Main selection DW for benefit rule editing | d_benefit_rule_list d_rule_type_cd | benefit_rules |
w_create_benefit_plan | Window for creating benefit rules | d_benefit_packages d_benefit_plan_edit d_plan_packages d_print_benefit_plan | benefit_pkgs benefit_plans plan_pkgs |
w_create_benefit_rule | Window for creating benefit rules | d_ben_rule_ded d_ben_rules d_benefit_def_list d_pkg_rules d_print_rule_def_pkg d_rule_contingency d_rule_def_link d_rule_tooth_types d_tooth_types | benefit_defs benefit_pkgs benefit_rule_tooth_types benefit_rules pkg_rules rule_contingency_defs rule_defs tooth_types |
bensupport — 28 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_carryover_rule_maint | Main window for maintenance of carryover rules | d_carryover_rules_maint | carryover_rules |
w_code_selection | d_code_key_selection | code_keys | |
w_codes_maint | d_code_key_maint d_codes_maint | code_keys codes | |
w_convert_plan | d_benefit_coverage_type d_benefit_plans_dddw d_group_coverage_list | group_coverages | |
w_create_diag_group | Window to creating/editing diagnosis groups | d_cd_type d_diag_cd_groups d_diag_groups_edit d_diagnosis d_print_diag_groups | diagnosis_code_groups diagnosis_codes diagnosis_groups |
w_create_proc_group | Window for creating/editing procedure groups | d_cd_type d_print_proc_groups d_proc_cd_groups d_proc_groups_edit d_procedures | procedure_code_groups procedure_codes procedure_groups |
w_create_second_opinion | Window for editing/creating second opinion groups | d_cd_type d_print_so_groups d_procedures d_sec_opinion_edit d_so_cd_groups | procedure_codes second_opinion_lists second_opinion_procs |
w_create_tooth_group | Window for creating teeth groups | d_tooth_numbers d_tooth_type_edit d_tooth_types | tooth_code_numbers tooth_types |
w_diag_code_display | Diagnosis Code Display | d_diag_code | diagnosis_codes sfpidba.diagnosis_codes |
w_diag_group_selection | Window for listing diagnosis groups | d_diag_groups d_print_d_groups | diagnosis_groups |
w_diagnosis_code_maint | d_diagnosis_codes | diagnosis_codes | |
w_level_sched_maint | Main window for maintenance of coverage level schedules | d_level_scheds d_level_scheds_items | level_sched_items level_scheds |
w_level_sched_selection | main window for selecting coverage level schedules | d_level_sched_selection | level_scheds |
w_load_proc_diag_codes | Load Proc / Diag Codes | d_load_diagnosis_codes d_load_procedure_codes | diagnosis_codes procedure_codes |
w_plan_analysis_by_group | d_plan_rpt_group_acm_analysis d_plan_rpt_group_rule_analysis | benefit_pkgs benefit_plans benefit_rules groups plan_pkgs reason_codes | |
w_plan_find_pkgs | d_find_packages | benefit_pkgs group_coverages plan_pkgs | |
w_plan_required_surfaces | This window maintains the procedure codes that indicate required surfaces | d_plan_required_surfaces | ada_surfaces_required |
w_plan_required_teeth | This window maintains the procedure codes that indicate required teeth | d_plan_required_teeth | ada_teeth_required |
w_proc_code_display | window to allow user to enter a procedure code and get the description | d_proc_code | procedure_codes sfpidba.procedure_codes |
w_proc_group_selection | Window for listing procedure groups | d_print_p_groups d_proc_groups | procedure_groups |
w_procedure_code_maint | d_procedure_codes | procedure_codes | |
w_reason_code_maint | Main reason code maintenance window | d_reason_code_maint | reason_codes |
w_rounding_rule_maint | Main window for maintaining rounding rules | d_rounding_rule_maint | rounding_rules |
w_second_opinion_selection | Window for editing or creating 2nd opinion groups | d_print_so_list d_second_opinion | second_opinion_lists |
w_step_rate_maint | Main step rate schedule maintenance window | d_step_rate_items d_step_rate_scheds | step_rate_items step_rate_scheds |
w_step_rate_selection | main selection window for step rate schedules | d_step_rate_find | step_rate_scheds |
w_um_cm_serv_proc_cd_maint | d_um_cm_serv_proc_cd_maint | um_cm_serv_excl_proc_cd | |
w_wang_map | d_updt_wang_group_rule_map d_updt_wang_rule_map d_wang_group_list | benefit_rules groups reason_codes sfpidba.wang_group_rule_map sfpidba.wang_rule_map wang_group_rule_map wang_rule_map |
billing — 17 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_bill_adj_maint | Billing Definition Charge and Manual Adjustment Maintenance. | d_bill_adj_bill_charges d_bill_adj_def_charge_members d_bill_adj_header d_bill_adj_rule_charges | bill_charges bill_defs bill_rules bill_runs member_eligibilities members |
w_bill_adj_selection | Billing Definition Selection for Charge Adjustments. | d_bill_adj_select | bill_defs bill_run_defs |
w_bill_bill_def_maint | Billing Definition Maintenance. | d_bill_bill_def_groups d_bill_bill_def_header d_bill_bill_def_maint d_bill_bill_def_option_vals d_bill_bill_def_rule_maint d_bill_bill_rule_list d_bill_group_hierarchy | bill_def_groups bill_def_option_vals bill_def_options bill_def_rules bill_defs bill_rules groups |
w_bill_bill_def_selection | Billing Definition Selection. | d_bill_bill_def_selection | bill_defs |
w_bill_bill_range_maint | Bill Ranges Maintenance | d_bill_bill_range_item_maint d_bill_bill_range_maint | bill_range_items bill_ranges |
w_bill_bill_range_selection | Bill Ranges Selection | d_bill_bill_range_selection | bill_ranges |
w_bill_bill_rule_maint | Billing Rule Maintenance | d_benefit_coverage_type d_bill_benefit_plans d_bill_bill_rate_alloc_maint d_bill_bill_rate_amt_maint d_bill_bill_rate_table_maint d_bill_bill_rate_vars d_bill_bill_rule_maint d_bill_bill_rule_parm_detail_maint d_bill_bill_rule_parm_maint d_bill_bill_rule_usage d_bill_election_cobra_flg d_bill_group_select d_bill_hcn_selection d_bill_member_cat_options d_bill_member_select d_bill_rate_alloc_n_up d_bill_rule_group_options d_bill_var_rate_table d_coverages_checkbox | benefit_plans bill_def_rules bill_defs bill_rate_allocs bill_rate_amts bill_rate_tables bill_rate_vars bill_rule_parm_details bill_rule_parms bill_rules coverages group_member_cat group_options groups health_care_networks members |
w_bill_bill_rule_selection | Billing Rule Selection | d_bill_bill_rule_selection | bill_rate_types bill_rules |
w_bill_queue | Bill Report Queue | d_bill_bill_reports_list d_bill_def_dropdown_list | bill_defs bill_reports bill_runs report_data |
w_bill_receipt_maint | Window to allow maintenance of receipts for selected billing definition. Opens w_bill_receipt_response for receipt editting. | d_bill_adj_header d_bill_receipt_charge_groups d_bill_receipt_charge_members d_bill_receipt_maint d_bill_receipt_view d_bill_run_def_maint | bill_charges bill_def_option_vals bill_defs bill_receipts bill_run_defs bill_runs groups members |
w_bill_receipt_response | Used by w_bill_receipt_maint. Popup (response) window to allow editting of receipts. | d_bill_receipt_maint | bill_receipts bill_runs members |
w_bill_receipt_selection | Window to allow selection of billing definition for which receipts can be maintained. Opens w_bill_receipt_maint window. | d_bill_receipt_select | bill_defs bill_run_defs |
w_bill_reports | Billing Exception Report | d_bill_def_dropdown_list d_bill_err_report d_bill_rpt_bill_def_rates | bill_def_rules bill_defs bill_rate_amts bill_rate_tables bill_rules |
w_bill_run_def_maint | Billing Run Maintenance. Submit/Maintain billing runs and definitions. | d_bill_bill_reports_maint d_bill_bill_run_maint d_bill_report_data d_bill_report_objects d_bill_run_def_maint | bill_defs bill_reports bill_run_defs bill_runs report_data report_objects |
w_billing | d_group_general d_group_periods d_group_select | groups sfpidba.groups | |
w_billprt_disbursement_division_summary | d_bill_def_dropdown_list d_billprt_disbursement_division_summary d_billprt_mailing_letter_header | bill_charges groups letter_headers vendors | |
w_billrpt_flex_charges | This window does the Flex Charge Billing report | d_billrpt_flex_charges | elections groups member_eligibilities members |
claims — 45 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_accident_claims_selection | List of claims that might apply to an accident. | d_accident_claims_selection | claim_entries claims members |
w_accident_edit | Accident edit window. Goes with w_accident_selection | d_accident_claim d_accident_edit d_accident_members_diag d_accident_members_selection | accident_claims accident_diagnoses accident_members accidents diagnosis_codes members |
w_accident_member_edit | Assign Member to Accident | d_accident_members_edit | accident_members members |
w_accident_selection | Select/Create Accident Report | d_accident_selection d_accident_selection_criteria | accidents members |
w_add_claim_to_internal_cm | Add Claim To Internal CM Case | d_adj_open_service d_adj_similar_services | claim_lines claims um_cases um_diagnosis_codes um_procedure_codes um_rules um_services |
w_assoc_list | d_assoc_letters_list | claim_letters_hist_claims | |
w_audit_diag_codes_selection | Edit/Search window for Diag Codes Auditing | d_audit_diagnosis_codes d_audit_diagnosis_codes_criteria | audit_diagnosis_codes |
w_audit_examiners_selection | Edit/Search window for Examiner Auditing | d_audit_examiners d_claims_examiner_criteria | audit_examiners claim_persons user_info |
w_audit_groups_selection | Edit/Search window for Group Auditing | d_audit_groups d_group_search_criteria | audit_groups |
w_audit_members_selection | Edit/Search window for member Auditing | d_audit_members | audit_members members |
