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Included Updates
None
Product Update Form Description
An issue has been resolved where the putClinicianUpdate request of the Clinician Services web service may incorrectly return the error "Row 1:Category/Taxonomy is already defined".
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Topics
• Web Services
• NX
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Quick Actions - Update Client Data
The following issues have been resolved: 1) In the NX Quick Action 'Update Client Data', the registry setting 'Update Financial Eligibility Data' is respected. 2) In the NX Quick Action 'Update Client Data', the 'State' and 'County' fields display available drop down list options correctly. 3) In the NX Quick Action 'Update Client Data', the 'City' and 'State' fields populate automatically if a 9-digit zip code is entered. 4) In the NX Quick Action 'Update Client Data', changing a client's name may result in incorrect data for the 'Client First Name' and 'Client Last Name' fields.
Included Updates
None
Product Update Form Description
The following issues are resolved: 1) In the NX Quick Action 'Update Client Data', the registry setting 'Update Financial Eligibility Data' is ignored. 2) In the NX Quick Action 'Update Client Data', the 'State' and 'County' fields do not display available options and may file data incorrectly. 3) In the NX Quick Action 'Update Client Data', the 'City' and 'State' fields do not populate automatically if a 9-digit zip code is entered. 4) In the NX Quick Action 'Update Client Data', changing a client's name may result in incorrect data for the 'Client First Name' and 'Client Last Name' fields.
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Topics
• Quick Actions
• Site Specific Section Modeling
• Update Client Data
• NX
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'Add First Ever Diagnosis Check' Registry Setting
Registry Setting 'Add First Ever Diagnosis Check' is added to Avatar Cal-PM.
Registry Setting 'Add First Ever Diagnosis Check' is introduced to the system, and provides control over the 'Is this the first ever diagnosis?' field in the Avatar Cal-PM 'Diagnosis' form.
Included Updates
None
Product Update Form Description
New registry setting 'Add First Ever Diagnosis Check' is introduced to the system. This setting provides control over field 'Is this the first ever diagnosis?' that is a part of the 'Diagnosis' form.
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Topics
• Diagnosis
• Web Services
• Registry Settings
• NX
• Modeling
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Electronic Billing / Quick Billing
Functionality for Electronic Billing and Quick Billing has been modified to prevent the following error when billing a service that has a co-practitioner, and the co-practitioner service falls to the default guarantor:
"[UNDEFINED]SvcIncluded+7^EB837Utils04"
Neither service will be billable until the co-practitioner service can also be billed on the claim.
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Edit Service Information - Inhibited Billing services
Modifications have been made to functionality to ensure that the inhibit billing records are retained when an open service is edited in the 'Edit Service Information' form.
Included Updates
14
Product Update Form Description
The following issues are resolved: 1) The error "[UNDEFINED]SvcIncluded+7^EB837Utils04" produced when sorting the 837 5010 Professional or Institutional files via the 'Electronic Billing' form. 2) When an open service is edited via the 'Edit Service Information' form, inhibit billing records are not retained.
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Topics
• Progress Notes
• 837 Professional
• NX
• 837 Institutional
• Quick Billing
• Quick Billing Rule Definition
• Inhibit Billing
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Included Updates
None
Product Update Form Description
An issue is resolved where more than one license may be used while using the 'Spreadsheet Edit Service Information' form.
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Topics
• Edit Service Information
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Site Specific Section Modeling - Practitioner Enrollment
Resolves an issue to ensure that the system prevents the submission of the 'Practitioner Enrollment' form when 'Site Specific Section Modeling' has been used to require a field, and the field contains no data.
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837 Institutional - Resolved diagnosis for discharge claims
The 837 Institutional claims evaluates the principal diagnosis segment (2300-HI) based on the claim statement date (2300-DTP).
The 837 Institutional logic is updated to evaluate resolved diagnosis based on the claim statement date.
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Edit Service Information - Validating To-Do's after editing 'Open' service
Resolves an issue to ensure that the open service can be modified successfully using 'Edit Service Information' form.
The SYSTEM.RADplus_workflow_to_do table displays a to-do in the table that is specific to the service stating it has been edited.
