Product Requirements / Recommendations
Avatar Cal-PM required
RADplus required
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'Electronic Billing' - 837 Professional 2400-SV1 Service Information
An issue is resolved to ensure that applicable 'Service Unit Of Measurement Code'/'Quantity' overrides defined in the 'Service Fee/Cross Reference Maintenance' form (Guarantor Definition section) are utilized when generating an 837 Professional bill via the Avatar PM 'Electronic Billing' form/function.
Included Updates
None
Product Update Form Description
The issue is resolved where the unit override defined in the 'Quantity' field on the 'Service Fee/Cross Reference Maintenance' form (Guarantor Definition section) is not utilized when billing an 837 Professional bill.
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Topics
• Service Fee/Cross Reference Maintenance • Electronic Billing • NX
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'Electronic Billing' Support for Services Originating in Avatar MSO
An issue is resolved to ensure that 837 5010 Professional and Institutional files produced via the Avatar Cal-PM 'Electronic Billing' form correctly produce 2320-AMT(D) Coordination Of Benefits (COB) Payer Paid Amount and 2320-AMT(EAF) Remaining Patient Liability Amount segments/values for services originating in Avatar MSO when the Avatar Cal-PM 'Support MSO Other Healthcare Coverage' Registry Setting is enabled.
Included Updates
None
Product Update Form Description
The issue is resolved where the 837 5010 Professional and Institutional files produced via the 'Electronic Billing' form is always producing 0 in 2320-AMT(D)-02, and not producing the 2320-AMT(EAF) segment for MSO OHC services.
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Topics
• Electronic Billing
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Electronic Billing - SBR segment
The ability to force claims as primary payer when it was originally submitted to a different payor has been added to the system.
This is accomplished by adding a field to the 'Posting/Adjustment Codes Definition' form. The field is: 'Bill Charge Created from this Transfer Code as Primary'.
Included Updates
10, 11, 15
Product Update Form Description
The 'Posting/Adjustment Codes Definition' form is updated to include the 'Bill Charge Created from this Transfer Code as Primary' field. This allows for an 837 Professional or 837 Institutional claim to be submitted as a primary payer for the transfer code.
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Topics
• myAvatar/myAvatar NX • Posting/Adjustment Codes
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Included Updates
7
Product Update Form Description
An issue where the Client Admission web service incorrectly fails with the error "Client Name field and Client First Name are not the same" is resolved.
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Topics
• Admission • NX • Web Services
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