w_audit_procedure_codes | Edit/Search window for Proc Codes Auditing | d_audit_procedure_codes d_audit_procedure_codes_criteria | audit_procedure_codes |
w_audit_providers_selection | Edit/Search window for Provider Auditing | d_audit_providers d_providers_search_criteria | audit_providers providers |
w_before_claim_lines | Windwo used to display current claim lines and claim lines before code review | d_before_claim_lines d_claim_lines_current | claim_eob_info_details claim_lines claim_lines_before claims_anesthesia reason_codes |
w_claim_correction | Claims Corrections window | d_claims_selection | claim_entries claim_entry_diag_codes claim_letters_hist claim_letters_hist_claims claim_messages claim_status_order claim_statuses claims health_care_networks members providers |
w_claim_editor | Open Claim | d_claim_entries_original_values d_claim_letters_hist_claims_details d_claimid d_claims_messages_action d_claims_messages_entry d_claims_selection | claim_entries claim_entry_diag_codes claim_letters_hist claim_letters_hist_claims claim_messages claim_status_order claim_statuses claims global_messages health_care_networks members providers |
w_claim_line_pricing_rules | Pop up Window used in the Claims editor to record manually entered pricing data | d_claim_line_pricing_rules_edit | claim_line_pricing_rules |
w_claim_lines_benefit_definition | window to display benifit definition applied to a claim line | d_claim_lines_benefit_definition | benefit_defs benefit_pkgs claim_lines |
w_claim_lines_remove_modifiers | Change/Remove Claim Modifiers | d_claim_lines_remove_modifiers | claim_lines |
w_claim_message_claim_line_hold | Window used to close message 124 | d_claim_message_claim_line_hold | reason_codes sfpidba.reason_codes |
w_claim_message_cm_hold | d_claim_message_cm_hold | reason_codes | |
w_claim_message_select_package | Used in claims correction for correcting error #109 | d_claims_message_package_selection | plan_pkgs |
w_claim_search | Claims search window | d_claims_selection | claim_entries claim_entry_diag_codes claim_letters_hist claim_letters_hist_claims claim_messages claim_status_order claim_statuses claims health_care_networks members providers |
w_claims_accum_display_claims | window to display claims for accumulators | d_claims_accum_display_claims | claim_line_accums claims |
w_claims_disp_status_history | Window for display status history for a claim | d_claims_disp_status_history | claim_status_order claim_statuses_history |
w_claims_family_accum | window to display family accumulators | d_claims_accum_display_family | member_accums members reason_codes |
w_claims_family_members | d_submem_family | family members | |
w_claims_hcn_list | This window allows the user to choose an HCN | d_claim_hcn_list | health_care_networks |
w_claims_letters | Claim letters window | d_claim_letters_hist_claims d_claims_messages_entry d_letter_message_hist d_letters_by_member d_report_info_list | claim_letters_hist claim_letters_hist_claims claim_messages global_messages report_info |
w_claims_mem_accum_credits | d_claims_member_accum_credits d_member_acc_cr_security | member_accum_credits members user_dept_group | |
w_claims_member_accum | Member Accumulators | d_claims_accum_display d_claims_accum_filter_accum d_claims_accum_filter_member d_clmrpt_period_find | benefit_rules member_accums members pkg_rules reason_codes |
w_claims_member_accum_claims | d_claims_accum_display_claims | claim_line_accums claims | |
w_claims_message_edit | Claims message edit window | d_claims_messages_edit d_user_defined_global_messages | claim_messages global_messages |
w_claims_partners_select | allows users to select claims for outbound EDI from the claims editor | d_claims_partner_select | outbound_edi_trading_partners |
w_claims_select_reason_code | REason code selection window | d_claims_reason_codes | reason_codes |
w_comment_prompt | d_set_claims_status d_user_defined_global_messages | claim_messages global_messages | |
w_daterange | Simple date range selection window - used in claims letters | d_daterange | |
w_delete_letter | Delete letter used in w_claims_correction | d_claims_frm_delete | claim_entries |
w_eob_attach | Displays a list of unassigned EOB records for an SSN | d_claims_eob_detail_ssn | claim_eob_info_details claim_eob_infos |
w_eob_edit | EOB Edit window | d_claims_eob_detail_syskey d_claims_eob_info_edit_syskey | claim_eob_info_details claim_eob_infos |
w_eob_edit_claim_lines | Pop up EOB edit window. Used from Claim lines | d_claims_eob_detail_clmline d_claims_eob_info_edit_clmline | claim_eob_info_details claim_eob_infos |
w_eob_selection | EOB list for SSN | d_claims_eob_infos_selection | claim_eob_infos |
w_ext_adjustment | none | d_ext_adjustments | claims ext_adjust |
w_select_benefit_definition | Allows user to select benefit defintion for a claim line | d_claim_lines_adjudication d_select_bendefs dddw_claim_line_bendefs | benefit_defs claim_eob_info_details claim_lines claims_anesthesia plan_pkgs reason_codes v_pkg_rules |
w_setclaimsstatus | Pop up that appears when user attempts change claim status | d_set_claims_status d_user_defined_global_messages | claim_messages global_messages |
w_view_claim_letters | Print Queue Manager | d_claim_letters_archive d_claim_letters_criteria d_view_claims_letters | claim_letters_hist report_archive user_info |
client — 12 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_carrier_maint | Stoploss Carrier Maintenance Screen | d_new_carrier d_std_address | addresses carriers |
w_carrier_select | Window for listing all stoploss carriers | d_carrier_list d_print_carriers | addresses carriers |
w_client_census_rpt_args_sheet | d_client_census_rpt_select dddw_client_census_cat_cds | codes | |
w_client_copy_group_info | HOMER - Copy Group Info | d_client_copy_group_info | |
w_client_enrollment | Screen to Identify a Client Group for Add/Modify/View. Also displays Basic Client information view only. | d_client_group_contacts_rpt d_client_group_info_display d_client_sub_group_ids | addresses group_contacts groups |
w_client_group_select | Window used to select a group from a list of groups. | d_client_group_select | |
w_client_group_select_by_contact | Window used to select a group from a list of groups that includes contact information for the group. | d_client_group_select_by_contact | |
w_client_grp_chg_prop_hist | Window used to select which children groups should receive the changes made to the parent group. | d_client_grp_chg_prop_hist | |
w_client_maintenance | HOMER - Group Maintenance | d_client_category_values d_client_client_segment d_client_group_contacts_edit d_client_group_contacts_rpt_print d_client_group_coverage_display d_client_group_coverage_info d_client_group_enroll_opts d_client_group_info_new d_client_group_info_new_ext d_client_group_info_summary d_client_group_mbr_categories d_client_group_mbr_new_categories d_client_group_options d_client_grp_coverage_eligibility_rules d_client_sub_group_ids d_enrollment_periods d_enrollment_periods_open d_std_address | addresses client_segment_groups codes group_contacts group_coverages group_enroll_opts group_member_cat group_option_vals group_options group_periods groups grp_covr_elig_rules grp_mbr_cat_val |
w_client_term_group | Term Groups | d_benefit_coverage_type d_client_term_group_report dddw_enroll_eligibility_exp_codes | addresses codes election_coverages elections family groups member_eligibilities members |
w_member_waivers | Window for inputing member waivers | d_member_list d_member_waivers | family members stoploss_waivers |
w_stoploss_period_select | Response window for selecting a particular stoploss period | d_contract_picklist d_elig_groups d_heirarchy d_sl_periods | carriers group_periods group_stoploss_parms groups member_eligibilities |
clmentry — 1 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_anesthesia_popup | Anesthesia popup used n_cst_claims | d_anesthesia_popup | claims_anesthesia |
clmforms — 1 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_claim_status_listing | d_rpt_claim_listing | benefit_defs benefit_pkgs claim_entries claim_line_diag_codes claim_lines claims diagnosis_groups members procedure_groups reason_codes |
clmprint — 1 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_claim_print_eob | This window prints an EOB for a claim | d_checkrun_eob |
clmrpt — 23 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_bank_acct_select | This window allows the user to select a bank account for a group | d_bank_acct_select | bank_acct_info bank_acct_info_grps |
w_cigna_p4p | Cigna Pay for Performance Reporting | d_cigna_p4p_dateselect d_cigna_report_groups d_clmrpt_cigna_p4p_out | cigna_report_groups claim_entries claim_lines claims claims_ub92_info groups health_care_networks members |
w_claimrpt_large_claim_report | d_claimrpt_large_claim_report | claim_statuses claims | |
w_clm_claimed_amt_morethan | d_clmrpt_claimed_amt_morethan | claim_messages claim_status_order claim_statuses claims global_messages | |
w_clm_message_status_summary | d_clm_message_status_summary | claim_messages claim_status_order claim_statuses global_messages | |
w_clmrpt_accum_rpt | Member Accumulator Listing | d_clmrpt_accum_pending d_clmrpt_accum_rpt_external d_clmrpt_accum_rpt_jhp d_clmrpt_credits_rpt d_clmrpt_lifetime_rpt d_clmrpt_period_find | benefit_rules claim_line_accums claim_lines claim_statuses member_accum_credits member_accums member_eligibilities members pkg_rules reason_codes |