Included Updates
9, 15, 19
Product Update Form Description
The following issues are resolved: 1) Required field checking is not enforced for fields on the Site Specific Enrollment section of 'Practitioner Enrollment' form. 2) Editing a service in the 'Edit Service Information' form can take longer in a system that has a lot of data in the SYSTEM.RADplus_workflow_to_do table. Additionally, the logic associated with the Principal Diagnosis (2300-HI) segment has been updated to use the Statement Dates (2300-DTP) segment through date when populating applicable diagnosis for discharge claim (Claim Frequency Code 1 or 4).
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Topics
• Practitioner
• NX
• Diagnosis
• 837 Institutional
• Edit Service Information
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Program Maintenance - Cal-OMS Provider No Activity Submission Status
An issue has been resolved to include the 'Cal-OMS Provider No Activity Submission Status' field on the 'Program Maintenance' form when the 'Enable LA County Reporting Requirements’ registry setting has a value of 'YC'.
Included Updates
None
Product Update Form Description
An issue is resolved where the 'Cal-OMS Provider No Activity Submission Status' field may not appear on the 'Program Maintenance' form.
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Topics
• Cal-OMS
• NX
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Eligibility Inquiry (270) Submission
The 'Eligibility Inquiry (270) Submission' form has been updated to add the 'File From Date' and 'File Through Date' fields. This will enable users to select a smaller date range of files to remain under the maximum number of files available for selection. The maximum is 5000.
The fields are required when the following items are selected in 'Options': 'Run Report'; 'Dump File'; 'Create File On Server For Submission'; and 'Delete File'.
Included Updates
None
Product Update Form Description
The issue is resolved where the error "Error code 40000: Null result data returned from handleComponentEvent." is produced in the 'Eligibility Inquiry (270) Submission' form.
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Topics
• Eligibility Inquiry (270) Request
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274 - Site Definition
Modifications have been made to the 274 Site Definition functionality.
The changes are:
Remove the hyphen in a 9 digit zip code.
Change the 'Site or Location Address (2100DA-N3-01)' label to 'Site or Location Address (2110DA-N3-01)'.
Change the Site or Location Address 2 (2100DA-N3-02)' label to 'Site or Location Address 2 (2110DA-N3-02)'.
Included Updates
9, 19
Product Update Form Description
The following 274 related issues are resolved: 1) Punctuation (i.e. hyphen) was not removed from the zip code value included in a 274 submission file for field 'Site or Location Zip Code (2110DA-N4-03)'. This could occur when a 9 digit zip code value was entered in form '274 - Provider Directory Definition' section 'Site Definition'. 2) The field label 'Site or Location Address (2100DA-N3-01)' is corrected to 'Site or Location Address (2110DA-N3-01)' 3) The field label 'Site or Location Address 2 (2100DA-N3-02)' is corrected to 'Site or Location Address 2 (2110DA-N3-02)'
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Topics
• 274 - Provider Directory
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'CANS/PSC35 Submission' And 'CANS/PCS File Import' Forms
An issue is resolved to ensure that the Avatar Cal-PM 'CANS/PSC35 Submission' and 'CANS/PCS File Import' forms/processes do not default the 'Client Index Number' as '00000000' if no 'Client Index Number' is found in the Client's Financial Eligibility record.
Included Updates
None
Product Update Form Description
An issue is resolved where the 'CANS/PSC35 Submission' and 'CANS/PCS File Import' process would default the 'Client Index Number' to '00000000' if no 'Client Index Number' was found in the Client's Financial Eligibility record.
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Topics
• CANS/PSC35 File Import
• NX
• CANS/PSC35 Submission
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Included Updates
None
Product Update Form Description
A new widget 'Task Scheduler Status' is added to the system.
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Topics
• Widgets
• System Task Scheduler
• NX
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Financial Eligibility - Subscriber Sex
The issue is resolved when the 'Subscriber Sex' field may be cleared on the 'Financial Eligibility' form.
When the registry setting 'Update Financial Eligibility Data' = Y, the 'Subscriber Sex' field will contain the extended dictionary value from ‘Gender (837 Professional/Institutional)’ in the Client 'Sex' dictionary, #3.
