Payment Order/Remittance Advice (820) - PM

Process 820 Payment Order/Remittance Advice file information.

myAvatar PM > Billing > Electronic Submission > Payment Order/Remittance Advice (820)

• The 820 payment order/remittance advice file details remittance information for services rendered.

• The Enable 820 Transaction Set registry setting must be enabled.

1. In the Options field:

• Select Load File to load a compiled 820 file.
• Select Compile File to assemble the 820 information into a temporary file.
  • The Payment Order/Remittance Advice (820) report is generated when the 820 file is compiled without errors.
  • The report details compiled data, any errors associated with the compile, and an eligibility comparison.
• Select Run Report to generate the Payment Order/Remittance Advice (820) report for a 820 file.
• Select Dump File to generate a report of the compiled 271 file. The report displays the data for an inbound 820 file.
• Select Post File to post the 820 file information to Avatar.
• Select Delete Loaded/Compiled File to delete a loaded or compiled 820 file. Information in the file can be compiled again into another file.

2. In the File Path\Name field, enter the file path for the 820 file.

3. In the Select File field, select the 820 file. This field displays the file status, date compiled, time compiled, and the user performed the compile.

4. Click Process File to perform the action selected in the Options field:

• Load File - the 820 file is loaded into myAvatar PM, and is ready to be compiled.
• Compile File  - the loaded file is compiled into a temporary file.
  • The Payment Order/Remittance Advice (820) report is generated when the 820 file is compiled without errors.
  • Errors can be reviewed by generating the Payment Order/Remittance Advice (820) report (select Run Report in this field).
• Run Report - the Payment Order/Remittance Advice (820) report is generated.

This report contains the following sub-reports:

• Compiled Data: Sorted by unique ID, and displays the data compiled in the 820 file.

• Errors Associated With Compilation: Displays error encountered when processing the compile.

• Eligibility Comparison: Displays differences between the 820 file data, and member eligibility data in myAvatar PM from other sources, such as 271 or 834 eligibility coverage data. This report highlights differences between the two. For example, 'Subscriber Unique ID Not Found in Eligibility Table', or 'Subscriber Unique ID Not Found in the Current 820 Compile'.

• Dump File - the Payment Order/Remittance Advice (820) Dump File report is generated.

• Post File - the 820 file is processed by myAvatar PM.

• Delete Loaded/Compiled File - the 820 file is deleted from myAvatar PM.