w_clmrpt_claims_older_than_90_days | Find all claims that are older than 90 days from a specified group (or from a parent group and all children groups) | d_clmrpt_claims_older_than_90_days | claim_statuses groups |
w_clmrpt_member_accum_search | This is the window that the user enters the member criteria and display the accumulators results of the search. | d_clmrpt_member_accum_search_results | benefit_rules claim_entry_diag_codes claims |
w_clmrpt_no_sub_or_pat | This is the window used to view the d_clmrpt_no_sub_or_pat datawindow's data. | d_clmrpt_no_sub_or_pat | claim_messages global_messages |
w_clmrpt_open_messages | This window shows all claims with open messages. | d_clmrpt_claim_status d_clmrpt_message_type d_clmrpt_open_messages | claim_messages claim_status_order claims global_messages |
w_clmrpt_outbound_aging_tv | Claims - Outbound Aging | d_clmrpt_outbound_aging_tv | claims ext_output_transactions |
w_clmrpt_outbound_edi_older_than_10_days | Report of which claims in outbound_edi_transactions have not come back and are older than 10 days and were created after 06/15/2005 | d_clmrpt_outbound_edi_older_than_10_days | outbound_edi_transactions |
w_clmrpt_outstanding_adjustments | Report to find claims with outstanding adjustments | d_clmrpt_outstanding_adjustments | claims fund_register groups members |
w_clmrpt_outstanding_refunds | This window shows outstanding refunds for a group (or all groups) | d_clmrpt_outstanding_refunds | fund_register |
w_clmrpt_status_count | Status Count | d_annlstmt_group_ids d_clmrpt_status_count d_clmrpt_status_count_all | claim_status_order groups |
w_group_select | This window allows the user to select a group | d_clmrpt_group_select | groups sfpidba.groups |
w_no_group_id_fix | Claims with NO Group ID assigned | d_no_groupid_by_claim_prefix | claims |
w_nobs_group_rpt | d_nobs_group_rpt | claim_messages claim_status_order claims | |
w_ppaca_letters | PPACA Letters | d_claims_frm_aes_ppaca d_claims_frm_irs_ppaca | claims groups letter_headers user_info |
w_rpt_group_claim_bendefs | Detailed Claims Listing By Benefit Definition | d_rpt_group_bendef_selection d_rpt_group_claim_bendefs | benefit_defs benefit_rules claim_entries claim_line_rules claim_lines claims fund_register fundtrans groups members vendors |
w_rpt_group_claim_benrules | Report: Detailed Claims Listing by Benefit Rule Type | d_rpt_group_claimlist_byrule dddw_cd_type | benefit_rules claim_line_rules claim_lines claims codes groups members |
w_rpt_group_selected_accums | Report: Accumulators By Member | d_group_accums_memselect d_rpt_group_accums_bymember dddw_reason_accum_picklist | groups member_accums member_eligibilities members reason_codes |
w_rpt_member_accum_rulemax | Report: Member Accumulators By Benefit Rule | d_rpt_member_accum_byrule | benefit_rules groups member_accums member_eligibilities members reason_codes |
clmshare — 1 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_cm_select | d_cm_select |
clmutils — 9 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_adjd_rule_utils | d_acm_group_members d_acm_plan_members | elections member_eligibilities members | |
w_benefit_def_response_selection | d_benefit_def_selection | benefit_defs | |
w_benefit_plan_response_selection | d_benefit_coverage_type d_benefit_plan_select | benefit_plans | |
w_benefit_rule_response_selection | d_benefit_rule_list d_rule_type_cd | benefit_rules | |
w_bkgd_monitor | d_bkgd_current_locks d_bkgd_last_claim d_bkgd_status_counts d_claim_status_history_throughput | claim_status_order claims | |
w_caremark_non_claim_record | Caremark Non Claim Records | d_caremark_non_claim_record_report d_claim_status_order | caremark_edi_table claim_status_order |
w_edi_outbound_edi_processor | Outbound edi main window | d_claims_in_edi_repricing d_edi_inbound_claims d_edi_outbound_claims_to_file d_edi_outbound_claims_to_process d_edi_tables d_edi_transaction_table | claims edi_in_repricing outbound_edi_patient_table outbound_edi_provider_table outbound_edi_subscriber_table outbound_edi_transactions |
w_group_response_selection | d_group_response_selection | groups | |
w_reason_response_selection | d_accum_response_selection d_codes_dd |
cob — 2 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_cob_maintenance | COB Edit | d_cob_address d_cob_detail d_cob_detail_for_ds | addresses coord_of_bens |
w_cob_select | d_cob_header | coord_of_bens family members |
cobra — 8 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_cobra_administration | COBRA Administration | d_cobra_benficiaries d_cobra_event d_cobra_letters d_cobra_payments d_cobra_persons | cobra_elect_persons cobra_event cobra_letters cobra_qb cobra_stub groups member_eligibilities members |
w_cobra_event_select | Cobra Administration Select | d_cobra_event_select d_event_cd_select | cobra_event codes member_eligibilities members |
w_cobra_letter_errors | d_cobradw_letter_errors | cobra_errors cobra_event members | |
w_cobra_printqueue | COBRA Print Queue | d_cobra_letter_types d_cobra_notification_rpt d_cobra_printqueue_all d_cobra_printqueue_letters d_cobra_printqueue_notify d_cobra_termed_rpt d_cobra_unavailability_rpt d_cobradw_cert_mailing d_cobradw_election_frm_comp_prior | cobra_event cobra_letters cobra_notification_requests member_eligibilities members |
w_cobra_rate_maint | d_cobra_rates_dtl d_cobra_rates_hdr | cobra_rate_coverages cobra_rates_master | |
w_cobra_rate_select | COBRA Billing Rate Selection | d_cobra_rate_select d_cobra_rate_select_group d_cobra_rates_dtl dddw_cobra_coverage_levels | cobra_rate_coverages cobra_rates_master codes |
w_cobra_receive_premium | Receive COBRA Premiums | d_cobra_payments | cobra_stub |
w_select_family_members | d_select_family_members | family members |
cobrarpt — 1 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_cobrarpt_select_criteria | COBRA Reports | d_cobrarpt_arra dddw_cobrarpt_types | batch_reports cobra_event cobra_qb cobra_rates_master cobra_stub elections groups member_cat_val member_eligibilities members |
drugplan — 6 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_drugplan_member_maint | HOMER - Prescription Plan Member Maintenance | d_drugplan_exp_member_edit d_drugplan_exp_retrieve d_drugplan_exp_trans_members d_drugplan_pcs_member_edit d_drugplan_pcs_retrieve d_drugplan_pcs_rxb_member_edit d_drugplan_pcs_rxb_retrieve d_drugplan_pcs_rxb_trans_members d_drugplan_pcs_std_member_edit d_drugplan_pcs_std_retrieve d_drugplan_pcs_std_trans_members d_drugplan_pcs_trans_members d_drugplan_restat_member_edit d_drugplan_restat_retrieve d_drugplan_restat_trans_members | addresses drug_covr_exp_trans drug_covr_pcs_rxb_trans drug_covr_pcs_std_trans drug_covr_pcs_trans drug_covr_restat_trans election_coverages members |
w_drugplan_other_add | window used to add lines to w_drugplan_other_maint | d_drugplan_other_add d_drugplan_other_select | group_coverages groups |
w_drugplan_other_maint | Window to maintain drug plan information for non-pcs/express scripts drug plans | d_drugplan_other_maint d_drugplan_other_pass d_drugplan_other_select | codes drug_plan_exts |
w_drugplan_other_save | window for generating and saving drug plan exports for non-pcs/express scripts drug plans | d_drugplan_other_members d_drugplan_other_select | |
w_drugplan_plan_maint | HOMER - Prescription Plan Maintenance | d_drugplan_coverage_codes d_drugplan_groups_by_coverage d_drugplan_plan_maint | drug_plan_exts |
w_drugplan_report_transfer | HOMER- Prescription Plan Reports and Tranfers | d_cvs_elig_partials_by_memsyskey_re d_drugplan_exp_report d_drugplan_list d_drugplan_pcs_report d_drugplan_pcs_rxb_report d_drugplan_pcs_std_report d_drugplan_restat_report d_exp_trans_to_text d_pcs_rxb_std_trans_to_text_for_partials d_pcs_rxb_trans_to_text_for_partials_rxb d_pcs_std_trans_to_text d_pcs_std_trans_to_text_for_partials d_pcs_trans_to_text d_restat_trans_to_text d_rxb_elig_partials_by_memsyskey_re d_rxb_elig_partials_full d_rxb_mater_key_list_fullfile | drug_covr_exp_trans drug_covr_pcs_rxb_trans drug_covr_pcs_std_trans drug_covr_pcs_trans drug_covr_restat_trans drug_plan_exts election_coverages elections members |
enrolaud — 1 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_enrollment_log | Enrollment Audit Log | d_audit_trail_addresses d_audit_trail_cob d_audit_trail_dep d_audit_trail_election d_audit_trail_election_coverages d_audit_trail_enrollment d_audit_trail_member_cat_val d_audit_trail_member_eligibilites d_audit_trail_members d_audit_trail_student d_audit_trail_waiting_pd | addresses aud_trail_mbr coord_of_bens election_coverages elections family member_cat_val member_eligibilities member_waiting_periods members students |
enroll — 38 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_enroll_cobra_dependent_address_sync | d_enroll_cobra_dependent_address_sync | addresses members | |
w_enroll_custom_term_add_members | window to add members to the custom term transaction table | d_family_members | family members |
w_enroll_custom_term_generate | window to generate letter hist entries from the custom term transaction table | d_custom_term_form d_enroll_custom_term_dependents d_enroll_custom_term_members_elig d_enroll_custom_term_subscriber_info d_usfhp_term_form | addresses custom_term_transactions groups member_eligibilities members |