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Registry Setting - Exclude Services If No Treatment Plan
The functionality for the 'Exclude Services If No Treatment Plan' registry setting is updated to remove fields/sections from forms when the registry setting value is modified.
The registry setting value of 'Y' adds the 'Exclude Service From Bill If No Final Treatment Plan In Effect For Service Date In Question' field to the 'Guarantors/Payors' form. It also adds the fields 'Treatment Plan Required' and 'Number Of Days After Admission That Treatment Plan Is Required' to the 'Program Maintenance' form. If the value is changed from 'Y' to 'P' or 'N' the fields will be removed from the 'Program Maintenance' form.
The registry setting value of 'P' adds 'Exclude Service From Bill If No Final Treatment Plan In Effect For Service Date In Question' field on the 'Guarantors/Payors' form and adds and a new section, 'Treatment Plan Requirements' to the form.
The registry setting value of ‘N’ removes all fields/sections from the 'Program Maintenance' and the 'Guarantors/Payors' forms.
Included Updates
9, 14, 15, 19, 21, 28
Product Update Form Description
The following issues are resolved: 1) Filing the 'Update Client Data' form for a patient might result in the 'Subscriber Sex' field being cleared on the 'Financial Eligibility' form. 2) Changing the value of 'Exclude Services If No Treatment Plan' registry setting from "Y" to "P" will not remove the 'Treatment Plan Required?' and 'Number Of Days After Admission That Treatment Plan Is Required' fields on the 'Program Maintenance' form.
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Topics
• Financial Eligibility
• Update Client Data
• NX
• Treatment Plan
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'File Import' - Program Maintenance
The 'File Import' form is updated to support the 'Associated Service Programs' field for 'Program Maintenance'.
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Program Maintenance - 'EVV Provider Organization ID' field
The 'EVV Provider Organization ID' field is added to the 'Program Maintenance' form. The program maintenance web service and file import are updated accordingly.
Included Updates
10
Product Update Form Description
The following changes are made: 1) The new field 'EVV Provider Organization ID' is added to the 'Program Maintenance' form. The program maintenance web service and file import are updated accordingly. 2) The 'File Import' form is modified to support 'Associated Service Programs' field for 'Program Maintenance'.
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Topics
• Program Maintenance
• File Import
• Web Services
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A new report: 'CPT License Count Report' is added to Avatar PM.
A new report called 'CPT License Count Report' is added to list active Avatar Users and Practitioners that have used CPT Codes in Avatar PM. The report needs to be run for each facility in the system. Inactive User and Providers are not included.
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Copyright notice is added to forms where CPT content is displayed.
Per the AMA, all forms will contain a copyright notice. The notice: "CPT copyright 2021 American Medical Association. All rights reserved." will be added to the bottom of forms via a display only text field. The trademark symbol will be displayed following the first appearance of 'CPT' in each form section.
The following forms will display the copyright notice:
* Program Maintenance
* Single Program Maintenance
* Modifiers By Practitioner Categories
* Payor Based Authorizations
* Eligibility Inquiry (270) Request
* Real-Time Inquiry (270) Request
* Eligibility Inquiry and Response (270/271) Report
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CPT Code copyright notice is added to Avatar forms.
The AMA copyright notice: "CPT copyright 2021 American Medical Association. All rights reserved." will be added to the bottom of the following forms via a display only text field.
* CPT Code Definition
* CPT Place of Service Override
* Service Fee/Cross Reference Maintenance
* Service Fee/Cross Reference Maintenance (Guarantor Definitions)
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Avatar PM is enhanced with updated CPT codes.
Avatar PM is updated with the AMA provided list of CPT codes for 2021. Only codes that do not already exist in the system will be added. Existing CPT Codes will not be overridden. No start or end dates are added. Any CPT codes that already exist within Avatar PM will remain unchanged.
