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Avatar Cal-PM 2023 Update 80

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Product Requirements and Recommendations

Avatar Cal-PM required
RADplus required

Recommended Update Level

Avatar Cal-PM 2022 Update 77
Avatar Cal-PM 2023 Monthly Release 2023.03.01
RADplus 2023 Monthly Release 2023.03.01

Product Update Description

Resolved the issue in the 'Payor Based Authorizations' form for authorization group definitions where the 'Select Authorizations To Edit/Delete' button fails to display all authorizations previously entered.

Required Updates

Avatar Cal-PM 2022 Update 77

Included Updates

None

Details
NEW0 CHANGED0 FIXED1
Fixed (1)
Payor Based Authorization
Resolves an issue in the 'Payor Based Authorizations' form for authorization group definitions where the 'Select Authorizations To Edit/Delete' button fails to display all authorizations previously entered. KB0075189 v0.01
Topics
• Payor Based Authorization
 
Acceptance Tests
AV-92809 Summary | Details
Payor Based Authorization
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Crystal Report Viewer
  • Payor Based Authorizations
Scenario 1: Payor Based Authorizations - Add/Edit
Specific Setup:
  1. Registry setting:
  2. Payor Based Authorizations >> Enable Payor Based Authorizations = Y.
  3. Payor Based Authorizations >> Enable CPT Based Payor Authorizations Registry Setting Value = N.
  4. Authorization Group >> Require Authorizations at Guarantors/Payors Level Registry Setting Value = Y.
  5. Authorization Group Definition:
  6. Create new Authorization groups.
Steps
  1. Open 'Payor Based Authorizations’ form.
  2. Select 'Add'.
  3. Select 'Guarantor'.
  4. Select 'Program'.
  5. Enter 'Effective Date'.
  6. Enter 'Expiration Date'.
  7. Select 'Authorization Group'.
  8. Validate 'Service Codes' selected based on the selected 'Authorization Group'.
  9. Enter 'Authorization Number'.
  10. Click on Submit.
  11. Open 'Payor Based Authorizations’ form.
  12. Select 'Edit'.
  13. Select 'Guarantor'.
  14. Click on 'Select Authorizations To Edit/Delete' button.
  15. Select above record.
  16. Click OK.
  17. Edit desired fields.
  18. Click Submit.
  19. Open 'Payor Based Authorizations’ form.
  20. Select 'Edit'.
  21. Select 'Guarantor'.
  22. Click on 'Select Authorizations To Edit/Delete' button.
  23. Select above record.
  24. Click OK.
  25. Validate that the edited field contains the correct data,
  26. Close the form.
Scenario 2: 'Payor Based Authorizations' - Verification of Authorization Deletion
Specific Setup:
  1. Registry setting:
  2. Payor Based Authorizations >> Enable Payor Based Authorizations = Y.
  3. Payor Based Authorizations >> Enable CPT Based Payor Authorizations Registry Setting Value = N.
  4. Authorization Group >> Require Authorizations at Guarantors/Payors Level Registry Setting Value = Y.
  5. Authorization Group Definition:
  6. Create new Authorization groups.
  7. Payor Based Authorization:
  8. Create multiple payor based authorizations.
Steps
  1. Open ‘Payor Based Authorizations’ ' form.
  2. Select 'Delete'.
  3. Select 'Guarantor'.
  4. Click on 'Select Authorizations To Edit/Delete' button.
  5. Select any record.
  6. Click OK.
  7. Click Submit.
  8. Open ‘Payor Based Authorizations’ ' form.
  9. Select 'Edit'.
  10. Validate that the deleted authorization does not display in the list.
  11. Close the form.
Topics
• Payor Based Authorization