w_enroll_custom_term_print | Termination Letters Print Maintenance | d_custom_term_form d_custom_term_maintenance d_usfhp_term_form | report_hist |
w_enroll_group_export | Export Group Eligibility | d_export_eligibility | |
w_enroll_hipaa_add_members | window is used to add members to the hipaa transactions table | d_family_members | family members |
w_enroll_hipaa_generate | Generate HIPAA Form | d_enroll_hipaa_dependents d_enroll_hipaa_members_elig d_enroll_hipaa_subscriber_info d_hipaa_form | addresses election_coverages groups hipaa_transactions member_eligibilities members |
w_enroll_hipaa_member_coverage_search | d_hipaa_member_coverage_search | election_coverages members | |
w_enroll_hipaa_print | HIPAA Print Maintenance | d_hipaa_form d_hipaa_maintenance | report_hist |
w_enroll_member_select | Window used to select a member. | d_enroll_choose_member | |
w_enroll_member_selection | Member selection screen for w_enrollment_maintenance. Alternate version. | d_enroll_member_selection | family member_eligibilities members |
w_enroll_pcp_search | Used by n_enroll_member_pcp. Response window to select PCP provider. | d_enroll_pcp_prov_criteria d_enroll_pcp_search | contracts health_care_networks pm_addresses provider_tins providers |
w_enroll_qmcso_maint | Main QMCSO Entry Window | d_qmcso_custodian_info d_qmcso_maint_select_info | members pm_addresses qmcso_custodians vendor_addresses vendors |
w_enroll_qmcso_select | Selection Window for QMCSO | d_enroll_qmcso_select | member_eligibilities members |
w_enroll_trans_div | Response window to enter a Division to receive an existing eligibility period. | d_enroll_groups | |
w_enroll_view_wait_period | Response window to view and edit multiple HIPAA waiting period start dates | d_enroll_wait_pd_display | |
w_enrollment_cob_maint | Coordination of Benefits | d_cob_address d_qe_cob_detail | addresses coord_of_bens |
w_enrollment_maintenance | HOMER - Member Enrollment Maintenance | d_cobra_non_qual_events d_enroll_address d_enroll_cobra_dependent_address_sync d_enroll_dependent_address d_enroll_dependent_coverage_elections d_enroll_dependent_eligibility_period d_enroll_dependent_student_info d_enroll_dependent_wait d_enroll_family_member_select d_enroll_group_cat_parms d_enroll_group_option_vals d_enroll_member_demographics d_enroll_member_dependent_categories d_enroll_member_dependents d_enroll_member_phone d_enroll_member_subscriber_categories d_enroll_member_summary_info d_enroll_sub_elig_pd_display d_enroll_subscriber_coverage_riders d_enroll_subscriber_eligibility_period d_enroll_subscriber_member_coverage d_enroll_wait_pd d_qe_cob_detail dddw_group_categories | addresses cobra_non_qual coord_of_bens coverages election_coverages election_riders elections group_member_cat group_option_vals groups member_cat_val member_eligibilities member_waiting_periods members students |
w_family_member_select | Window used to select family member to display notes. | d_enroll_family_member_select | |
w_group_hb1_member_select | HOMER - HB1 Member Select | d_enroll_dependents_for_subscriber | members |
w_group_member_select | HOMER - Member Select | d_enroll_dependents_for_subscriber | members |
w_hb1_maintenance | HOMER - HB1 Member Maintenance | d_hb1_member_detail d_hb1_member_summary_info d_hb1_payment_detail | groups hb1_members hb1_payments members |
w_hipaa_cert_report | window for running and printing the hipaa certificate_report | d_hipaa_cert_background d_hipaa_cert_report | groups members note_key_codes notes |
w_hipaa_dead_file | window for logging undeliverable HIPAA certificates | d_hipaa_history | note_key_codes |
w_master_group_select | Window used to select a master group from a list of groups that matches search criteria. | d_enroll_master_group_select | |
w_member_select | Window used to select a member. | d_enroll_member_select | |
w_member_select_by_group_id | Select member from list retrieved from group ID only | d_enroll_member_select_by_group_id | members |
w_member_select_by_last_name | Window used to select a member from a list of members that match last name criteria. | d_enroll_member_select_by_last_name | |
w_member_select_by_last_name_no_group | Copy of w_member_select...last_name but configured to not need a group_id | d_enroll_member_select_by_last_name_ng | members |
w_member_select_by_mbr_id | Window used to select a member from a list of members that match member ID criteria. | d_enroll_member_select_by_mbr_id | |
w_notes_hipaa_report_view | window for hipaa notes report. | d_notes_hipaa_report_get_all d_notes_hipaa_report_get_group d_notes_hipaa_report_get_member d_notes_hipaa_report_select_entity | groups members notes |
w_qmcso_member_detail | d_enroll_qmcso_select_detail | pm_addresses qmcso_custodians vendors | |
w_quick_enroll_cob | ** OLD ** Window for Quick Enrollment dependent Coordination of Benefits | d_quick_enroll_dep_coord | coord_of_bens |
w_quick_enroll_dep_addr | Dependent Address | d_enroll_address | addresses |
w_quick_enroll_dep_cat | Window to assign Dependent Categories | d_enroll_dep_category | member_cat_val |
w_quick_enroll_dep_student | Window to edit Dependent Student information in Quick Enrollment | d_quick_enroll_dep_student | addresses students |
w_quick_enroll_main | Homer - Quick Enrollment | d_enroll_address d_enroll_category d_enroll_dep_category d_enroll_dependent_wait d_qe_cob_detail d_quick_enroll_all_cat d_quick_enroll_covg_elect d_quick_enroll_dep d_quick_enroll_dep_elig_pd d_quick_enroll_dep_student d_quick_enroll_family d_quick_enroll_group d_quick_enroll_mem_covg d_quick_enroll_sub_cov_elect d_quick_enroll_sub_eligible_pd d_quick_enroll_sub_wait_pd d_quick_enroll_subscriber | addresses coord_of_bens coverages election_coverages elections family member_cat_val member_eligibilities member_waiting_periods members students |
w_subscriber_select | Window used to select a subscriber for a member. | d_enroll_subscriber_select |
enrollutils — 4 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_fsa_depcare_tax_statements | d_fsa_depcare_eoy_listing d_fsa_depcare_tax_rpt1 d_fsa_depcare_tax_rpt2 | groups members | |
w_fsa_notices | Flexible Spending Account Notices | d_fsa_filing_period d_fsa_notice | benefit_plans coverages elections member_eligibilities members |
w_reenroll | d_group_covr d_reenroll_coverages d_term_codes d_term_groups | group_coverages groups | |
w_term_errors | window to display errors for u_terminate | d_term_errors d_term_groups | groups members |
enrolrpt — 11 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_annlstmt | Annual Statement | d_annlstmt_back_page d_annlstmt_beneficiary_name d_annlstmt_coverages d_annlstmt_dependents d_annlstmt_employees d_annlstmt_front_page d_annlstmt_group_ids d_annlstmt_member_coverages d_annlstmt_select_comp d_annlstmt_select_comp_with | addresses dual elections group_coverages groups member_cat_val member_eligibilities members |
w_annlstmt_group_select | This window selects a group | d_annlstmt_group_select | groups |
w_annlstmt_member_select | window for selecting a member when multiple members exist with the same ssn. | d_annlstmt_member_select | members |
w_annlstmt_option_maintenance | Window to maintain the annual statement options. | d_annlstmt_option_maintenance d_annlstmt_option_maintenance_with | annual_statement_options groups |
w_annlstmt_report_date | Receive Annual Statements | d_annlstmt_report_date_members | members |
w_census_rpt_args_sheet | Window for selecting parameters of census reports | d_coverage_levels d_rpt_select | codes |
w_dep_audit | Dependent Eligibility Audit | d_cobradw_cert_mailing d_dep_audit_final_report_detail d_dep_audit_final_report_summary d_dep_audit_first_letter_dependents d_dep_audit_first_letter_main d_dep_audit_first_letter_subscriber_list d_dep_audit_group_list d_dep_audit_print_rpt d_dep_audit_second_letter_dependents d_dep_audit_second_letter_main d_dep_audit_second_letter_subscriber_list | addresses group_option_vals groups members |
w_enrollrpt_deps_over_age | window to run the dependents over age xx report | d_enrollrpt_deps_age | groups members |
w_enrollrpt_error_rpts | Winodw to display enrollment error reports (Single member multi-person coverages, members without coverages) | d_enrollrpt_nocov d_enrollrpt_single_in_multi | elections members |
w_hb1_report | HB1 Member Report | d_rpt_hb1_payment | hb1_payments members |
w_mmo_audit | d_mmo_audit | claim_messages claims fund_register members vendors |
funding — 51 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_bill_ome_b_and_r | Ome-Resa Billing and Remittance Process | d_bill_ome_b_and_r_current_month d_bill_ome_b_and_r_prior_month | elections groups members |
w_bill_ome_wire_transfer | OME-RESA Wire Transfer | d_bill_ome_wire_transfer d_bill_ome_wire_transfer_aetna_only d_bill_ome_wire_transfer_non_aetna | fund_register group_option_vals |
w_bill_ome_wire_transfer_adj | d_bill_ome_wire_transfer_adj | ome_resa_wire_xfer_adj | |
w_burns_claim_dump | Burns Claims Transfer | d_burns_claims_dump | claim_lines claims members |
w_burns_enrollment_dump | Burns EnrollmentTransfer | d_burns_coverage d_burns_enrollment_count d_burns_enrollment_dump d_burns_enrollment_dump_all_emps_w_syskey d_burns_single_add d_burns_single_dental d_burns_single_deplife d_burns_single_drugs d_burns_single_life d_burns_single_medical d_burns_single_suppadd d_burns_single_supplife d_burns_single_vision d_burns_single_vsp | election_coverages elections member_eligibilities members |
