Avatar Cal-PM 2024 Quarterly Release 2024.02 Acceptance Tests

• Registry Setting:
• The 'Allow Multiple Cal-OMS Admissions Per Avatar Episode' is set to 'Y'.
• The 'Enforce Annual Update Date Rule' registry setting is set to 'Y'
• The 'Enable LA County Reporting Requirements' registry setting is set to 'N'.
• The 'Enforce Monthly Reporting' registry setting is set to 'N'.
• Program Maintenance:
• Create a new Cal-OMS program or identify an existing program for use.
• The 'Substance Abuse Program (Cal-OMS)' field should be selected as 'Yes (Reportable)'.
• The 'Provider ID (CalOMS)' field should contain a value. (Not more than 6 digits).
• Note the program code/name.
• Admission:
• A new client is admitted to the program defined above. Note the client's id/name.
• Client A.
• Cal-Oms Admission:
• The 'Cal-OMS Admission' is created with all the required data using the 'Cal-OMS Admission' form for Client A.

1. Open the 'Cal-OMS Submission' form.
2. Set the 'Option' field to 'Compile' and enter the 'Through Date' value which will include Cal-OMS Admission record(s).
3. Click the 'Submit' button for Cal-OMS Submission file compilation.
4. Ensure that file compilation is completed successfully.
5. Set the 'Option' field to 'Print' and select compiled Cal-OMS Submission file.
6. In Cal-OMS Submission compiled data/records (opened using the 'Print Selected File Error(s)' button), ensure that compiled Cal-OMS admission data for 'Client A' is shown.
7. Close the report.
8. Set the 'Option' field to 'Submit (Create File)'.
9. Select the compiled Cal-OMS Submission file from the 'Select File To Print/Submit' field.
10. Select 'Review' for the 'Create File' field.
11. Click the 'Submit' button for Cal-OMS Submission file creation.
12. Validate that upon the successful submission, the text file(s) with the suffix "R" is generated.
13. Click [OK].
14. Click [No].
15. Ensure that Cal-OMS Submission files are created on the server in the designated output directory.
16. Validate that the Text Files generated have the suffix "R".
17. Open the .txt files and validate that the details for Cal-OMS admission show up for 'Client A'.
18. Open the 'Cal-OMS Submission' form.
19. Set the 'Option' field to 'Submit (Create File)'.
20. Select the compiled Cal-OMS Submission file from the 'Select File To Print/Submit' field.
21. Select 'Final' for the 'Create File' field.
22. Click the 'Submit' button for Cal-OMS Submission file creation.
23. Validate that upon the successful submission, the text file(s) with the suffix "F" is generated.
24. Click [OK].
25. Click [No].
26. Ensure that Cal-OMS Submission files are created on the server in the designated output directory.
27. Validate that the Text Files generated have the suffix "F".
28. Open the .txt files and validate that the details for Cal-OMS admission show up for 'Client A'.
29. Open the 'Cal-OMS Annual Update' form.
30. Select 'Client A' and select the respective Episode and the Cal-OMS Admission records in the pre-display.
31. Validate that the form opens with the relevant data successfully.
32. Fill out the form with all the required data.
33. Click [Submit].
34. Navigate back to the 'Cal-OMS Annual Update' form.
35. Validate that all the filed data displays properly.
36. Click [Discard].
37. Click [Yes].

• Clients are admitted and the diagnosis record(s) are created,
• Client A
• Client B
• Financial Eligibility is added to the clients as below,
• Client A - Guarantor 1.
• Client B - Guarantor 2.
• Rollup services and the respective component services are created using the 'Service Codes' form and set up with the fee using the 'Service Fee/Cross Reference Maintenance' form.
• Rollup 1
• Component 1(a)
• Component 1(b)
• Component 1(c)
• Rollup 2
• Component 2(a)
• Component 2(b)
• Component 2(c)
• Rollup 3
• Component 3(a)
• Component 3(b)
• Component 3(c)
• Using the 'Client Charge Input' form, enter a few component services on different dates for the client(s).
• Multiple Roll-Up Services Definitions are created that include the above roll-up/ component services.
• Rollup Definition 1
• Rollup Definition 2
• Rollup Definition 3
• Using the 'Compile Roll-Up Services Worklist' form compile the roll-up Worklist(s).
• Post the roll-up compiles and use 'Client Ledger' to spot check the roll-up services have been created and the component services have been adjusted appropriately.
• User Definition:
• User Definition gives the tester access to the below database table:
• "rollup_services_unpost"

1. Open ‘Compile/Edit/Post/Unpost Roll-Up Services Worklist’.
2. Select 'Unpost Selected Roll-Up Services'.
3. Validate that the 'Roll-Up Worklists' field is empty.
4. Click [Select Roll-Ups to Unpost].
5. Validate the received message says, "Missing required fields.".
6. Click [OK].
7. Click [Unpost Roll-Ups].
8. Validate the received message says, "Please select at least one roll-up service to unpost.".
9. Click [OK].
10. Click 'Roll-Up Posting Date' in the 'Select By Posting Date or Date of Service' field.
11. Enter appropriate 'From' and 'To' date(s), that include the roll-ups.
12. Click 'All Clients' in the 'All or Individual Client' field.
13. Validate that the 'Roll-Up Worklists' field shows all the roll-up(s) available to unpost with the selected date range.
14. Validate that the 'Client' search input field is disabled.
15. Click 'Individual Client' -in the 'All or Individual Client' field.
16. Validate that the 'Roll-Up Worklists' field is cleared up and empty.
17. Validate that the 'Client' search input field is now enabled.
18. Enter 'Client A' in the 'Client search' field and select from the results.
19. Validate that the 'Roll-Up Worklists' shows with the data that involves 'Client A'.
20. Select 'All' in the ''Roll-Up Worklists' field.
21. Click [Select Roll-Ups to Unpost].
22. Validate that the 'Select Roll-Up Services To Unpost' window opens up with the below filter options with data to select and the grid that has the service details.
23. Service Code.
24. Guarantor.
25. Location.
26. Practitioner.
27. In the 'Select Roll-Up Services To Unpost' form, Validate that the Grid shows data that only involves 'Client A'.
28. Click [Close/Cancel].
29. Enter 'Client B' in the 'Client search' field and select from the results.
30. Validate that the 'Roll-Up Worklists' shows with the data that involves 'Client B'.
31. Select 'All' in the ''Roll-Up Worklists' field.
32. Click [Select Roll-Ups to Unpost].
33. Validate that the 'Select Roll-Up Services To Unpost' window opens up with the below filter options with data to select and the grid that has the service details.
34. Service Code.
35. Guarantor.
36. Location.
37. Practitioner.
38. In the 'Select Roll-Up Services To Unpost' form, Validate that the Grid shows data that only involves 'Client B'.
39. Click [Close/Cancel].
40. Click 'All Clients' -in the 'All or Individual Client' field.
41. Validate that the 'Client' search input field is disabled.
42. Validate that the 'Roll-Up Worklists' field now shows all the roll-up(s) available to unpost with the selected date range.
43. Select 'All' in the ''Roll-Up Worklists' field.
44. Click [Select Roll-Ups to Unpost].
45. Validate that the 'Select Roll-Up Services To Unpost' window opens up with the below filter options with data to select and the grid that has the service details.
46. Service Code.
47. Guarantor.
48. Location.
49. Practitioner.
50. In the 'Select Roll-Up Services To Unpost' form, Validate that the Grid shows data that involves both 'Client A' and 'Client B'.
51. Validate that the grid is sorted by the client's last name.
52. Select and deselect the data from the four selection fields at the top of the screen.
53. Verify that when checking/ unchecking any of the values in the above four fields, the grid rows are updated with the appropriate roll-up services that match the selection.
54. Click [Save].
55. Click [Yes].
56. Click [Unpost Roll-Ups].
57. Validate the received message says, "Roll-up unposting complete."
58. Click [OK].
59. Validate that the Report Viewer opens up.
60. Verify that the report contains all the roll-up data that are successfully unposted.
61. Close the Report.
62. Query the below tables and verify that the posted roll-up data is displayed correctly:
63. "rollup_services_unpost"
64. Close the SQL Querying window.

