Provider Activity Invoice Payment

Avatar MSO > Provider Management > Provider Activity Authorization

1. In the Select Provider window, search for and select an MSO contracting provider.
2. In the Readjudicate Invoices Previously Pended Due to Depleted Monthly Max field, select whether or not the system should search for activities that were previously pended with a reason of "Provider monthly dollar limit has insufficient remaining funds for this activity." (This functionality determined based on the Select Authorization Types to Enable Monthly Max Percentage to Disburse field on the Funding Source Registration form.) If any activities are found, and any dollars have been left undistributed in the intervening months, those dollars can be distributed against the previously pended activities and the activities approved for payment.
3. The Provider Invoices field lists each of the provider's activity invoices with a Closed status where payment has not been filed. Select each invoice to include in this payment filing.
   • If there are no closed provider activity invoices where payment has not been filed on file for the provider, you still have the option to create a dollar adjustment record by selecting Non-Invoice Provider Adjustment in the Provider Invoices field.
4. In the Payment Date field, enter the date.
5. If an adjustment is needed:
   • Enter the amount in the Adjustment to Payment Amount field.
   • Select the code in the Adjustment Code field.
     Codes with an Adjustment Type of Credit will increase the Final Payment Amount.
     Codes with an Adjustment Type of Debit will decrease the Final Payment Amount.
6. The Final Payment Amount field displays the total of the selected Provider Invoices, plus or minus any Adjustment to Payment Amount entered. 
7. Click Submit.

► SQL Tables

• SYSTEM.prov_act_payment