Included Updates
9, 19
Product Update Form Description
The following is included: 1) Avatar Cal-PM is updated with the AMA provided list of CPT codes for 2021. Any CPT codes that already exist within Avatar Cal-PM will remain unchanged. 2) CPT trademark/copyright labels are added to the following forms: 'CPT Code Definition', 'Service Fee/Cross Reference Maintenance' (tabs 'Service Fee Maintenance' and 'Guarantor Definitions'), 'Program Maintenance', 'Modifiers By Practitioner Categories', 'Payor Based Authorizations', 'Eligibility Inquiry (270) Request','Real-Time Inquiry (270) Request' and 'Eligibility Inquiry and Response (270/271) Report'. 3) Start Date and End Date fields are added to the 'CPT Code Definition' form. 4) 'CPT License Count Report' is added to list active Avatar Users and Practitioners that have used CPT Codes in Avatar Cal-PM. The report needs to be run for each facility.
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Topics
• NX
• CPT License Count Report
• Program Maintenance
• Service Authorizations
• Eligibility Inquiry (270) Request
• Eligibility Response (271)
• Service Fee/Cross Reference Maintenance
• CPT Codes
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Database Management - SQL Query
An issue has been resolved where the 'SYSTEM.billing_tx_xref_table' could reach an infinite loop error during 'File Import' for 'Service Fee/Cross Reference'.
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Cal-OMS Submission
The logic for 'Cal-OMS Submission' has been updated to review the most recent submitted data for the Cal-OMS Annual Update first, instead of reviewing it after reviewing all other submitted data.
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Cal-OMS Submission - Deletion of submitted Discharge
The 'Cal-OMS Submission' functionality has been updated to correctly process a Discharge Deletion after the Discharge was submitted.
Included Updates
None
Product Update Form Description
The following changes are made: 1) Fixed an issue in the form 'Cal-OMS Submission' where data would be pulled from the oldest annual update. 2) Fixed an issue where a 'File Import' for form 'Service Fee/Cross Reference' does not complete and does not get posted. 3) Resolved the issue where 'Date of Birth' and 'Date of Discharge' are undefined when attempting to submit a Cal-OMS Deletion of Discharge.
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Topics
• Database Management
• Cal-OMS
• NX
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'Call Intake' is enhanced to add additional fields.
Registry Settings are added to enhanced 'Call Intake':
* 'Disallow Call Intake for Program Types'
* 'Add Demographics to Call Intake'
* 'Add SSN to Call Intake'
In addition, the SYSTEM.call_intake_history SQL table is updated with the new fields.
Included Updates
None
Product Update Form Description
The following registry settings have been added: 1) 'Disallow Call Intakes For Program Types' 2) 'Add Demographics to Call Intake' 3) 'Add SSN to Call Intake'. This will give the end-user the ability to add the 'Demographics' tab and the prompts, 'Sex', 'Age', 'SSN', and 'Date Of Birth', to the 'Call Intake' option.
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Topics
• Registry Settings
• NX
• Call Intake
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'Team Assignment' is enhanced to no longer display inactive teams.
When a 'Team' is marked as inactive in the 'Team Definition' form, the inactive teams will no longer display in the 'Team Assignment' drop down in the admission forms.
In addition, when a team is deleted or a client episode is removed from a Team, the 'SYSTEM.admission_data_other' SQL table will be updated to clear the 'team_assignment_code' field for the client.
Included Updates
None
Product Update Form Description
"Client Team Assignment" is enhanced as follows: 1) Inactive Teams will no longer display in the 'Team Assignment' drop down lists. 2) When an 'Episode' is removed from a 'Team' or a 'Team' is deleted, the 'team_assignment_code' field is cleared on all associated client admission rows in the 'SYSTEM.admission_data_other' SQL table. Note that Avatar RADplus 2022 Update 58 must also be installed to support this functionality.
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Topics
• Team Definition
• Team Assignment
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Included Updates
None
Product Update Form Description
The issue is resolved where creating interim batches is taking an abnormally long time to complete.
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Topics
• Interim Billing Batch
• NX
• Liability Update
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File Import - 'Claim Follow-Up Notes' Support
The 'Claim Follow-Up Notes' file type has been added to the Avatar Cal-PM 'File Import' form.
