Information in Avatar Forms

The following information will be sent from Avatar to ProviderConnect when Synchronize ProviderConnect to Avatar is clicked:

• Avatar PM:
  Dictionary codes
  Diagnosis codes
  Member Demographics
  Guarantors
  Benefit Plans
  Sliding Fee Scale Definitions
  Practitioners
  Programs
  Cross-Episode Financial Eligibility
  Avatar PM information sent when applicable:
  Michigan client profile
  Michigan Taxable Income
  TEDS Admission
  TEDS Discharge
  Enrollment Eligibility
  Functional Assessment Tools
• Avatar MSO:
  Dictionary codes
  CPT codes
  Revenue Codes
  Contracting Provider Registration (including performing providers)
  Coordinating Provider
  Funding Source Registration
  Provider Fee Definition
  Plan Definition
  Authorization Grouping
  Service Authorizations
  Claims Processing
  Create EOB

Note: Service data from Claims Processing, Create EOB, and Create Voucher. This includes EOB and Voucher data where present.
Create Voucher
PI Assessment Appointment Form (when applicable)
PI Admission Appointment Form (when applicable)
PI Detox Aftercare Appointment Form (when applicable)
PI Sentinel Event Form (when applicable)