Future Functionality
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- CareFabric Monitor
- Crystal Report Viewer
- Eligibility Inquiry (270/271) Real-Time Setup
- Eligibility Inquiry and Response (270/271) Report
- Financial Eligibility
- Guarantors/Payors
- Real Time Inquiry (270) Request
- Registry Settings (PM)
Scenario 1: Enable RevConnect = YA - Real Time Inquiry (270) Request
Specific Setup:
- Netsmart Client Alignment Associate has been contacted to enable 'RevConnect'.
- Netsmart Avatar support has completed the following:
- Enabled the 'Enable RevConnect' registry setting has been updated to contain 'YA'.
- Completed & submitted the 'RevConnect Configuration' form.
- 'System Generated Email Settings' has been used to add the tester’s email to enable notification verification.
- Registry Setting:
- The 'Enable 270/271 Transaction Sets' registry setting is set to 'Y'.
- Guarantors/Payors:
- An existing guarantor is identified and has a value of 'Yes' in 'Support 270/271 Transaction Sets' of the '270 / 271 / 834' sections. Note all selections on the form.
- Admission:
- A client is admitted to a program, or an existing client is identified. Note client id/name, admission date/program.
- Financial Eligibility: The above guarantor is assigned to client.
- Based on the setup in the '270 / 271 / 834' section of 'Guarantors/Payors', the client either has one, or any combination of the following: services, appointments, or an eligibility request in financial eligibility.
- Eligibility Inquiry (270/271) Real-Time Setup:
- The 'Access Point Type' contains a 'RevConnect' option only when the 'Enable RevConnect' registry setting has a value of 'YA'.
- The 'RevConnect Account Key' field is added to the form when the 'Enable RevConnect' registry setting has a value of 'YA'.
Steps
- Open 'Real Time Inquiry (270) Request'.
- Create a request for the client.
- Close the form.
- Open 'Eligibility Inquiry And Response (270/271) Report'.
- Enter the 'Client' ID' and other desired data.
- Click 'Display Report'.
- Validate the report data.
- Close the report.
- Close the form.
- Open 'Real Time Inquiry (270) Request'.
- Enter the 'Client ID', 'Guarantor' and other desired data.
- Click [Process Report].
- Click [OK].
- Review the report data.
- Validate that the 'Response' field contains the correct data.
- If desired, click [Post Inquiry].
- Close the form.
- Open 'CareFabric Monitor'.
- Enter the desired 'From Date', 'Through Date' and 'Client ID'.
- Click [View Activity Log].
- Review the data to ensure the events/actions were created.
- Close the report.
- Close the form.
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Topics
• Real Time Inquiry (270) Request
• RevConnect
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