The 'File Import' form is updated to include/support the 'Claim Follow-Up Notes' file type/selection in Avatar Cal-PM. The 'Claim Follow-Up Notes' File Import file type/selection allows for import of Claim Follow-Up/Claim Follow-Up Notes information for claims/services in system.
Included Updates
9, 10, 19, 38, 40
Product Update Form Description
Add "Claim Follow Up Notes" Import to File Import.
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Topics
• File Import
• Claim Follow-up
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Program Maintenance - Substance Abuse Program (Cal-OMS)
The 'Program Maintenance' field, 'Substance Abuse Program (Cal-OMS)' has been updated. The updated field selection options are: 'No', 'Yes (Reportable)' and 'Yes (Not Reportable)'.
Included Updates
9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 48
Required Updates
Avatar Cal-PM 2022 Update 38
Product Update Form Description
Field 'Substance Abuse Program (Cal-OMS)' in form 'Program Maintenance' is updated to support the identifying of a program as SUD related but not reportable to CalOMS Tx. This is accomplished by adding new choice 'Yes (Not Reportable)' to the 'Substance Abuse Program (Cal-OMS)' dictionary and by changing the description of current choice 'Yes' to 'Yes (Reportable)'. Any SUD related billing logic would still apply to SUD related programs whether reportable or not.
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Topics
• Cal-OMS
• 837 Professional
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Included Updates
None
Product Update Form Description
The system is prepared for future functionality.
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Topics
• Bed Assignment
• CareFabric Monitor
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'Guarantors/Payors' Form 'Treatment Plan Requirements' Fields
The 'Requirement Start Date' and 'Requirement End Date' fields are added to the Avatar Cal-PM 'Guarantors/Payors' form 'Treatment Plan Requirements' section.
The 'Requirement Start Date' and 'Requirement End Date' fields in the Avatar Cal-PM 'Guarantors/Payors' form 'Treatment Plan Requirements' section may be used to limit the date range for which Electronic Billing requires a Treatment Plan for services to be billed (in conjunction with other 'Treatment Plan Requirements' fields and according to the 'Exclude Services If No Treatment Plan' Registry Setting).
Included Updates
9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 48
Product Update Form Description
Added the fields 'Requirement Start Date' and 'Requirement End Date' to the tab 'Treatment Plan Requirements' within the form 'Guarantor/Payors'. This will check whether or not to exclude client services from requiring a Treatment Plan for billing.
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Topics
• Electronic Billing
• Treatment Plan
• Guarantor
• NX
• File Import
• Registry Settings
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Diagnosis - 'SearchDiagnosisCodes' web service
Ensure the 'Diagnosis' - 'SearchDiagnosisCodes' web service returns diagnosis codes as expected.
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Support is added for other products and modules
The 'Delete Last Practitioner Termination Date' form is enhanced to support other products and modules.
Included Updates
None
Additional Requirements
Avatar CareFabric 2022 Update 77
Product Update Form Description
Avatar Cal-PM is enhanced to support other products and modules. In addition, the error '[UNDEFINED]Invoke+47_GUIWebSearch *%CC.' that may occur when calling the 'SearchDiagnosisCode' web service method is resolved.
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Topics
• Diagnosis
• Web Services
• Practitioner
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Practitioner Enrollment - The 'Office Location ID, 'Staff EVV ID', 'Staff EVV Type' and 'Email Address' fields
The 'Office Location ID', 'Staff EVV ID', 'Staff EVV Type' and 'Email Address' fields are added to the 'Practitioner Enrollment' form. The 'SYSTEM.staff_current_demographics' SQL table, 'SYSTEM.staff_enrollment_history' SQL table and the Clinician web services are updated accordingly.
Included Updates
9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 48, 58
Product Update Form Description
The new fields 'Staff EVV ID', 'Office Location ID', 'Email Address', and 'Staff EVV Type' are added to the 'Practitioner Enrollment' form. The SQL tables 'SYSTEM.staff_current_demographics', 'SYSTEM.staff_enrollment_history', and the Clinician web service are updated accordingly.
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Topics
• Web Services
• Practitioner
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