Skip to main content

Avatar Cal-PM 2023 Update 76

Product Requirements and Recommendations

Avatar Cal-PM required
RADplus required

Recommended Update Level

Avatar Cal-PM 2023 Monthly Release 2023.04.00
RADplus 2023 Monthly Release 2023.04.00

Product Update Description

An issue is resolved where loading an 835 file may error if each segment is on a separate line.

Required Updates

None

Included Updates

None

Details

NEW0 CHANGED0 FIXED1
Fixed (1)
835 Health Care Claim Payment/Advice
Resolves an issue where loading an 835 file may error if each segment is on a separate line. KB0075296 v0.01
Topics
• 835 Health Care Claim Payment/Advice
 
Acceptance Tests

AV-93090 Summary | Details
835 Health Care Claim Payment/Advice
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • 835 Health Care Claim Payment/Advice (PM)
  • Admission (Outpatient)
  • Claim Adjustment Group/Reason Code Definition
  • Client Ledger
  • Crystal Report Viewer
  • Diagnosis
  • Electronic Billing
  • Financial Eligibility
  • Registry Settings (PM)
Scenario 1: '835 Health Care Claim Payment/Advice' - Files with and without end of segment separator
Specific Setup:
  • 835 Health Care Claim Payment/Advice:
  • An 835 file exists where each segment has its own row, with no end of row separators. Note the client(s) that will have payments/adjustments made and the services the payments will be made to.
  • An 835 file exists where each segment has end of row separators. Note the client(s) that will have payments/adjustments made and the services the payments will be made to.
  • The files have been placed in the appropriate directory for processing as setup in 'Facility Defaults'.
Steps
  1. Open Avatar PM '835 Health Care Claim Payment/Advice' form.
  2. Load, compile and post each file.
  3. Close the form.
  4. Open 'Client Ledger' to validate that the payments/adjustment were posted to the client's ledger appropriately.
  5. Close the form.
Topics
• 835 Health Care Claim Payment/Advice