w_clm_payments_on_waiver | d_rpt_payments_on_waiver | claims fund_register groups members vendors | |
w_fund_acct_hierarchy | window listing hierarchy, bank accounts and fund pages for a group | d_fund_hierarchy d_fund_hierarchy_bank_acct_info d_fund_hierarchy_bank_accts d_fund_hierarchy_coverages d_fund_hierarchy_fund_page_info d_fund_hierarchy_fund_page_list d_fund_hierarchy_fund_pages | bank_acct_info bank_acct_info_grps bank_forms codes coverages fund_page_covrs fund_page_grps fund_pages groups |
w_fund_acct_hierarchy_add_entity | response window to add a bank account or fund page for the hierarchy window | d_fund_hierarchy_add_bank_account | groups sfpidba.groups |
w_fund_acct_hierarchy_select_group | response window for hierarchy window to allow user to pick a group | d_fund_hierarchy_select_group | groups |
w_fund_adjust_claim | Adjust Claim | d_fund_adjust_claim | fund_register |
w_fund_adjust_expected_refund | window for adjusting/adding expected refund amounts on claims in payment allocation | d_fund_add_expected_refund d_fund_adjust_expected_refund d_fund_adjust_refund | claim_messages claims fund_register |
w_fund_bank_acct_info_maint | Bank Account Maintenance | d_fund_bank_acct_info_maint | bank_acct_info bank_forms |
w_fund_bank_acct_info_selection | Bank Account Selection | d_fund_bank_acct_info_select d_fund_bank_form_bank | bank_acct_info bank_forms |
w_fund_bank_acct_select | This window allows the user to select a bank account for a group | d_fund_bank_acct_select | bank_acct_info bank_acct_info_grps |
w_fund_bank_reconciliation_file | Bank Reconciliation File | d_fund_bank_reconciliation_file_errors d_fund_bank_reconciliation_file_print | |
w_fund_check_detail | This window shows what has been paid by a check (or worksheet) | d_fund_check_detail d_fund_manual_check | fund_register fundtrans pm_addresses sfpidba.fundtrans vendors |
w_fund_check_inquiry | Outgoing Check Inquiry For Group | d_fund_check_inquiry | fundtrans sfpidba.fundtrans |
w_fund_check_maintenance | Incoming Check Maintenance For Group | d_fund_check_maintenance d_fund_check_status_search | check_log |
w_fund_check_process_err_rpt | This Window is for the Fund Check processing error report that pulls back all register statuses that are not NULL. | d_fund_check_process_err_rpt d_fund_check_process_err_rpt_print | fund_register |
w_fund_check_select | This window allows the user to select a check for a group | d_fund_check_select | check_log sfpidba.check_log |
w_fund_delinquent_claims_detail | This is the window for the delinquent claims detail. | d_fund_delinquent_claims_detail d_fund_delinquent_claims_detail_print | fund_register groups members |
w_fund_delinquent_claims_summary | This is the window that summarizes the delinquent claims by giving a count and dollar amount of the total delinquent claims and then the total amount of those claims on waiver or on hold. | d_fund_delinquent_claims_summary | fund_register groups |
w_fund_deposit | This window allows the user to make deposits and fund registers/claims | d_fund_check_select d_fund_deposit_locked_claims d_fund_fund_claims d_fund_fund_source d_fund_page_deposit | check_log fund_page_grps fund_pages sfpidba.check_log sfpidba.fund_pages sfpidba.fund_register |
w_fund_drug_card_groups_maintenance | maintenance window maintain groups for a drug plan | d_fund_drug_card_groups d_fund_drug_card_plans | drug_card_groups fund_pages sfpidba.drug_card_groups |
w_fund_drug_card_payment | Drug Card Payments | d_fund_drug_card_payment d_fund_drug_card_payment_print d_fund_drug_card_plans d_fund_manual_check_print | bank_acct_info bank_forms drug_card_groups groups sfpidba.drug_card_groups |
w_fund_drug_card_plan_maintenance | maintenance window to maintain vendors who have drug plans | d_fund_drug_card_plan_select | codes drug_cards sfpidba.drug_cards vendors |
w_fund_fund_page_listing | Fund Page Listing Report | d_fund_fund_page_listing d_fund_fund_page_listing_print | fund_page_covrs fund_page_grps fund_pages |
w_fund_funding_status | Funding Status Report | d_fund_funding_status d_fund_funding_status_for_all_grps d_fund_funding_status_for_all_grps_print d_fund_funding_status_print | codes fund_pages |
w_fund_group_select | This window allows the user to select a group | d_fund_group_select | groups sfpidba.groups |
w_fund_group_transaction_history | Window to view the transactions of an entire group or divisions of a group by transaction type and time period. | d_fund_group_transaction_results d_fund_group_transaction_results_print d_fund_group_transaction_results_summary d_fund_group_transaction_select_criteria d_fund_group_transaction_trans_type d_fund_transaction_summary_print | check_log codes fund_page_grps fund_pages fund_register fundtrans |
w_fund_manual_check | Write Manual Check | d_fund_manual_check d_fund_manual_check_print d_fund_page_transfer_list | bank_acct_info bank_forms fund_page_grps fund_pages fundtrans pm_addresses sfpidba.fund_pages sfpidba.fundtrans vendors |
w_fund_negative_balance | This is the screen version of the negative balance report | d_fund_negative_balance d_fund_negative_balance_print | bank_acct_info bank_acct_info_grps codes fund_page_grps fund_pages groups |
w_fund_omeresa_monthly_claims_data | OMERESA Monthly Claims Data | d_fund_omeresa_monthly_claims_data | fund_register fundtrans v_claim_members vendors |
w_fund_outstanding_checks | This is the window for showing all the outstanding checks. | d_fund_outstanding_checks d_fund_outstanding_checks_print | bank_acct_info bank_acct_info_grps fundtrans |
w_fund_page_maint | Fund Page Maintenance | d_fund_fund_page_grps d_fund_group_fund_info d_fund_group_hierarchy d_fund_hierarchy_coverages d_fund_page_edit d_fund_page_group_list | bank_acct_info codes coverages fund_page_covrs fund_page_grps fund_pages groups |
w_fund_page_selection | Fund Page Selection | d_fund_group_fund_list | groups |
w_fund_receive_refund | Receive Refund | d_fund_receive_refund | fund_register |
w_fund_receive_refund_vendor_list | response window to pick a vendor | d_fund_receive_refund_vendor_list | fund_register members vendors |
w_fund_reconcile | Reconciliation | d_fund_reconcile_check d_fund_reconcile_deposit | codes fundtrans |
w_fund_reconcile_report | Bank Reconciliation | d_fund_reconcile_report d_fund_reconcile_report_check d_fund_reconcile_report_print | fundtrans |
w_fund_reissue_check | This window allows the user to reissue or void a check | d_fund_check_detail | fund_register fundtrans sfpidba.fundtrans |
w_fund_schedule_component | Window for creating a component for scheduling | d_fp_codes d_fund_bank_acct_grps d_fund_base_groups d_fund_component d_fund_component_fundpages d_fund_component_groups d_fund_fundpage_coverages d_fund_fundpage_list d_fund_grp_excludes d_fund_heirarchy_v2 d_fund_security_users | bank_acct_info bank_acct_info_grps bank_forms codes coverages fund_page_covrs fund_page_grps fund_pages funding_group_excludes groups grp_sched_funds grp_sched_incls sched_comp security_user_class_user |
w_fund_split_payments | This is the window for splitting benefit payments. | d_fund_split_payments | fund_register members |
w_fund_tab_schedule | Funding Schedules | d_fund_component_list d_fund_schedule d_fund_schedule_missing d_fund_schedule_run_components d_fund_schedule_runs | claim_statuses groups sched_comp sched_run_comps schedule_runs |
w_fund_transfer | This window allows the user to transfer funds between fundpages | d_fund_page_transfer_list | fund_page_grps fund_pages sfpidba.fund_pages |
w_fund_vendor_quick_add | Vendor Quick Add | d_fund_vendor_address_quick_add d_fund_vendor_info_quick_add d_fund_vendor_select | pm_addresses sfpidba.vendors vendors |
w_fund_vendor_select_quick_add | This window is for choosing the vendor when a vendor search retrieved multiple vendors. | d_fund_vendor_select | sfpidba.vendors vendors |
w_fund_wdi_period_as_modified_rpt | window for WDI as modified report | d_fund_wdi_period_as_modified_rpt | fund_register fundtrans groups members |
w_fund_wdi_period_rpt | This is the window for the WDI Period Rpt. | d_fund_wdi_period_rpt d_fund_wdi_period_rpt_print d_fund_wdi_period_rpt_print_short_ssn d_fund_wdi_period_rpt_short_ssn | fund_register groups members |
w_pospay | Positive Pay Check Outbound File | d_pospay_output d_pospay_output_125 d_pospay_output_citz d_pospay_unsent d_pospay_unsent_125 d_pospay_unsent_citz | bank_acct_info fund_pages fund_register fundtrans |
w_withholding_reports | d_withholding_reports_base_data d_withholding_reports_census d_withholding_reports_claims d_withholding_reports_printed dddw_states | addresses claims elections fund_register pm_addresses |
homersys — 22 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_accident_type | Accident type edit window | d_accident_types | accident_types |
w_addr_link | User interface to select which persons/groups addresses should be updated for u_mailers | d_addrno_link | group_contacts |
w_addr_search | Search interface window for u_mailers | d_addr_search d_address | addresses |
w_batch_reports | d_batch_reports | batch_reports | |
w_code_key_maint | Window to maintain code keys. | d_code_key_update | code_keys |
w_code_maint | Window to maintain code values. | d_code_keys d_codes_grid d_codes_rpt | codes |
w_edi_report | Report window showing EDI submitted by group | dw_edi_sub_by_group | edi_submitter_table |