• Clients are admitted and the diagnosis record(s) are created,
• Client A
• Client B
• Financial Eligibility is added to the clients as below,
• Client A - Guarantor 1.
• Client B - Guarantor 2.
• Rollup services and the respective component services are created using the 'Service Codes' form and set up with the fee using the 'Service Fee/Cross Reference Maintenance' form.
• Rollup 1
• Component 1(a)
• Component 1(b)
• Component 1(c)
• Rollup 2
• Component 2(a)
• Component 2(b)
• Component 2(c)
• Rollup 3
• Component 3(a)
• Component 3(b)
• Component 3(c)
• Using the 'Client Charge Input' form, enter a few component services on different dates for the client(s).
• Multiple Roll-Up Services Definitions are created that include the above roll-up/ component services.
• Rollup Definition 1
• Rollup Definition 2
• Rollup Definition 3
• Using the 'Compile Roll-Up Services Worklist' form compile the roll-up Worklist(s).
• Post the roll-up compiles and use 'Client Ledger' to spot check the roll-up services have been created and the component services have been adjusted appropriately.
• Roll-Up already claimed:
• Using the 'Electronic Billing' form, create claims for some roll-up services that have already been compiled and posted.
• Roll_Up has a payment, adjustment, or transfer posted:
• Post a payment, adjustment, or transfer against some existing roll-up services.
• User Definition:
• User should be added permissions for the below database table,
• "rollup_unpost_errors"

1. Open ‘Compile/Edit/Post/Unpost Roll-Up Services Worklist’.
2. Select 'Unpost Selected Roll-Up Services'.
3. Click 'Roll-Up Posting Date' in the 'Select By Posting Date or Date of Service' field.
4. Enter appropriate 'From' and 'To' date(s), that include our roll-ups.
5. Click 'Individual Client' -in the 'All or Individual Client' field.
6. Enter 'Client A' in the 'Client search' field and select from the results.
7. Validate that the 'Roll-Up Worklists' shows with the data that involves 'Client A'.
8. Select the roll-ups that have Payments/ Adjustments/ Transfers for the services.
9. Click [Select Roll-Ups to Unpost].
10. Validate that the 'Select Roll-Up Services To Unpost' window opens up with the below filter options with data to select and the grid that has the service details.
11. Service Code.
12. Guarantor.
13. Location.
14. Practitioner.
15. In the 'Select Roll-Up Services To Unpost' form, Validate that the 'Pmt/Adj' column fields show a "Y" for the services that have Payments/ Adjustments/Transfers.
16. Select the service row for which the 'Pmt/Adj' fields show a "Y".
17. Click [Save].
18. Click [Yes].
19. Click [Unpost Roll-Ups].
20. Validate that the received message says "Roll-up unposting complete. Errors found."
21. Click [OK].
22. Validate that the Report Viewer opens up.
23. Verify that the report contains 'No Data Found For Report' with the 'Roll-Up Services Unpost Errors' link.
24. Click the 'Roll-Up Services Unpost Errors' link.
25. Validate that the 'Roll-Up Services Unpost Errors' have the error detail concerning the payment/ Adjustment/ transfer posted to the roll-up service.
26. Close the Report.
27. Repeat steps 3 to 7 for 'Client B'.
28. Select the roll-ups that have Claims for the services.
29. Click [Select Roll-Ups to Unpost].
30. Validate that the 'Select Roll-Up Services To Unpost' window opens up with the below filter options with data to select and the grid that has the service details.
31. Service Code.
32. Guarantor.
33. Location.
34. Practitioner.
35. In the 'Select Roll-Up Services To Unpost' form, Validate that the 'Claim #' column fields show the Claim number for the services that are already claimed.
36. Select the service row for which the 'Claim #' column fields have the Claim number.
37. Click [Save].
38. Click [Yes].
39. Click [Unpost Roll-Ups].
40. Validate that the received message says "Roll-up unposting complete. Errors found."
41. Click [OK].
42. Validate that the Report Viewer opens up.
43. Verify that the report contains 'No Data Found For Report' with the 'Roll-Up Services Unpost Errors' link.
44. Click the 'Roll-Up Services Unpost Errors' link.
45. Validate that the 'Roll-Up Services Unpost Errors' have the error detail concerning the roll-up service that has been claimed along with the claim number(s).
46. Close the Report.
47. Query the below tables and verify that the error details are captured and shown correctly,
48. "rollup_unpost_errors"
49. Close the SQL Querying window.

• Rollup services and the respective component services are created using the 'Service Codes' form and set up with the fee using the 'Service Fee/Cross Reference Maintenance' form.
• Rollup 1
• Component 1(a)
• Component 1(b)
• Component 1(c)

1. Open ‘Roll-Up Services Definition’.
2. Validate that the new field 'Roll-Up Add-On Codes If Present' exists with the below options,
3. Yes.
4. No.
5. Validate that by default no options are selected.
6. Click 'Add' in 'Add/Edit/Delete Roll-Up Service Definition'.
7. Set any desired value to the 'Roll-Up Description' field.
8. Rollup Definition 1.
9. Select 'Rollup 1' from the Roll-Up Service field.
10. Select the below services in the 'Component Services' field.
11. Component 1(a).
12. Component 1(b).
13. Component 1(c).
14. Fill in all the required fields.
15. Select 'Yes' in 'Roll-Up Add-On Codes If Present'.
16. Click [Submit].
17. Validate a message is received stating "Roll-Up Services Definition has completed. Do you wish to return to form?".
18. Click [No].
19. Open ‘Roll-Up Services Definition’.
20. Click 'Edit' in 'Add/Edit/Delete Roll-Up Service Definition'.
21. Select 'Rollup Definition 1' from 'Existing Roll-Up Definition'.
22. Validate that the field 'Roll-Up Add-On Codes If Present' is retained with the value 'Yes'.
23. Click [Discard].
24. Click [Yes].
25. Query the below table and validate that the columns 'roll_up_add_on_code' and 'roll_up_add_on_value' are shown with the values 'Y' and 'Yes' respectively for 'Rollup Definition 1'.
26. "rollup_services_def".
27. Close the SQL query viewer and return to the NX application window.
28. Open ‘Roll-Up Services Definition’.
29. Click 'Edit' in 'Add/Edit/Delete Roll-Up Service Definition'.
30. Select 'Rollup Definition 1' from 'Existing Roll-Up Definition'.
31. Select 'No' in 'Roll-Up Add-On Codes If Present'.
32. Click [Submit].
33. Click [No].
34. Query the below table and validate that the columns 'roll_up_add_on_code' and 'roll_up_add_on_value' are shown with the values 'N' and 'No' respectively for 'Rollup Definition 1'.
35. "rollup_services_def".
36. Close the SQL query viewer and return to the NX application window.
37. Open ‘Roll-Up Services Definition’.
38. Click 'Edit' in 'Add/Edit/Delete Roll-Up Service Definition'.
39. Select 'Rollup Definition 1' from 'Existing Roll-Up Definition'.
40. Clear the current selection in 'Roll-Up Add-On Codes If Present' by selecting the option and pressing the 'F5' key.
41. Click [Submit].
42. Click [No].
43. Query the below table and validate that the columns 'roll_up_add_on_code' and 'roll_up_add_on_value' are shown with the values '[NULL]' and 'No Entry' respectively for 'Rollup Definition 1'.
44. "rollup_services_def".
45. Close the SQL query viewer and return to the NX application window.

• A client got admitted and the diagnosis record(s) were created,
• Client A
• Financial Eligibility is added to the clients as below,
• Client A - Guarantor 1.
• Rollup service, component service, and add-on services are created using the 'Service Codes' form and set up with the fee using the 'Service Fee/Cross Reference Maintenance' form.
• Rollup 1 (Roll up code)
• Component 1 (Component code)
• AddOn 1 (select 'Add-On Code' for the 'Service Code Category' and Select 'Evaluation Management' for the 'Service Code Type').
• AddOn 2 (select 'Interactive Complexity' for the 'Service Code Category').
• Roll-Up Services Definition:
• Roll-Up Services Definition is created that includes the above roll-up/component services.
• Rollup Definition 1
• Do not include the service codes of the add-on services in the list of component services.
• In the new field- 'Roll-Up Add-On Codes If Present' field, select 'Yes'.

1. Open 'Client Charge Input'.
2. For 'Client A' create charges with the component service(s) of the roll-up as below
3. Date 1 - Component 1(a)
4. Select AddOn 1 and AddOn 2 in the 'Additional Information'.
5. Set any desired value in the 'Psychotherapy Add-On Duration' field, such as 15 or 30 minutes.
6. Date 2 - Component 1(a), Component 1(b)
7. Select AddOn 1 and AddOn 2 in the 'Additional Information'.
8. Set any desired value in the 'Psychotherapy Add-On Duration' field, such as 15 or 30 minutes.
9. Close the 'Client Charge Input' form.
10. Open 'Client Ledger'.
11. Select 'Client A'.
12. Click 'All Episodes'.
13. Click 'Simple'.
14. Click [Process].
15. Validate that the ledger shows all the component services along with the service add-ons for the respective dates.
16. Close the report.
17. Click [No].
18. Open 'Compile/Edit/Post/Unpost Roll-Up Services Worklist'.
19. Set the 'From' and 'To' date that covers the services created in Step 2.
20. Select 'Rollup Definition 1' from 'Roll-Up Definitions'.
21. Click [Compile Worklist].
22. Validate a message is received stating "Compile complete.".
23. Click [OK].
24. Click [Run Report].
25. Validate that the primary service('Component 1') and both of its add-on services(AddOn 1 and AddOn 2) are included in the Worklist.
26. Close the report.
27. Click 'Post Roll-Up Services Worklist'.
28. Select the compiled Roll-up Worklist in the 'Through Date' field.
29. Select any desired posting code from the 'Write Off Posting Code' dropdown.
30. Click [Post Worklist].
31. Validate a message is received stating "Post complete.".
32. Click [OK].
33. Click [Discard].
34. Click [Yes].
35. Open 'Client Ledger'.
36. Select 'Client A'.
37. Click 'All Episodes'.
38. Click 'Simple'.
39. Click [Process].
40. Validate that the roll-up service was created and that the primary service and two add-on services are marked as "RollUp" and have been written off.
41. Close the report.
42. Click [No].
43. Open ‘Roll-Up Services Definition’.
44. Select 'Edit' from the 'Add/Edit/Delete Roll-Up Service Definition' field.
45. Select 'Rollup Definition 1' from the 'Existing Roll-Up Definition' dropdown list.
46. Validate that all the fields are populated with the data for the 'Rollup Definition 1'.
47. Select 'No' for 'Roll-Up Add-On Codes If Present'.
48. Click [Submit].
49. Click [No].
50. Repeat Steps 1 to 18 for some different date(s).
51. Validate that the add-on services are not included in the Worklist report.
52. Close the report.
53. Click 'Post Roll-Up Services Worklist'.
54. Select the compiled Roll-up Worklist in the 'Through Date' field.
55. Select any desired posting code from the 'Write Off Posting Code' dropdown.
56. Click [Post Worklist].
57. Validate a message is received stating "Post complete.".
58. Click [OK].
59. Click [Discard].
60. Click [Yes].
61. Open 'Client Ledger'.
62. Select 'Client A'.
63. Click 'All Episodes'.
64. Click 'Simple'.
65. Click [Process].
66. Validate that the add-on services are not included during the roll-up and not adjusted off.
67. Close the report.
68. Click [No].
69. Open 'Compile/Edit/Post/Unpost Roll-Up Services Worklist'.
70. Select 'Unpost Last Roll-Up Services Worklist'.
71. Select the posted roll-up Worklist from the 'Through Date' dropdown.
72. Click [Unpost Worklist].
73. Validate a message is received stating "Unpost complete.".
74. Click [OK].
75. Click [Discard].
76. Click [Yes].
77. Open 'Client Ledger'.
78. Select 'Client A'.
79. Click 'All Episodes'.
80. Click 'Simple'.
81. Click [Process].
82. Validate that the roll-up service is removed and that the adjustments are removed from the component service and the two add-on services.
83. Close the report.
84. Click [No].

• Rollup services and the respective component services are created using the 'Service Codes' form and set up with the fee using the 'Service Fee/Cross Reference Maintenance' form.
• Rollup 1
• Component 1(a)
• Component 1(b)
• Component 1(c)
• Roll-Up Services Definition is created that includes the above roll-up/component services.
• Rollup Definition 1

1. Open ‘Registry Settings’.
2. Search for the 'Prevent Roll-Up From Happening If There Is Only One Component Service' setting and select it.
3. Validate that initially the Registry Setting Value text is defaulted to "N".
4. Try to enter a value that is more than one character in the 'Registry Setting Value' field and exit the field.
5. Validate the error message displays saying, "The selected value is not valid in the current system code for the following reason: More than 1 character".
6. Click [OK].
7. Try to enter a value that is one character anything other than 'Y' or 'N' in the 'Registry Setting Value' field and exit the field.
8. Validate the error message displays saying, "The selected value is not valid in the current system code for the following reason: Response must be 'Y' or 'N'".
9. Click [OK].
10. Click [Submit].
11. Click [OK].
12. Click [No].
13. Open ‘Roll-Up Services Definition’.
14. Validate that the new field 'Prevent Roll-Up From Happening If There Is Only One Component Service' does not exist in the form.
15. Click [Discard].
16. Open ‘Registry Settings’.
17. Search for the 'Prevent Roll-Up From Happening If There Is Only One Component Service' setting and select it.
18. Set the 'Registry Setting Value' field value to "Y".
19. Click [Submit].
20. Click [OK].
21. Click [No].
22. Open ‘Roll-Up Services Definition’.
23. Select 'Edit' from the 'Add/Edit/Delete Roll-Up Service Definition' field.
24. Select 'Rollup Definition 1' from the 'Existing Roll-Up Definition' dropdown list.
25. Validate that all the fields are populated with the data for the 'Rollup Definition 1'.
26. Validate that the new field 'Prevent Roll-Up From Happening For A Client If There Is Only One Component Service' exists with the below options:
27. Yes
28. No
29. Validate that no option is selected by default.
30. Click [Submit].
31. Click [No].
32. Query the below table and validate that Columns 'prevent_if_single_code' and 'prevent_if_single_value' have the following values respectively, '[NULL]' and '[NULL]'.
33. "rollup_services_def"
34. Close the query window and return to the Avatar NX window.
35. Open ‘Roll-Up Services Definition’.
36. Select 'Edit' from the 'Add/Edit/Delete Roll-Up Service Definition' field.
37. Select 'Rollup Definition 1' from the 'Existing Roll-Up Definition' dropdown list.
38. Validate that all the fields are populated with the data for the 'Rollup Definition 1'.
39. Select 'No' for 'Prevent Roll-Up From Happening For A Client If There Is Only One Component Service'.
40. Click [Submit].
41. Click [No].
42. Query the below table and validate that Columns 'prevent_if_single_code' and 'prevent_if_single_value' have the following values respectively, 'N' and 'No'.
43. "rollup_services_def"
44. Close the query window and return to the Avatar NX window.
45. Open ‘Roll-Up Services Definition’.
46. Select 'Edit' from the 'Add/Edit/Delete Roll-Up Service Definition' field.
47. Select 'Rollup Definition 1' from the 'Existing Roll-Up Definition' dropdown list.
48. Validate that all the fields are populated with the data for the 'Rollup Definition 1'.
49. Validate that the 'Prevent Roll-Up From Happening For A Client If There Is Only One Component Service' field is showing the value filed in Step-36.
50. Select 'Yes' for 'Prevent Roll-Up From Happening For A Client If There Is Only One Component Service'.
51. Click [Submit].
52. Click [No].
53. Query the below table and validate that Columns 'prevent_if_single_code' and 'prevent_if_single_value' have the following values respectively, 'Y' and 'Yes'.
54. "rollup_services_def"
55. Close the SQL Querying window.

• Registry Settings:
• 'Prevent Roll-Up From Happening For A Client If There Is Only One Component Service' is set to 'Y'.
• Clients: Client A is admitted and has an active diagnosis and financial eligibility records. The eligibility guarantor is guarantor 1.
• Rollup services and the respective component services are created using the 'Service Codes' form and set up with the fee using the 'Service Fee/Cross Reference Maintenance' form.
• Rollup 1
• Component 1(a)
• Component 1(b)
• Roll-Up Services Definition is created that includes the above roll-up/component services.
• Rollup Definition 1

1. Open ‘Roll-Up Services Definition’.
2. Select 'Edit' from the 'Add/Edit/Delete Roll-Up Service Definition' field.
3. Select 'Rollup Definition 1' from the 'Existing Roll-Up Definition' dropdown list.
4. Validate that all the fields are populated with the data for the 'Rollup Definition 1'.
5. Select desired value in 'Component Service Date Rules'.
6. Select 'Yes' for 'Prevent Roll-Up From Happening For A Client If There Is Only One Component Service'.
7. Click [Submit].
8. Click [No].
9. Open 'Client Charge Input'.
10. For 'Client A' create charges with the component service(s) of the roll-up as below
11. Date 1 - Component 1(a)
12. Date 2 - Component 1(a), Component 1(b)
13. Close the 'Client Charge Input' form.
14. Open 'Client Ledger'.
15. Select 'Client A'.
16. Click 'All Episodes'.
17. Click 'Simple'.
18. Click [Process].
19. Validate that the ledger shows the component services for the respective dates.
20. Close the report.
21. Click [No].
22. Open 'Compile/Edit/Post/Unpost Roll-Up Services Worklist'.
23. Set the 'From' and 'To' dates to cover the services created in Step 10.
24. Select 'Rollup Definition 1' from 'Roll-Up Definitions'.
25. Click [Compile Worklist].
26. Validate that received message says, "Compile complete.".
27. Click [OK].
28. Click [Run Report].
29. Validate that no roll-up was created for the date(s) where there was only one component service entered for 'Client A'.
30. Validate that a roll-up was created for the date(s) where there are multiple component services.
31. Close the report.
32. Click [Discard].
33. Click [Yes].
34. Open ‘Roll-Up Services Definition’.
35. Select 'Edit' from the 'Add/Edit/Delete Roll-Up Service Definition' field.
36. Select 'Rollup Definition 1' from the 'Existing Roll-Up Definition' dropdown list.
37. Select 'No' for 'Prevent Roll-Up From Happening For A Client If There Is Only One Component Service'.
38. Click [Submit].
39. Click [No].
40. Open 'Compile/Edit/Post/Unpost Roll-Up Services Worklist'.
41. Set the 'From' and 'To' dates to cover the services created in Step 10.
42. Select 'Rollup Definition 1' from 'Roll-Up Definitions'.
43. Click [Compile Worklist].
44. Validate that the received message says, "Compile complete.".
45. Click [OK].
46. Click [Run Report].
47. Validate that a roll-up service was created for each component service date, even if there is only one component service on that date for 'Client A'.
48. Close the report.
49. Click [Discard].
50. Click [Yes].
51. Open ‘Roll-Up Services Definition’.
52. Select 'Edit' from the 'Add/Edit/Delete Roll-Up Service Definition' field.
53. Select 'Rollup Definition 1' from the 'Existing Roll-Up Definition' dropdown list.
54. Validate that all the fields are populated with the data for the 'Rollup Definition 1'.
55. Select 'Yes' for 'Prevent Roll-Up From Happening For A Client If There Is Only One Component Service'.
56. Click [Submit].
57. Click [No].
58. Open 'Compile/Edit/Post/Unpost Roll-Up Services Worklist'.
59. Set the 'From' and 'To' dates to cover the services created in Step 10.
60. Select 'Rollup Definition 1' from 'Roll-Up Definitions'.
61. Click [Compile Worklist].
62. Validate that the received message says, "Compile complete.".
63. Click [OK].
64. Click [Run Report].
65. Validate that no roll-up was created for the date(s) where there was only one component service entered for 'Client A'.
66. Validate that a roll-up was created for the date(s) where there are multiple component services.
67. Close the report.
68. Click 'Post Roll-Up Services Worklist'.
69. Select the compiled Roll-up Worklist in the 'Through Date' field.
70. Select any desired posting code from the 'Write Off Posting Code' dropdown.
71. Click [Post Worklist].
72. Validate the received message says, "Post complete.".
73. Click [OK].
74. Click [Discard].
75. Click [Yes].
76. Open 'Client Ledger'.
77. Select 'Client A'.
78. Click 'All Episodes'.
79. Click 'Simple'.
80. Click [Process].
81. Validate that the ledger shows the component services marked as 'Roll-Up', along with the newly created Roll-Up service as 'Open' only for the dates that have multiple component services.
82. Validate that the component services are not rolled up and that no Roll-Up service is created for the dates that have only one component service.
83. Close the report.
84. Click [No].

• Admit an outpatient client with an active diagnosis and financial eligibility.
• Render several services to the newly created client.
• Create an interim billing batch.

1. Open the 'Close Charges' form.
2. Set the "Liability Update Or Close Charges" field to " Close Charges".
3. Set a date in the "Thru Date" field that includes some, but not all services in the interim batch.
4. Select "Individual" in the "Individual, All, Or Interim Batch Cycle" field.
5. Enter a name or ID in the "Client ID" field.
6. Select an episode in the "Episode Number" field.
7. Submit the form to close all charges for the client and thru date specified.
8. Validate the client ledger to ensure the services closed,
9. Open the 'Close Charges' form.
10. Set the "Liability Update Or Close Charges" field to " Close Charges".
11. Set a date in the "Thru Date" field.
12. Select "Interim Batch Cycle" in the "Individual, All, Or Interim Batch Cycle" field.
13. Select an Interim Batch Number in the "Interim Batch Number" field.
14. Submit the form to close all charges for the client and thru date specified.
15. Validate the client ledger to ensure the services closed.

• Clients:
• Client A:
• Admit an outpatient client with an active diagnosis and financial eligibility.
• Render four services for four different dates using the Client Charge Input form.
• Client B:
• Admit an outpatient client with an active diagnosis and financial eligibility.
• Render four services for four different dates using the Client Charge Input form.
• Interim Billing Batch:
• Batch A:
• Create an interim billing batch that covers Client A and only covers the first two services.
• Batch B:
• Create an interim billing batch that covers Client B and all four services.
• Registry Setting(s):
• The "Close Charges By Program And Guarantor Of Batch Only" registry setting should be set to the value 'B'.

1. Open the 'Close Charges' form.
2. Set the "Liability Update Or Close Charges" field to " Close Charges".
3. Leave the "Thru Date" field blank.
4. Select "Interim Batch Cycle" in the "Individual, All, Or Interim Batch Cycle" field.
5. Select Interim 'Batch A' from the "Interim Batch Number" field.
6. Submit the form to close all charges with the Interim Batch and "Thru Date" not specified.
7. Open the 'Client Ledger' form.
8. Select Client A in the "Client ID" field.
9. Select "All Episodes" in the "Claim/Episode/All Episodes" field.
10. Select "Simple" in the "Ledger Type" field.
11. Select "Process".
12. Validate that only the services that are covered by Interim 'Batch A' are Closed.
13. Close the report.
14. Select "No".
15. Open the 'Open Closed Charges' form.
16. Select "Individual" in the "Individual, All, Or Interim Batch Cycle" field.
17. Select Client A in the "Client ID" field.
18. Select the Episode from the "Episode" field.
19. Select the "Select Charges To Open" button.
20. Select all the services by checking them in the 'Open Closed Charges' window.
21. Click "OK".
22. Select "Submit".
23. Select "Yes".
24. Select "No".
25. Open the 'Close Charges' form.
26. Set the "Liability Update Or Close Charges" field to " Close Charges".
27. Select "T" in the "Thru Date" field.
28. Select "Interim Batch Cycle" in the "Individual, All, Or Interim Batch Cycle" field.
29. Select Interim 'Batch A' from the "Interim Batch Number" field.
30. Submit the form to close all charges with the Interim Batch and "Thru Date" specified as Today.
31. Open the 'Client Ledger' form.
32. Select Client A in the "Client ID" field.
33. Select "All Episodes" in the "Claim/Episode/All Episodes" field.
34. Select "Simple" in the "Ledger Type" field.
35. Select "Process".
36. Validate that only the services that are covered by Interim 'Batch A' are closed.
37. Close the report.
38. Select "No".
39. Open the 'Close Charges' form.
40. Set the "Liability Update Or Close Charges" field to " Close Charges".
41. Leave the "Thru Date" field blank.
42. Select "Interim Batch Cycle" in the "Individual, All, Or Interim Batch Cycle" field.
43. Select Interim Batch B from the "Interim Batch Number" field.
44. Submit the form to close all charges with the Interim Batch and "Thru Date" not specified.
45. Open the 'Client Ledger' form.
46. Select Client B in the "Client ID" field.
47. Select "All Episodes" in the "Claim/Episode/All Episodes" field.
48. Select "Simple" in the "Ledger Type" field.
49. Select "Process".
50. Validate that all the services that are covered by Interim ;Batch B' are Closed.
51. Close the report.
52. Select "No".
53. Open the 'Open Closed Charges' form.
54. Select "Individual" in the "Individual, All, Or Interim Batch Cycle" field.
55. Select Client B in the "Client ID" field.
56. Select the Episode from the "Episode" field.
57. Select the "Select Charges To Open" button.
58. Select all the services by checking them in the 'Open Closed Charges' window.
59. Click "OK".
60. Select "Submit".
61. Select "Yes".
62. Select "No".
63. Open the 'Close Charges' form.
64. Set the "Liability Update Or Close Charges" field to " Close Charges".
65. Set the "Thru Date" field with a date that does not cover a few services from 'Batch B'.
66. Select "Interim Batch Cycle" in the "Individual, All, Or Interim Batch Cycle" field.
67. Select Interim Batch B from the "Interim Batch Number" field.
68. Submit the form to close all charges with the Interim Batch and "Thru Date" not specified.
69. Open the 'Client Ledger' form.
70. Select Client B in the "Client ID" field.
71. Select "All Episodes" in the "Claim/Episode/All Episodes" field.
72. Select "Simple" in the "Ledger Type" field.
73. Select "Process".
74. Validate that only the services of Interim 'Batch B' that are covered under the "Thru Date" specified are closed.
75. Close the report.
76. Select "No".

• The registry setting "Enable LA County Reporting Requirements" is set to "Y".
• A new client (OP) is created or an existing one is identified to perform Cal-OMS admission.
• 'Client A'.

1. Open the 'Cal-OMS Admission' form.
2. Search for 'Client A' and select from the results.
3. Select the episode from the grid.
4. Navigate to the 'Employment Data' section.
5. Verify that the section 'If the participant is not in the labor force, which of the following describes this participant? *' is dependent on the selection made in the field 'Employment Status', By performing the below actions:
6. Select 'Employed Full Time (35 hrs or more)', in 'Employment Status'.
7. Select 'Employed Part Time (less than 35 hrs)', in 'Employment Status'.
8. Select 'Unemployed Looking For Work', in 'Employment Status'.
9. Select 'Unemployed - (Not seeking)', in 'Employment Status'.
10. Select 'Not in the labor force (Not seeking)', in 'Employment Status'.
11. Validate that the section 'If the participant is not in the labor force, which of the following describes this participant? *' is enabled and required only when the selection e of step 5 is made.
12. For all other selection(s) - a to d of step 5, the section remains not required and is disabled.
13. Fill out all the needed fields of the 'Cal-OMS Admission' form and select [Submit].
14. Select [Continue Filing].
15. Open 'Registry Settings'.
16. Search and set the 'Enable LA County Reporting Requirements' Registry Setting value to "N".
17. Click [Submit].
18. Click [OK].
19. Click [No].
20. Open the 'Cal-OMS Admission' form.
21. Select the episode from the grid.
22. Select the Cal-OMS Admission record from the grid.
23. Select the 'Transaction Data' section.
24. Validate that the 'Admission Transaction Type' text is now enabled.
25. Click 'Initial Admission - Admission Transaction Type'.
26. Select the 'Employment Data' section.
27. Validate that the 'Employment Status' text exists.
28. Verify that the selection made in Step 5 is retained.
29. Validate that the section 'If the participant is not in the labor force, which of the following describes this participant? *' does not exist.
30. Click [Submit].
31. Open 'Registry Settings'.
32. Search and set the 'Enable LA County Reporting Requirements' Registry Setting value back to "Y".
33. Click [Submit].
34. Click [OK].
35. Click [No].
36. Open the 'Cal-OMS Admission' form.
37. Select the episode from the grid.
38. Select the Cal-OMS Admission record from the grid.
39. Select the 'Transaction Data' section.
40. Validate that the 'Admission Transaction Type' text is now disabled.
41. Verify that the selection filed in Step 20 is retained.
42. Select the 'Employment Data' section.
43. Validate that the field "Employment Status" is populated with the selected/ filed value.
44. Validate that the field "If the participant is not in the labor force, which of the following describes this participant? *" is populated with the selected/ filed value.
45. Verify that the section 'If the participant is not in the labor force, which of the following describes this participant? *' is dependent on the selection made in the field 'Employment Status', By performing the below actions:
46. Select 'Employed Full Time (35 hrs or more)', in 'Employment Status'.
47. Select 'Employed Part Time (less than 35 hrs)', in 'Employment Status'.
48. Select 'Unemployed Looking For Work', in 'Employment Status'.
49. Select 'Unemployed - (Not seeking)', in 'Employment Status'.
50. Select 'Not in the labor force (Not seeking)', in 'Employment Status'.
51. Validate that the section 'If the participant is not in the labor force, which of the following describes this participant? *' is enabled and required only when the selection e of step 5 is made.
52. For all other selection(s) - a to d of step 5, the section remains not required and is disabled.
53. Select the 'Admission Data' section.
54. Validate that the field "What is your Principal Source of Referral?" is populated with the filed value.
55. Clear the field by clicking the 'x' button on it.
56. Validate that the field is cleared successfully.
57. Fill out or modify all the needed fields and select [Submit].
58. Select [Continue Filing].
59. Open the 'Cal-OMS Admission' form.
60. Select the episode from the grid.
61. Select the Cal-OMS Admission record from the grid.
62. Select the 'Admission Data' section.
63. Validate that the field "What is your Principal Source of Referral?" is populated with the recently filed value.
64. Fill out or modify all the needed fields.
65. Select [Submit].
66. Verify that we landed on the home screen that shows 'What can I help you find?'.

Registry Settings:

• Set the registry setting 'UMDAP Housing Adjustment Percentage' as any desired percentage value within the range of 1 to 100.

Form designer:

• Add the hidden elements 'Housing Costs' and 'Housing Adjustment' under the Third Subsection of the UMDAP Information Tab.

Clients:

• More than one existing client is identified or new ones are created to be used in the family registration process.
• Client 1
• Client 2

Family:

• An existing family with no member(s) and with all the UMDAP data should be identified or created.
• Family A

1. Open the "Family Registration" form.
2. Enter a desired name for the Family - 'Family B'.
3. Click [New Family].
4. Fill in all the needed field values in the "Family Registration" section.
5. Click on the "Family Members" section.
6. Select the [Add New Item].
7. Add 'Client 1' and 'Client 2' as the members.
8. Fill in all the needed field values in the "Family Members" section.
9. Verify the "Type of Family Member" column displayed in the "Family Membership Information" grid. Note: as this grid contains many fields, you may need to drag the border between fields to widen the view of this, or any of the other, fields in the grid.
10. Select the "UMDAP Information" section.
11. Click [Add New Item].
12. Validate that the fields "Housing Costs" & "Housing Adjustment" are present in the form.
13. Fill in all the mandatory field values along with the other desired optional field values.
14. Click [Submit].
15. Create an SQL query to the below tables and validate that the above-filed data are saved and shown in the respective cache storage tables,
16. Validate the Family Demographics information in "SYSTEM.family_current_demographics",
17. Validate the Member information(s) in "SYSTEM.family_membership_information",
18. Validate the UMDAP information in "SYSTEM.family_umdap_info".
19. Close the SQL, return to the NX window, and open the 'Family Registration' form.
20. Select 'Family A'.
21. Click on the "Family Members" section.
22. Verify that no members are existing in the grid.
23. Select the [Add New Item].
24. Add 'Client 1' as a member.
25. Verify that we see an error message stating that there is a Date Range Overlap found with Another Family Assignment for the date range.
26. Click [OK].
27. Click [Discard].
28. Click [Yes].
29. Open the 'Family Registration' form.
30. Select 'Family B'.
31. Click on the "Family Members" section.
32. Select 'Client 1' from the grid.
33. Click [Edit Selected Item].
34. Enter a future date value for the field 'End Date Of Family Membership date'.
35. Click [Submit].
36. Create an SQL query to the below table for 'Family B' and validate that 'Client 1' is updated with the 'fam_memb_end_date' value,
37. "SYSTEM.family_membership_information".
38. Close the SQL, return to the NX window, and open the 'Family Registration' form.
39. Select 'Family A'.
40. Click on the "Family Members" section.
41. Verify that no members are existing in the grid.
42. Select the [Add New Item].
43. Add 'Client 1' as a member.
44. Enter a date value that falls between the 'Start Date Of Family Membership date' and 'End Date Of Family Membership date' range of 'Client 1' in 'Family B'.
45. Verify that we see an error message for 'Date Range Overlaps Another Family AssignmentFamily'.
46. Click [OK].
47. Enter a date value that is outside the 'Start Date Of Family Membership date' and 'End Date Of Family Membership date' range of 'Client 1' in 'Family B'.
48. Click [Submit].
49. Create an SQL query to the below table for Family A and validate that Client 1 is added as a member of the family.
50. "SYSTEM.family_membership_information".
51. Create an SQL query to the below table for Family B and validate that Client 1 is also showing with the 'fam_memb_end_date' value.
52. "SYSTEM.family_membership_information".
53. Close the SQL.

Family Registration:

• A family with more than one member and with all the UMDAP data should be identified or created.
• Family A:
• Member 1 (Client 1)
• Member 2 (Client 2)

Clients:

• Adding to the above clients, An existing client is identified or a new one is created for the Client Merge process. The client identified/created should have the same information (except for the program) as the member whom we want to merge with.
• Client 3

1. Open the "Family Registration" form.
2. Enter the Family ID for - 'Family A'.
3. Select Family A.
4. Click on the "Family Members" item.
5. Verify that the members exist and are shown in the grid.
6. Select 'Member 2' from the grid.
7. Click [Delete Selected Item].
8. Click [Yes].
9. Verify that the member we deleted is removed from the grid, upon successful delete.
10. Select the "UMDAP Information" item.
11. Verify that the existing UMDAP record(s) are shown in the grid.
12. Click [Submit].
13. Create an SQL query to the below table for Family A and validate that there are no records found for 'Client 2',
14. "SYSTEM.family_membership_information".
15. Create an SQL query to the below table for 'Family A' and validate that there are UMDAP data available, which is the same as the data we filed using the 'Family Registration form',
16. "SYSTEM.family_umdap_info".
17. Close the querying window and return to the NX window.
18. Open the "Family Registration" form.
19. Enter the Family ID for - 'Family A'.
20. Select 'Family A'.
21. Click on the "Family Members" item.
22. Verify that the members exist and are shown in the grid.
23. Click [Add New Item].
24. Enter the 'Client ID' field with 'Client 1' and select it.
25. Verify that we see a popup that says that there is a Date Range Overlap found with the Previous Entry For ClientStart and End Date(s).
26. Click [OK].
27. Enter the 'Client ID' field with 'Client 2' and select it.
28. Fill in all the needed values.
29. Verify that the new member is now added and shown in the grid.
30. Select the "UMDAP Information" item.
31. Select the existing record from the 'UMDAP Information' grid.
32. Click [Delete Selected Item].
33. Click [Yes].
34. Verify that there are no records in the 'UMDAP Information' grid.
35. Click [Submit].
36. Create an SQL query to the below table for 'Family A' and validate that there is an existing record found for 'Client 2',
37. "SYSTEM.family_membership_information".
38. Create an SQL query to the below table for 'Family A' and validate that there are no UMDAP data available,
39. "SYSTEM.family_umdap_info".
40. Close the querying window and return to the NX window.
41. Open the "Change MR#" form.
42. Enter the 'Client ID' field with 'Client 2' and select it.
43. Click [Assign MR#].
44. Click [Yes].
45. Validate that the 'New Client ID#' input box contains a new ID - 'New Client 2'.
46. Click [Submit].
47. Open the "Family Registration" form.
48. Enter the Family ID for - 'Family A'.
49. Select 'Family A'.
50. Click on the "Family Members" item.
51. Verify that the members exist and are shown in the grid.
52. Select 'Member 2' from the grid.
53. Click [Edit Selected Item].
54. Validate that the Client ID is replaced with the new MR#. (i.e. 'New Client 2').
55. Click [Discard].
56. Click [Yes].
57. Create an SQL query to the below table for Family A and validate that there are no records found for 'Client 2',
58. "SYSTEM.family_membership_information".
59. Verify that we do have a record for 'New Client 2' in the table for 'Family A'.
60. Close the querying window and return to the NX window.
61. Open the "Client Merge" form.
62. Enter the 'Client ID' field with 'New Client 2' and select it.
63. Select the Episode value from the 'Source Client Episode' dropdown field.
64. Enter the 'Client ID' field with 'Client 3' and select it.
65. Click [File].
66. Click [Yes].
67. Click [OK].
68. Click [Discard].
69. Click [Yes].
70. Open the "Family Registration" form.
71. Enter the Family ID for - 'Family A'.
72. Select 'Family A'.
73. Click on the "Family Members" item.
74. Verify that the members exist and are shown in the grid.
75. Select 'Member 2' from the grid.
76. Click [Edit Selected Item].
77. Validate that the Client ID is replaced with 'Client 3'.
78. Click [Discard].
79. Click [Yes].
80. Create an SQL query to the below table for 'Family A' and validate that there are no records found for 'New Client 2',
81. "SYSTEM.family_membership_information".
82. Verify that we do have a record for 'Client 3' in the table for 'Family A'.
83. Close the SQL.

• Guarantor:
• An active guarantor is identified or created - "Guarantor 1".
• Guarantor/Program Billing Defaults Template:
• An active 'Guarantor/Program Billing Defaults' template is identified or created that includes "Guarantor 1" - "Template 1".

1. Open the 'Registry Settings' form.
2. Set the 'Limit Registry Settings to the Following Search Criteria' text input box to "837I-Dates To Populate 2300 DTP".
3. Select 'Yes' in 'Include Hidden Registry Settings'.
4. Click [View Registry Settings].
5. Validate that the registry setting exists and show the respective values.
6. Set the 'Registry Setting Value' field to '1'.
7. Click [Submit].
8. Click [OK].
9. Click [No].
10. Open the 'Guarantor/Program Billing Defaults' form.
11. Select 'Edit Template'.
12. Select "Template 1" from the 'Select Template' dropdown.
13. Select '837 Institutional'.
14. Validate that the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' is shown with the following options, (none selected by default):
15. Yes (Inpatient/Outpatient)
16. Yes (Outpatient Only)
17. Yes (Inpatient Only)
18. No (Inpatient/Outpatient)
19. Click [Submit].
20. Click [No].
21. Open the 'Admission' form.
22. Admit an Inpatient client - "Client 1".
23. Using the 'Diagnosis' form, File an active diagnosis record for "Client 1".
24. File the 'Financial Eligibility' form for "Client 1", with "Guarantor 1".
25. Specify the 'Coverage Effective Date' and 'Coverage Expiration Date' in the financial eligibility.
26. Create charges for "Client 1" for more than one date, with the dates between the dates saved in step 21.
27. Create a new Interim Billing Batch File, "Batch 1", which covers the services created for "Client 1" in step 22.
28. Close the charges using the Interim Billing Batch File, "Batch 1".
29. Open 'Client Ledger'.
30. Select "Client 1" and the respective Episode.
31. Validate that all the services are closed.
32. Open 'Electronic Billing'.
33. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
34. Set 'First Date Of Service To Include' with a date before the 'Coverage Effective Date' filed in step 21.
35. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
36. Click [Process].
37. Validate that the compile completes successfully.
38. Click [OK].
39. Select 'Dump File' from 'Billing Options'.
40. Select 'Print' from 'Print Or Delete Report'.
41. Select the file compiled in step 31.
42. Click [Process].
43. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first and last dates of the services being billed.
44. Close the report.
45. Click [No].
46. Open 'Discharge' form.
47. Set the 'Date Of Discharge' field to a date that is the day after the last day of service.
48. Fill in all the required fields and select [Submit].
49. Open 'Electronic Billing'.
50. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
51. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
52. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
53. Click [Process].
54. Validate that the compile completes successfully.
55. Click [OK].
56. Select 'Dump File' from 'Billing Options'.
57. Select 'Print' from 'Print Or Delete Report'.
58. Select the file compiled in step 46.
59. Click [Process].
60. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first date of the service being billed and the discharge date file in step 41.
61. Close the report.
62. Click [No].
63. Open the 'Guarantor/Program Billing Defaults' form.
64. Select 'Edit Template'.
65. Select "Template 1" from the 'Select Template' dropdown.
66. Select '837 Institutional'.
67. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'Yes (Inpatient/Outpatient)'.
68. Click [Submit].
69. Click [No].
70. Open 'Electronic Billing'.
71. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
72. Set 'First Date Of Service To Include' a date before the 'Coverage Effective Date' filed in step 21.
73. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
74. Click [Process].
75. Validate that the compile completes successfully.
76. Click [OK].
77. Select 'Dump File' from 'Billing Options'.
78. Select 'Print' from 'Print Or Delete Report'.
79. Select the file compiled in step 65.
80. Click [Process].
81. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first date of the service being billed and the discharge date file in step 41.
82. Close the report.
83. Click [No].
84. Open the 'Guarantor/Program Billing Defaults' form.
85. Select 'Edit Template'.
86. Select "Template 1" from the 'Select Template' dropdown.
87. Select '837 Institutional'.
88. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'Yes (Inpatient Only)'.
89. Click [Submit].
90. Click [No].
91. Open 'Electronic Billing'.
92. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
93. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
94. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
95. Click [Process].
96. Validate that the compile completes successfully.
97. Click [OK].
98. Select 'Dump File' from 'Billing Options'.
99. Select 'Print' from 'Print Or Delete Report'.
100. Select the file compiled in step 85.
101. Click [Process].
102. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first date of the service being billed and the discharge date file in step 41.
103. Close the report.
104. Click [No].
105. Open the 'Guarantor/Program Billing Defaults' form.
106. Select 'Edit Template'.
107. Select "Template 1" from the 'Select Template' dropdown.
108. Select '837 Institutional'.
109. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'Yes (Inpatient Only)'.
110. Click [Submit].
111. Click [No].
112. Open 'Electronic Billing'.
113. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
114. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
115. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
116. Click [Process].
117. Validate that the compile completes successfully.
118. Click [OK].
119. Select 'Dump File' from 'Billing Options'.
120. Select 'Print' from 'Print Or Delete Report'.
121. Select the file compiled in step 105.
122. Click [Process].
123. Validate that the discharge date is not included instead, the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first and last dates of the services being billed.
124. Close the report.
125. Click [No].
126. Open the 'Guarantor/Program Billing Defaults' form.
127. Select 'Edit Template'.
128. Select "Template 1" from the 'Select Template' dropdown.
129. Select '837 Institutional'.
130. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'No (Inpatient/Outpatient)'.
131. Click [Submit].
132. Click [No].
133. Open 'Electronic Billing'.
134. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
135. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
136. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
137. Click [Process].
138. Validate that the compile completes successfully.
139. Click [OK].
140. Select 'Dump File' from 'Billing Options'.
141. Select 'Print' from 'Print Or Delete Report'.
142. Select the file compiled in step 105.
143. Click [Process].
144. Validate that the discharge date is not included instead, the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first and last dates of the services being billed.
145. Close the report.
146. Click [No].
147. Query the tables below and validate that the new columns 'inc_dis_dt_2300_dtp_code' and 'inc_dis_dt_2300_dtp_value' are shown with the field 'Include Discharge Date In Statement To Date (2300-DTP)' value,
148. SYSTEM.file_import_gpbdt_i837
149. SYSTEM.table_837_i_facility_prov_num
150. Close the SQL query window.

• At least one 'Guarantor/Program Billing Defaults' template exists, "Template 1", and the 837 Professional and Institutional sections contain data.
• Files can be saved to the local desktop, "File A", edited, and imported back into Avatar through 'File Import'.
• Registry setting '837I-Dates To Populate 2300 DTP' value set as '1'.

1. Open 'Guarantor/Program Billing Defaults'.
2. Edit the ‘837 Institutional’ section of "Template 1".
3. Validate that the new field has no values selected.
4. Click [Submit].
5. Export the template in 'Edit' mode, saving it to the desktop with a unique name "File A".
6. Edit the 'Edit' mode template to have a value defined for piece 130- 'Include Discharge Date In Statement To Date (2300-DTP)' and save it.
7. Open 'File Import'.
8. Import/Compile/Post the 'Edit' mode template "File A" in the 'Guarantor/Program Billing Defaults Template' file type.
9. Select 'Print File'.
10. Print the file posted in step 8 by selecting it and clicking 'Process Action'.
11. Validate that the Crystal report is included with the new field 'Include Discharge Date In Statement To Date (2300-DTP)' and it's value we selected in step 6 for file import for 837 Institutional.
12. Open 'Guarantor/Program Billing Defaults'.
13. Select 'Edit Template'.
14. Select the 'Edit mode template', "Template 1".
15. Select the ‘837 Professional’ section. The field, 'Include Discharge Date In Statement To Date (2300-DTP)' will have the value used in step 6.
16. Click [Submit].
17. Click [No].

• Guarantor:
• An active guarantor is identified or created - "Guarantor 1".
• Guarantor/Program Billing Defaults Template:
• An active 'Guarantor/Program Billing Defaults' template is identified or created that includes "Guarantor 1" - "Template 1".

1. Open the 'Registry Settings' form.
2. Set the 'Limit Registry Settings to the Following Search Criteria' text input box to "837I-Dates To Populate 2300 DTP".
3. Select 'Yes' in 'Include Hidden Registry Settings'.
4. Click [View Registry Settings].
5. Validate that the registry setting exists and show the respective values.
6. Set the 'Registry Setting Value' field to '2'.
7. Click [Submit].
8. Click [OK].
9. Click [No].
10. Open the 'Guarantor/Program Billing Defaults' form.
11. Select 'Edit Template'.
12. Select "Template 1" from the 'Select Template' dropdown.
13. Select '837 Institutional'.
14. Validate that the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' is not shown.
15. Click [Submit].
16. Click [No].
17. Open the 'Admission' form.
18. Admit an Inpatient client - "Client 1".
19. Using the 'Diagnosis' form, File an active diagnosis record for "Client 1".
20. File the 'Financial Eligibility' form for "Client 1", with "Guarantor 1".
21. Specify the 'Coverage Effective Date' and 'Coverage Expiration Date' in the financial eligibility.
22. Create charges for "Client 1" for more than one date(s), that fall between the dates saved in step 21.
23. Create a new Interim Billing Batch File "Batch 1" which covers the services created for "Client 1" in step 22.
24. Close the charges using the Interim Billing Batch File "Batch 1".
25. Open 'Client Ledger'.
26. Select "Client 1" and the respective Episode.
27. Validate that all the services are closed.
28. Open 'Electronic Billing'.
29. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
30. Set 'First Date Of Service To Include' with the date earlier than the 'Coverage Effective Date' filed in step 21.
31. Set 'Last Date Of Service To Include' with a date later than the 'Coverage Expiration Date' filed in step 21.
32. Click [Process].
33. Validate that the compile completes successfully.
34. Click [OK].
35. Select 'Dump File' from 'Billing Options'.
36. Select 'Print' from 'Print Or Delete Report'.
37. Select the file compiled in step 31.
38. Click [Process].
39. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the 'Coverage Effective date' filed in step 21 and the 'Last Date Of Service To Include' selected in step 29(b).
40. Close the report.
41. Click [No].
42. Open 'Discharge' form.
43. Set the 'Date Of Discharge' field to a date that is greater than the 'Coverage Expiration Date' filed in step 21.
44. Fill in all the required fields and select [Submit].
45. Open 'Electronic Billing'.
46. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
47. Set 'First Date Of Service To Include' with the date earlier than the 'Coverage Effective Date' filed in step 21.
48. Set 'Last Date Of Service To Include' with a date later than the 'Coverage Expiration Date' filed in step 21.
49. Click [Process].
50. Validate that the compile completes successfully.
51. Click [OK].
52. Select 'Dump File' from 'Billing Options'.
53. Select 'Print' from 'Print Or Delete Report'.
54. Select the file compiled in step 46.
55. Click [Process].
56. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the 'Coverage Effective Date' and 'Coverage Expiration Date' filed in step 21.
57. Close the report.
58. Click [No].
59. Open 'Electronic Billing'.
60. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
61. Set 'First Date Of Service To Include' with the date later than the 'Coverage Effective Date' filed in step 21.
62. Set 'Last Date Of Service To Include' with a date earlier than the 'Coverage Expiration Date' filed in step 21.
63. Click [Process].
64. Validate that the compile completes successfully.
65. Click [OK].
66. Select 'Dump File' from 'Billing Options'.
67. Select 'Print' from 'Print Or Delete Report'.
68. Select the file compiled in step 46.
69. Click [Process].
70. Validate that the discharge date is not included instead, the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the First Date Of Service To Include' and 'Last Date Of Service To Include' dates used in the step 57(a, b).
71. Close the report.
72. Click [No].

• Client: The client should be admitted and have an active episode - "Client A".
• Financial Eligibility: "Client A" should have an already existing Financial Eligibility record with both Coverage Effective and Expiration dates.

1. Open the 'Registry Settings' form.
2. Set the 'Limit Registry Settings to the Following Search Criteria' to 'Restrict Coverage Effective Date Edits to Prior Dates Only'.
3. Click [View Registry Settings].
4. Validate that the respective registry setting shows up.
5. Set the 'Avatar PM->Billing->Financial Eligibility->->->Restrict Coverage Effective Date Edits to Prior Dates Only' registry setting to a value other than 'Y' or 'N'.
6. Verify an error message displays that the valid choices are 'Y or N' only.
7. Set the 'Avatar PM->Billing->Financial Eligibility->->->Restrict Coverage Effective Date Edits to Prior Dates Only' registry setting to 'Y' and then submit to save.
8. Open the 'Financial Eligibility' form.
9. Search and select "Client A".
10. Select the Episode from the grid.
11. Select 'Guarantor Selection'.
12. Check if the 'Coverage Effective Date' field is already showing the date in the file.
13. Try to enter a date that is after the date that is already in the file and move away from the field.
14. Validate that an error message appears when updating the 'Coverage Effective Date' field to a date that is later than the previously filed date.
15. Validate the error text - 'The Coverage Effective Date cannot be updated to be later than the previously filed date.'.
16. Click [OK].
17. Validate that the 'Coverage Effective Date' field is restored with the last value saved.
18. Set 'Coverage Effective Date' with a date that is before the date that is already in the file and move away from the field.
19. Validate that there are no errors shown.
20. Click [Submit].
21. Open the 'Financial Eligibility' form.
22. Search and select "Client A".
23. Select the Episode from the grid.
24. Select 'Guarantor Selection'.
25. Check if the 'Coverage Effective Date' field is showing with the date we save in step 18.
26. Click [Discard].
27. Click [Yes].
28. Open the 'Registry Settings' form.
29. Set the 'Limit Registry Settings to the Following Search Criteria' to 'Restrict Coverage Effective Date Edits to Prior Dates Only'.
30. Click [View Registry Settings].
31. Set the 'Avatar PM->Billing->Financial Eligibility->->->Restrict Coverage Effective Date Edits to Prior Dates Only' registry setting to 'N' and then submit to save.
32. Open the 'Financial Eligibility' form.
33. Search and select "Client A".
34. Select the Episode from the grid.
35. Select 'Guarantor Selection'.
36. Check if the 'Coverage Effective Date' field is showing with the date we save in step 18.
37. Try to enter a date that is after the date that is already in the file and move away from the field.
38. Validate that there are no errors shown.
39. Click [Submit].
40. Open the 'Financial Eligibility' form.
41. Search and select "Client A".
42. Select the Episode from the grid.
43. Select 'Guarantor Selection'.
44. Check if the 'Coverage Effective Date' field is showing with the date we save in step 37.
45. Click [Discard].
46. Click [Yes].

• Client: The client should be admitted and have an active episode - "Client A"
• Financial Eligibility: "Client A" should have an already existing Financial Eligibility record with both Coverage Effective and Expiration dates.
• Registry Setting: Set the 'Restrict Coverage Effective Date Edits to Prior Dates Only' setting value as 'Y'.

1. Open SoapUI or any other web service testing tool.
2. Create a web service request to update the Financial Eligibility information.
3. Enter the same value in the "SYSTEMCODE" which is used to sign into Avatar.
4. Enter the same value in the "USERNAME" which is used to sign into Avatar.
5. Set the value for 'CoverageEffectiveDate' with a date that is after the date already in the file for "Client A".
6. Enter values for all other required fields.
7. Submit the request.
8. Verify that the service failed to post with the error message: "The Coverage Effective Date cannot be updated to be later than the previously filed date."
9. Set the value for 'CoverageEffectiveDate' with a date that is before the date already in the file for "Client A".
10. Submit the request.
11. Verify that the service was posted successfully with the message: "Financial Eligibility web service has been filed successfully."
12. Open 'Financial Eligibility' for the "Client A".
13. Select 'Guarantor Selection'.
14. Validate that the 'Coverage Effective Date' is showing the value that we posted in step 9.
15. Click [Discard].
16. Click [Yes].

• Guarantor:
• An active guarantor is identified or created - "Guarantor 1".
• Guarantor/Program Billing Defaults Template:
• An active 'Guarantor/Program Billing Defaults' template is identified or created that includes "Guarantor 1" - "Template 1".

1. Open the 'Registry Settings' form.
2. Set the 'Limit Registry Settings to the Following Search Criteria' text input box to "837I-Dates To Populate 2300 DTP".
3. Select 'Yes' in 'Include Hidden Registry Settings'.
4. Click [View Registry Settings].
5. Validate that the registry setting exists and show the respective values.
6. Set the 'Registry Setting Value' field to '1'.
7. Click [Submit].
8. Click [OK].
9. Click [No].
10. Open the 'Guarantor/Program Billing Defaults' form.
11. Select 'Edit Template'.
12. Select "Template 1" from the 'Select Template' dropdown.
13. Select '837 Institutional'.
14. Validate that the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' is shown with the following options, (none selected by default):
15. Yes (Inpatient/Outpatient)
16. Yes (Outpatient Only)
17. Yes (Inpatient Only)
18. No (Inpatient/Outpatient)
19. Click [Submit].
20. Click [No].
21. Open the 'Admission' form.
22. Admit an Inpatient client - "Client 1".
23. Using the 'Diagnosis' form, File an active diagnosis record for "Client 1".
24. File the 'Financial Eligibility' form for "Client 1", with "Guarantor 1".
25. Specify the 'Coverage Effective Date' and 'Coverage Expiration Date' in the financial eligibility.
26. Create charges for "Client 1" for more than one date, with the dates between the dates saved in step 21.
27. Create a new Interim Billing Batch File, "Batch 1", which covers the services created for "Client 1" in step 22.
28. Close the charges using the Interim Billing Batch File, "Batch 1".
29. Open 'Client Ledger'.
30. Select "Client 1" and the respective Episode.
31. Validate that all the services are closed.
32. Open 'Electronic Billing'.
33. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
34. Set 'First Date Of Service To Include' with a date before the 'Coverage Effective Date' filed in step 21.
35. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
36. Click [Process].
37. Validate that the compile completes successfully.
38. Click [OK].
39. Select 'Dump File' from 'Billing Options'.
40. Select 'Print' from 'Print Or Delete Report'.
41. Select the file compiled in step 31.
42. Click [Process].
43. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first and last dates of the services being billed.
44. Close the report.
45. Click [No].
46. Open 'Discharge' form.
47. Set the 'Date Of Discharge' field to a date that is the day after the last day of service.
48. Fill in all the required fields and select [Submit].
49. Open 'Electronic Billing'.
50. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
51. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
52. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
53. Click [Process].
54. Validate that the compile completes successfully.
55. Click [OK].
56. Select 'Dump File' from 'Billing Options'.
57. Select 'Print' from 'Print Or Delete Report'.
58. Select the file compiled in step 46.
59. Click [Process].
60. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first date of the service being billed and the discharge date file in step 41.
61. Close the report.
62. Click [No].
63. Open the 'Guarantor/Program Billing Defaults' form.
64. Select 'Edit Template'.
65. Select "Template 1" from the 'Select Template' dropdown.
66. Select '837 Institutional'.
67. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'Yes (Inpatient/Outpatient)'.
68. Click [Submit].
69. Click [No].
70. Open 'Electronic Billing'.
71. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
72. Set 'First Date Of Service To Include' a date before the 'Coverage Effective Date' filed in step 21.
73. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
74. Click [Process].
75. Validate that the compile completes successfully.
76. Click [OK].
77. Select 'Dump File' from 'Billing Options'.
78. Select 'Print' from 'Print Or Delete Report'.
79. Select the file compiled in step 65.
80. Click [Process].
81. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first date of the service being billed and the discharge date file in step 41.
82. Close the report.
83. Click [No].
84. Open the 'Guarantor/Program Billing Defaults' form.
85. Select 'Edit Template'.
86. Select "Template 1" from the 'Select Template' dropdown.
87. Select '837 Institutional'.
88. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'Yes (Inpatient Only)'.
89. Click [Submit].
90. Click [No].
91. Open 'Electronic Billing'.
92. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
93. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
94. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
95. Click [Process].
96. Validate that the compile completes successfully.
97. Click [OK].
98. Select 'Dump File' from 'Billing Options'.
99. Select 'Print' from 'Print Or Delete Report'.
100. Select the file compiled in step 85.
101. Click [Process].
102. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first date of the service being billed and the discharge date file in step 41.
103. Close the report.
104. Click [No].
105. Open the 'Guarantor/Program Billing Defaults' form.
106. Select 'Edit Template'.
107. Select "Template 1" from the 'Select Template' dropdown.
108. Select '837 Institutional'.
109. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'Yes (Inpatient Only)'.
110. Click [Submit].
111. Click [No].
112. