Provider Activity Invoice Details Section

Provide the details for each provider activity invoice.

myAvatar MSO > Provider Management > Provider Activity Invoice

1. The Provider Activity Invoice grid allows you to view and manage each invoice. Use the Add New Item, Edit Selected Item, or Delete Selected Item buttons to make changes.
2. In the Funding Source field select the funding source for this activity.
3. In the Activity Date field, enter the date for the activity.
4. In the Activity Type field, select the activity type.
5. Click Display Valid Authorizations to see a list of any authorizations on file that match the above criteria.
6. In  the Activity Authorization Number field, enter the number.
7. In the Performing Provider field, select the performing provider for this activity.
8. In the Contracting Provider Program field, select the associated program.
9. In the Activity Amount field enter the dollar amount of the activity cost.
10. The Activity Status field displays whether the activity is Approved, Denied, or Pended. The selection in this field is determined by the system on activity adjudication and can be edited only in this form.
11. In the Activity Status Reason field, select the reason for the status. The available reasons are filtered by the Activity Status.
12. The Explanation of Coverage field displays details from the system for denied and pended activities.