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834 Maintenance Screen - PM

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Information entered in this form populates to loops 2100G and 2750 for outbound 834 files.

  1. Go to Avatar PM > Billing > Electronic Submission > 834 Maintenance Screen.
  2. In the Select Client screen, enter the client name. Select the client. 
  3. Note: If the client has multiple episodes, the Episode Selection pre-display shows. Select the client episode, click Ok.
  4. In the Guarantor field, select the guarantor.
  5. Click Enter/Edit Responsible Person (2100G). The 834 Maintenance Screen - Responsible Person screen displays. Enter information to populate the 2100G loop.
  6. Click Enter/Edit Member Reporting Information (2750). The 834 Maintenance Screen - Member Reporting Information screen displays. Enter information to populate the 2750 loop.
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