Avatar Cal-PM 'Support MSO Other Healthcare Coverage' Registry Setting
The help/description message for Avatar Cal-PM Registry Setting 'Support MSO Other Healthcare Coverage' is updated.
Value Added: Updates Registry Setting help/description message with edits and additions.
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Topics
• Registry Settings
• NX
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Admission - "ProviderConnect Enterprise" section
The "ProviderConnect Enterprise" section of the 'Admission' form is updated to prevent editing/deleting previously filed client mappings.
Value Added: Support for ProviderConnect Enterprise
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Topics
• Admission
• ProviderConnect Enterprise
• Admission (Outpatient)
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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.
Value Added: Allows services to be billed as Primary in the SBR segment when the services have previously been claimed for a different payor.
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Topics
• myAvatar/myAvatar NX
• Posting/Adjustment Codes
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Eligibility Inquiry (270) Request - exclude client with expired coverage
The new field, ‘Exclude Clients With Expired Coverage For Selected Guarantor(s)’, has been added to the 'Batch Eligibility Inquiry (270) Request' and the 'Batch Eligibility Scheduler Options' sections of the 'Eligibility Inquiry (270) Request' form.
Value Added: Clients with expired coverage can be included in the Eligibility Inquiry (270) Request
270 - Segments to Suppress
The ability to suppress segments of the 270 file has been added.
Value Added: Allows users to define segment output to the 270 file.
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Topics
• Eligibility Inquiry (270) Request
• Eligibility Inquiry (270) Submission
• NX
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CSI Assessment - Site Specific fields
The CSI Assessment site specific fields below will not output the both the code and value to the 'assessment_ca_csi_ss_data' table.
Value Added: The field values now display in the 'assessment_ca_csi_ss_data' table.
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Topics
• CSI Assessment
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Avatar AM 2021 is Installed
Installation will upgrade to the 2022 version. This will not change any current functionality.
Value Added: Upgrade to current 2022 version
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Topics
• Upgrade
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'Quick Billing Rule Definition' Form
The field 'Include Primary and/or Secondary Billing' is now required in the 'Quick Billing Rule Definition' form when selecting either '837 Institutional' or '837 Professional' in the 'Billing Form' field.
Value Added: Updates 'Quick Billing Rule Definition' form validation
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Topics
• Quick Billing
• NX
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Avatar Cal-PM 'Payor Based Authorizations'
The 'Payor Based Authorizations' form is introduced to Avatar Cal-PM.
Value Added: Adds 'Payor Based Authorizations' form and functionality to Avatar Cal-PM.
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Topics
• Registry Settings
• Service Authorizations
• NX
• Client Charge Input
• Electronic Billing
• Scheduling Calendar
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Eligibility Inquiry (270) - Request and Submission
The 'Eligibility Inquiry (270) Request' form is updated to clear the value of the 'Guarantor' field when switching between sections of the form. The 'Eligibility Inquiry (270) Submission' report will not report duplicate data if the form is submitted again without changing the submission data.
Value Added: Data is cleared when changing between segments on the Eligibility Inquiry (270) Request form.
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Topics
• Eligibility Inquiry (270) Request
• Eligibility Inquiry (270) Submission
• NX
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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.
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Topics
• Service Fee/Cross Reference Maintenance
• Electronic Billing
• NX
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'Women's Health History' form
Ensure the 'Women's Health History' form allows data entry for clients with a sex of either "Female" or "Transgender (F to M)".
'CSI Admission' web service
Ensure the 'CSI Admission' web service files successfully without having the 'Birth Name (Middle)' field populated as this is not a required field.
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Topics
• Women's Heath History
• Pregnancy
• Csi Admission
• Web Services
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274 - Provider Directory Definition - inactive provider
The '274 - Provider Directory Definition' has been updated to correctly process inactive providers, including providers that are inactive at one site, but active at a different site.
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Topics
• 274 - Provider Directory
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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.
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Topics
• Electronic Billing
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'Client Ledger' Re-Billed Service Display
An issue is resolved to ensure that services for re-billed claims are correctly displayed in the 'Client Ledger' form 'Simple' Ledger Type.
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Topics
• Client Ledger
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File Import - Client Charge Input - Inhibit Billing By Service
Resolves an issue to ensure that the service rendered to the client through 'File Import' client charge input file with the 'Billable (Inhibit Billing)' field set to "N" is inhibited from the billing correctly.
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Topics
• Inhibit Billing
• NX
• Client Charge Input
• File Import
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"SYSTEM.billing_plan_table_levels" table - field length's
A data truncation issue that could occur when displaying SQL table data in the "covered_charge_cat_all" and "pract_cat_for_cov_all" fields of the "SYSTEM.billing_plan_table_levels" table is resolved by expanding the "MAXLEN" value for the fields to "255"
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Topics
• Data Warehouse
• Database Management
• NX
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Share of Cost - Quick Billing
Quick Billing functionality has been updated to prevent Share of Cost with an unmet Share of Cost from being closed.
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Topics
• Quick Billing
• Share of Cost Management
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'Client Admission' web service
Ensure the ability to file the 'Client Admission' web service for new and existing clients.
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Topics
• Admission
• NX
• Web Services
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