w_examiner_select | Examiner list selection window | d_examiner_selection | sfpidba.user_info user_info |
w_general_member_cat_maintenance | window to maintain the possible list of group options | d_general_member_cat_maintenance | general_cat |
w_group_options_maintenance | window to maintain group options | d_group_options_maintenance | group_options |
w_header | maintanance window for letter headers | d_letter_headers_groups d_letter_headers_maint | groups letter_headers sfpidba.letter_headers |
w_homer_social_search | This window will allow the user to chose a member who is active in multiple groups. | d_homer_social_parms d_member_listing d_member_listing_dates | |
w_member_search | Select Subscriber | d_member_search | addresses groups members |
w_pridecare | Pridecare Monthly Billing Extract | d_dep_info d_pridecare_coverages d_pridecare_select d_pridecare_subscribers | addresses elections groups member_cat_val member_eligibilities members |
w_pridecare_bill_data | mod of the pridecare report | d_pridecare_coverages d_pridecare_select d_pridecare_subscribers_bill_data | elections groups member_eligibilities members |
w_provider_search | Provider list selection window | d_provider_search | contracts health_care_networks pm_addresses provider_addresses provider_tins providers |
w_release_notes | d_release_notes | ||
w_state_report | WIndow to show members and claims for specified states over time | d_state_report d_states | groups member_eligibilities state |
w_system_menu | Window providing navigator 'buttons' for all the functions for Homer | d_system_menu_datawindow d_sytem_menu_tabular_new | system_menu |
w_system_tree_menu | Menu | d_user_ini d_user_ini_sysnotes | user_ini |
w_test_log | Window used to record bugs during testing | d_test_log | test_log |
w_user_detail | Popup window to display system information about the current user | d_user_detail |
idcard — 2 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_enroll_idcard_usfhp | Window to process USFHP idcard requests, as well as generate request listing and accompanying letter. | d_enroll_idcard_usfhp d_enroll_idcard_usfhp_letter d_enroll_idcard_usfhp_rpt | addresses id_card_req members |
w_homer_id_req | Window used to submit id card request for individuals or groups. | d_group_id_req_parms d_group_subs d_indiv_id_req_parms d_individual_subs | addresses elections groups member_eligibilities members |
moon — 5 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_moon_claims | d_claim_status_order d_moon_keys d_moon_negs d_moon_negs_rpt | claim_status_order codes moon_negotiations | |
w_moon_in_repricing | EDI reprice maintenance | d_claim_status_order d_edi_trading_partner_search d_moon_in_repricing | claim_status_order edi_in_repricing |
w_moon_oon_product_maintenance | OON Product Maintenance | d_moon_oon_product_groups d_moon_oon_product_hcn_exclusions d_moon_oon_products d_moon_product_claim_types | groups health_care_networks oon_product_claim_types oon_product_groups oon_product_hcn_exclusions oon_products |
w_moon_oon_product_select | Selection window when more than one possible Moon product has been retrieved. | d_moon_oon_product_select | oon_products |
w_moon_provider_list | d_moon_neg_providers | moon_negotiations |
pfcapsrv — 2 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
pfc_w_debuglog | PFC Display log utility window | d_debuglog | |
pfc_w_message | PFC Message Box window | d_messageprint |
pfcdwsrv — 5 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
pfc_w_dwdebugger | PFC DataWindow Debugger dialog | d_dwdebuggerattributes d_dwdebuggerstatus | |
pfc_w_filterextended | PFC Extended Filter dialog window | d_columnnames d_dwfunction d_dwfunctioncategory | |
pfc_w_filtersimple | PFC Simple Filter dialog window | d_filtersimple | |
pfc_w_sortdragdrop | PFC Drag/Drop Style Sort dialog window | d_sortdragdrop | |
pfc_w_sortmulti | PFC DDLB-style Sort dialog window | d_sortmulti |
pfcwnsrv — 1 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
pfc_w_toolbars | PFC Customizable Toolbars window | d_toolbars |
preex — 2 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_preex_maint | This is the principle pre-existing conditions maintenance window | d_enroll_wait_pd d_preex_conditions d_preex_count d_preex_eligibility_periods d_preex_member_select | diagnosis_codes member_eligibilities member_waiting_periods members pre_existing_conditions |
w_preex_member_select | This window selects a member to view preexisting conditions for | d_preex_member_select | members |
pricing — 14 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_pricing_conversion_schedule | Conversion Factor Schedule Maintenance | d_pricing_conversion_schedule d_pricing_conversion_unit | conversion_factor_details sfpidba.conversion_factor_details |
w_pricing_conversion_schedule_select | This window allows the user to select a conversion schedule | d_pricing_conversion_schedule_select | conversion_factors |
w_pricing_drg_schedule | DRG Weight Maintenance | d_pricing_drg_schedule | drg_weight_details sfpidba.drg_weight_details |
w_pricing_drg_schedule_select | This window allows the user to select a drg schedule | d_pricing_drg_schedule_select | drg_weights sfpidba.drg_weights |
w_pricing_fee_schedule | Fee Schedule Maintenance | d_pricing_fee_schedule | fee_schedule_details sfpidba.fee_schedule_details |
w_pricing_fee_schedule_select | This window allows the user to select a fee schedule | d_pricing_fee_schedule_select | fee_schedules sfpidba.fee_schedules |
w_pricing_per_diem_schedule | Tiered Per Diem Schedule Maintenance | d_pricing_per_diem_schedule | sfpidba.tiered_per_diem_details tiered_per_diem_details |
w_pricing_per_diem_schedule_select | This window allows the user to select a per diem schedule | d_pricing_per_diem_schedule_select | sfpidba.tiered_per_diem_schedules tiered_per_diem_schedules |
w_pricing_plan_maintenance | Pricing Plan Maintenance | d_pricing_plan_diag d_pricing_plan_diag_cd d_pricing_plan_diag_cd_type d_pricing_plan_drg_cd d_pricing_plan_methods d_pricing_plan_pos_cd d_pricing_plan_proc d_pricing_plan_proc_cd d_pricing_plan_proc_cd_type d_pricing_plan_rev_cd d_pricing_plan_rule_edit d_pricing_plan_rules d_pricing_plan_specialties | diagnosis_codes drg_codes place_of_service_codes pricing_methods pricing_rule_diags pricing_rule_procs pricing_rules procedure_codes sfpidba.diagnosis_codes sfpidba.drg_codes sfpidba.pricing_methods sfpidba.pricing_rule_diags sfpidba.pricing_rule_procs sfpidba.pricing_rules sfpidba.procedure_codes sfpidba.specialties specialties valid_methods |
w_pricing_plan_maintenance_select | This window selects a pricing plans | d_pricing_plan_maintenance_select | pricing_plans |
w_pricing_rbrvs | This window maintains the rbrvs multipliers | d_pricing_rbrvs | master_multipliers sfpidba.master_multipliers |
w_pricing_schedule_select | This window allows the user to select a pricing schedule to attach to a rule. | d_pricing_conversion_schedule_select d_pricing_drg_schedule_select d_pricing_fee_schedule_select d_pricing_per_diem_schedule_select | conversion_factors drg_weights fee_schedules sfpidba.drg_weights sfpidba.fee_schedules sfpidba.tiered_per_diem_schedules tiered_per_diem_schedules |
w_pricing_unit_schedule | Unit Schedule Maintenance | d_pricing_unit_schedule d_pricing_unit_schedule_type | sfpidba.unit_schedule_details unit_schedule_details |
w_pricing_unit_schedule_select | This window allows the user to select a unit schedule | d_pricing_unit_schedule_select | sfpidba.unit_schedules unit_schedules |
provider — 31 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_1099_print | Print 1099 Forms | d_1099_filter d_1099_form d_1099_print_select d_1099nec_form | print_1099s |
w_edi_clearinghouse | EDI Clearinghouse Maintenance | d_edi_clearinghouse_contacts d_edi_clearinghouses d_edi_pm_contacts | outb_edi_clearhouse_contacts outbound_edi_clearinghouses pm_addresses pm_contacts |
w_edi_clearinghouse_select | Select a single outbound EDI clearinghouse | d_edi_clearinghouse_select | outbound_edi_clearinghouses |
w_edi_partners | EDI Trading Partners | d_edi_pm_contacts d_edi_trading_partner_contacts d_edi_trading_partners | outb_edi_tradingpart_contacts outbound_edi_trading_partners pm_addresses pm_contacts |
w_edi_partners_select | Select a single outbound EDI trading partner | d_edi_trading_partner_select | outbound_edi_trading_partners |
w_hcn_enrollment_dump | Health Care Network Enrollment Dump | d_aetna_group_list d_hcn_aetna d_hcn_cigna d_hcn_dump_select d_mmo_enrollment_selected d_ppo_census d_ppo_enrollment_selected d_ppo_group_selected | aetna_report_groups aetna_tmp health_care_networks mmo_enrollment_work ppo_census_ids ppo_enrollment_work ppo_group_work sfpidba.mmo_enrollment_work sfpidba.ppo_census_ids sfpidba.ppo_enrollment_work sfpidba.ppo_group_work |
w_hms2 | HMS REPORTING | d_hms_export_worksheet d_output | addresses election_coverages groups health_care_networks member_eligibilities members plan_pkgs |
w_hms_report | HMS REPORTING | d_hms_dateselect d_hms_export_worksheet_s_and_e_dates d_output | addresses election_coverages groups health_care_networks member_eligibilities members plan_pkgs |
w_hms_reporting | HMS REPORTING | d_hms_dateselect d_hms_export_worksheet d_output | addresses election_coverages groups health_care_networks member_eligibilities members plan_pkgs |
w_provider_caremark_flag_transfer | Caremark Flag File Transfer | d_caremark_flag_divisions_ded_combined_w_oop_as_oop d_caremark_flag_divisions_ded_only_sep_dup d_caremark_flag_divisions_oop_duplicate d_caremark_flag_divisions_oop_only_and_separate d_caremark_flag_file d_caremark_flag_file_ded_combined_w_oop d_caremark_flag_file_oop d_caremark_flag_file_oop_dup_of_ded d_caremark_report_audit | caremark_report_audit groups sfpidba.caremark_report_audit |
w_provider_change_segment | This response window allows the user to change client segments | d_select_client_segment | client_segment_users client_segments |
w_provider_consolidate_vendors | This window consolidates vendors | d_provider_consolidate_vendors | pm_addresses vendors |
w_provider_contract_maintenance | Provider Contract Maintenance for Segment: | d_city_state_search d_contract_holds d_contract_pricing d_contract_withhold d_contracts d_provider_type_search d_specialty_search | contract_holds contract_pricing contract_withholds contracts sfpidba.contract_holds |
w_provider_group_select | A window that allows the user to choose a group | d_groups_for_user | groups |
w_provider_hcn_maintenance | HCN Maintenance | d_hcn d_hcn_contact d_hcn_pricing d_hcn_withhold d_provider_contacts | hcn_contacts hcn_pricing hcn_withholds health_care_networks pm_addresses pm_contacts |
w_provider_hcn_select | This response window allows the user to select an HCN | d_select_hcn d_select_hcn_with_panels | health_care_networks |
w_provider_maintenance | Provider Maintenance | d_city_state_search d_medicaid d_provider d_provider_address d_provider_address_vendor d_provider_contacts d_provider_group_holds d_provider_hcn d_provider_holds d_provider_npi d_provider_panel d_provider_type_search d_specialty d_specialty_search d_tin | health_care_networks panels pm_addresses pm_contacts provider_address_vendors provider_addresses provider_group_holds provider_holds provider_medicaid_ids provider_npis provider_panels provider_specialties provider_tins providers sfpidba.provider_panels vendors |
w_provider_open_cant_find_provider_msgs | window to show open cannot find provider messages | d_provider_open_cant_find_provider_msgs | claim_messages claim_status_order claims global_messages |
w_provider_optum_flag_transfer | Optum Flag File Transfer | d_optum_flag_divisions_ded_combined_w_oop_as_oop d_optum_flag_divisions_ded_only_sep_dup d_optum_flag_divisions_oop_duplicate d_optum_flag_divisions_oop_only_and_separate d_optum_flag_file d_optum_flag_file_ded_combined_w_oop d_optum_flag_file_oop d_optum_flag_file_oop_dup_of_ded d_optum_report_audit | groups optum_report_audit |
w_provider_panel_maintenance | Provider Panel Maintenance for Segment: | d_panel_pricing d_panel_withhold d_panels | panel_pricing panel_withholds panels |
w_provider_rpt_hcn_pricing_methods | HCN pricing methods report | d_provider_rpt_hcn_pricing_methods | groups health_care_networks plan_pkgs |
w_provider_segment_group | A window that displays the client segment for a selected group | d_client_segment | client_segments |
w_provider_segment_user_maintenance | This window maintains which client segments a user is in | d_provider_segment_user_maintenance d_provider_users | client_segment_users sfpidba.client_segment_users |
w_provider_select | A window that allows the user to select a provider based on TIN or company name or last name | d_provider_select | pm_addresses provider_addresses provider_tins providers |
w_provider_select_urcm | A window that allows the user to select a provider using the URCM selection criteria | d_city_state_search d_provider_select_urcm d_provider_type_search d_specialty_search | pm_addresses provider_addresses provider_tins providers |
w_provider_specialties | Maintenance window for provider specialties | d_specialties_maintenance | specialties |
w_provider_tin_select | This response window allows the user to select a vendor TIN | d_provider_tin_select | provider_tins |
w_provider_types_maintenance | Maintenance window for provider types | d_provider_types_maintenance | provider_types |
w_provider_vendor_maintenance | Vendor Maintenance | d_147c_request d_provider_contacts d_provider_vendor d_provider_vendor_address d_provider_vendor_contact d_provider_vendor_holds d_provider_vendor_status d_w9_request d_w9_request_2 | pm_addresses pm_contacts user_info vendor_addresses vendor_contacts vendor_holds vendors |
w_provider_vendor_select | This response window allows the user to select a vendor | d_provider_vendor_select d_provider_vendor_status | pm_addresses vendors |
w_unsearchable_tins | Unsearchable Tins | d_find_tins d_unsearchable_tins | provider_tins unsearchable_tins |
reprint — 7 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_claim_letters_setup | d_claim_letters_setup | report_info sfpidba.report_info | |
w_group_print_distribution | Window used to set up print and check options for groups | d_check_and_letter_setup d_group_print_distribution d_group_search_criteria dddw_grpprndist_selections | codes group_print_distribution groups |
w_reprint | print queue manager | d_reprint | report_hist user_info |
w_reprint_check_recon | d_reprint_check_recon | report_hist | |
w_reprint_claim_letters | Print Claim Letters | d_claims_frm_mailing_page d_claims_frm_register d_reprint_maintenance_claim_letters d_reprint_print_group | addresses claim_letters_hist claims group_print_distribution groups members |
w_reprint_claim_reprice_letters | Window used to print claims letters for requests for repricing sheets | d_reprint_claim_reprice_letters | claim_letters_hist |
w_reprint_maintenance | Reprint Maintenance | d_checkrun_eob d_checkrun_eob_comp d_checkrun_eob_dedsupp d_checkrun_eob_depcare d_checkrun_eob_ee_copy d_checkrun_eob_er_copy d_checkrun_eob_mdv d_checkrun_eob_medreim d_checkrun_eob_wdi d_checkrun_ra d_checkrun_ra_comp d_checkrun_ra_dedsupp d_checkrun_ra_hdr_copy d_checkrun_ra_mdv d_client_group_enroll_opts d_enroll_family_member_select d_fund_manual_check_print d_qmcso_dependent_names d_register_address_page d_register_address_page_landscape d_register_data_comp d_register_summary_comp d_reprint_maintenance d_reprint_maintenance_report_types d_system_group_contact_min_cat | addresses bank_acct_info bank_forms benefit_defs claim_entries claim_lines claims claims_wdi_info codes fund_register group_contacts group_enroll_opts groups members qmcso_custodians reason_codes report_hist vendors |
sales — 3 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_sales_ben_cat_maint_category_select | response window to select categories | d_sales_ben_cat_maintenance_select | rpt_svc_cats |
w_sales_benefit_category_maintenance | Benefit Category Maintenance for Segment: | d_sales_ben_cat_maintenance_available d_sales_ben_cat_maintenance_chosen d_sales_ben_cat_maintenance_rpt_types d_sales_ben_cat_maintenance_select | benefit_defs code_keys rpt_svc_cats sfpidba.code_keys |
w_sales_rpt_group_claim_detail | Detailed Claims Listing | d_benefit_coverage d_sales_rpt_grop_claim_data_confidential d_sales_rpt_group_claim_data d_sales_rpt_group_claim_detail d_sales_rpt_group_claim_detail_discount d_sales_rpt_group_claim_line_data d_sales_rpt_group_claim_line_data_dis d_sales_rpt_group_claim_payment_data d_sales_rpt_group_claim_rule_data | benefit_defs benefit_rules claim_entries claim_line_rules claim_lines claims claims_ub92_info fund_register fundtrans groups members providers vendors |
stoploss — 9 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_sl_contract_maint | d_sl_contract_coverage_maint d_sl_contract_coverages_checkbox d_sl_contract_domestic_tin_maint d_sl_contract_excl_plan_checklist d_sl_contract_excl_plan_maint d_sl_contract_factor_grid d_sl_contract_factor_maint d_sl_contract_group_maint d_sl_contract_header d_sl_contract_laser_maint d_sl_contract_maint d_sl_contract_option_val_list d_sl_group_select | codes coverages group_coverages groups members sl_contract_coverages sl_contract_domestic_tins sl_contract_excl_plans sl_contract_factors sl_contract_groups sl_contract_lasers sl_contract_option_vals sl_contract_options sl_contracts | |
w_sl_contract_selection | d_sl_contract_select d_sl_contract_select_ddw | carriers codes sl_contracts | |
w_sl_member_selection | d_sl_member_selection | ||
w_sl_spec_clm_listing | Specific Stoploss Claims Listing | d_group_hierarchy_bottom_up d_sl_member_stoploss_parms d_sl_spec_clm_listing | claim_entries claims fundtrans group_stoploss_parms groups members v_fund_register_rpt vendors |
w_sl_spec_summary | Specific Stoploss Summary | d_sl_specific_stoploss_family_summary d_sl_specific_stoploss_summary d_sl_specific_stoploss_summary_excel | family group_stoploss_parms groups member_eligibilities members |
w_sl_specific_summary | d_sl_spec_2 d_sl_spec_summary d_sl_stoploss_groups | claims group_stoploss_parms groups member_eligibilities members | |
w_sl_summary | Modified by Austin Zellner | d_sl_spec_2 d_sl_spec_summary d_sl_specific_summary d_sl_stoploss_groups | claims group_stoploss_parms groups member_eligibilities members |
w_sl_variable_clm_listing | Variable Stoploss Claims Listing | d_group_hierarchy_bottom_up d_sl_export_maz d_sl_variable_clm_listing | claim_entries claim_lines claims fundtrans groups members v_fund_register_rpt vendors |
w_wang_idcard_response | d_wang_idcard_data d_wang_idcard_req d_wang_idcard_req_completed | addresses elections group_contacts groups id_card_req member_eligibilities |
svclog — 10 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_notes_display | Simplified dw for displaying member notes | d_notes_display | members note_entities notes |
w_notes_entity_select | This window selects which entity to view notes for | d_notes_entity_select | |
w_notes_group_select | This window selects a member to view notes for | d_notes_group_select | groups sfpidba.groups |
w_notes_hcn_select | This window selects a HCN to view notes for | d_notes_hcn_select | health_care_networks sfpidba.health_care_networks |
w_notes_key_maintenance | This window maintains key values | d_notes_key_maintenance | note_key_codes sfpidba.note_key_codes |
w_notes_key_select | This window allows the user to modify a note's keys | d_notes_key | note_key_codes sfpidba.note_key_codes |
w_notes_member_select | This window selects a member to view notes for | d_notes_member_select | members |
w_notes_provider_select | This window selects a provider to view notes for | d_notes_provider_select | pm_addresses provider_tins providers |
w_notes_vendor_select | This window selects a vendor to view notes for | d_notes_vendor_select | sfpidba.vendors vendors |
w_notes_view | This is the principle note window where the note's text is stored and where searches are done | d_notes_body d_notes_key d_notes_select_entity d_notes_system_keys | note_key_codes notes sfpidba.note_key_codes sfpidba.notes |
um_cm — 6 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_cm_billing | cm billing reports and mainetance window | d_cm_billing_composite d_cm_billing_composite_internal d_cm_billing_records d_cm_billing_status_cd d_cm_billing_type_cd | cm_billing members um_cases |
w_cm_potential_resolution | d_um_cm_potentials_resolution | cm_potentials diagnosis_codes groups members um_cases um_entities | |
w_um_case_management | Case Management | d_um_cm_benefit_def_holds d_um_cm_case d_um_cm_case_involvements d_um_cm_diag_code_holds d_um_cm_diag_codes d_um_cm_hold_rules d_um_cm_hospital_contacts d_um_cm_proc_code_holds d_um_cm_proc_code_no_resolution d_um_cm_provider_holds d_um_cm_rule d_um_cm_service d_um_cm_service_benefit_defs d_um_cm_service_provider d_um_medical_director_review d_um_member_list d_um_physicians d_um_stoploss_carrier | benefit_defs cm_case_involvements cm_involvements diagnosis_codes members pm_addresses pm_contacts procedure_codes provider_tins providers um_benefit_definitions um_benefit_holds um_cases um_diagnosis_code_holds um_diagnosis_codes um_hold_rules um_medical_reviews um_physicians um_procedure_code_holds um_procedure_codes um_provider_contacts um_provider_holds um_rules um_services |
w_um_cm_potential_create | window to create cm potential records | d_um_cm_potential_create | cm_potentials |
w_um_cm_potentials_report | CM Potentials Report | d_cm_um_entities d_um_cm_potentials_report d_um_cm_potentials_report_print d_um_member_list d_um_stoploss_carrier | cm_potentials diagnosis_codes groups members um_cases um_entities |
w_um_management_cases | This window produces the UM management cases report | d_um_an_rules d_um_cm_rule d_um_management_cases d_um_master_groups | diagnosis_codes groups um_cases um_diagnosis_codes um_rules um_services |
um_main — 14 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_cm_possible_rpt | Possible CM claim report | d_cm_possible_rpt | claim_line_diag_codes claims diagnosis_codes members um_cm_possible_case_claim |
w_medical_director_review | window for medical director reviews | d_um_medical_director_review | um_medical_reviews um_rules |
w_um_benefit_def_select | window to select benefit definitions | d_um_benefit_def_select | benefit_defs |
w_um_case_patient_select | window to select patient from members of current family | d_um_member_list | members |
w_um_diag_group_cd_select | window to select diagnosis group code | d_um_diag_group_cd_select | diagnosis_groups |
w_um_diagnosis_cd_select | Display the list of diagnosis codes and description | d_um_diag_cd_select | diagnosis_codes |
w_um_entities_report | Entity report window | d_um_entities_report | um_entities um_warnings |
w_um_follow_up | UM Follow-Ups | d_um_follow_up d_um_member_list d_um_stoploss_carrier | members providers um_cases um_services |
w_um_hold_rule_child | Hold Rule: | d_um_cm_provider_holds | providers um_provider_holds |
w_um_member_select | UM Member Select window | d_um_members_select | member_eligibilities members |
w_um_proc_group_cd_select | Display the list of proc group codes | d_um_proc_group_cd_select | procedure_groups |
w_um_procedure_cd_select | Display the list of proc codes | d_um_proc_cd_select | procedure_codes |
w_um_search | UM Search | d_um_demographics d_um_member_address d_um_member_list d_um_member_phone d_um_members_select d_um_record_list d_um_stoploss_carrier | addresses election_coverages member_eligibilities members um_cases |
w_um_warning_display | UM Warning display window | d_warning_detail d_warning_master | plan_pkgs um_warnings |
um_maint — 14 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_cm_trigger_maintenance | CM Trigger Maintenance window | d_cm_trigger d_cm_trigger_codes_report d_cm_trigger_diag_codes d_cm_trigger_proc_codes | cm_trigger_diag_codes cm_trigger_proc_codes cm_triggers |
w_cm_trigger_select | CM Trigger Select window | d_cm_trigger_select | cm_triggers |
w_dm_enrollment_dump | Disease Management | d_dm_claim_dump_generic d_dm_enrollment_dump_generic d_dmentities d_dmentities_dump_select | claim_entries claim_lines claims claims_ub92_info groups |
w_hcrm_claims_transfer | HCRM_claims_transfer | d_hcrm_claims_transfer | |
w_hcrm_enrollment_transfer | HCRM Enrollment Transfer | d_hcrm_enrollment_transfer | |
w_matria_claim_dump | Matria Claims Transfer | d_matria_claims_control_file d_matria_claims_dump | claim_lines claims members |
w_matria_enrollment_dump | Matria EnrollmentTransfer | d_matria_enrollment_control_file d_matria_enrollment_dump | members |
w_medical_director_maintenance | Medical Director Maintenance | d_medical_director | addresses medical_directors |
w_medical_director_select | For popup window to pick medical director for um_entity_medical_directors | d_medical_director_select | addresses medical_directors |
w_springbuk_claims_transfer | Springbuk_claims_transfer | d_springbuk_claims_transfer | claim_lines claims |
w_springbuk_enrollment_transfer | Springbuk Enrollment Transfer | d_springbuk_enrollment_transfer | |
w_um_entity_maintenance | UM Entity Maintenance | d_medical_director d_um_entity_directors d_um_entity_maintenance d_um_entity_name d_um_entity_warnings | addresses cm_triggers medical_directors um_entities um_entity_medical_directors um_entity_warnings um_warnings |
w_um_warning_select | UM Warning Select window | d_um_warning_select | um_warnings |
w_warning_maintenance | UM Warnings maintenance window | d_warning_maintenance | um_warnings |
um_ur — 4 windows
| Window | Title | DataWindows | Tables |
|---|---|---|---|
w_um_admission_notification | Admission Notification | d_qe_cob_detail d_um_an_case d_um_an_rules d_um_an_service d_um_cm_potential_create d_um_diag_codes d_um_hospital_contacts d_um_medical_director_review d_um_member_list d_um_physicians d_um_proc_code_no_resolution d_um_service_provider d_um_stoploss_carrier | cm_potentials coord_of_bens diagnosis_codes members pm_addresses pm_contacts procedure_codes provider_tins providers um_cases um_diagnosis_codes um_medical_reviews um_physicians um_procedure_codes um_provider_contacts um_rules um_services |
w_um_authorization | Authorization | d_qe_cob_detail d_um_auth_benefit_def_holds d_um_auth_case d_um_auth_diag_code_holds d_um_auth_diag_codes d_um_auth_diag_groups d_um_auth_hold_rules d_um_auth_hospital_contacts d_um_auth_proc_code d_um_auth_proc_code_holds d_um_auth_proc_groups d_um_auth_provider_holds d_um_auth_rules d_um_auth_service d_um_auth_service_benefit_defs d_um_auth_service_provider d_um_auth_specialty_holds d_um_cm_potential_create d_um_medical_director_review d_um_member_list d_um_physicians d_um_stoploss_carrier | benefit_defs cm_potentials coord_of_bens diagnosis_codes diagnosis_groups members pm_addresses pm_contacts procedure_codes procedure_groups provider_tins providers um_benefit_definitions um_benefit_holds um_cases um_diagnosis_code_holds um_diagnosis_codes um_diagnosis_groups um_hold_rules um_medical_reviews um_physicians um_procedure_code_holds um_procedure_codes um_procedure_groups um_provider_contacts um_provider_holds um_rules um_services um_specialty_holds |
w_um_pre_certification | Pre-Certification | d_qe_cob_detail d_um_cm_potential_create d_um_diag_codes d_um_hospital_contacts d_um_medical_director_review d_um_member_list d_um_pc_case d_um_pc_rules d_um_pc_service d_um_pc_service_provider d_um_physicians d_um_proc_code_no_resolution d_um_stoploss_carrier | cm_potentials coord_of_bens diagnosis_codes members pm_addresses pm_contacts procedure_codes provider_tins providers um_cases um_diagnosis_codes um_medical_reviews um_physicians um_procedure_codes um_provider_contacts um_rules um_services |
w_um_referral | Referral | d_qe_cob_detail d_um_cm_potential_create d_um_diag_codes d_um_hospital_contacts d_um_member_list d_um_physicians d_um_ref_case d_um_ref_diag_groups d_um_ref_rules d_um_ref_service d_um_ref_service_provider d_um_stoploss_carrier | cm_potentials coord_of_bens diagnosis_codes diagnosis_groups members pm_addresses pm_contacts provider_tins providers um_cases um_diagnosis_codes um_diagnosis_groups um_physicians um_provider_contacts um_rules um_services |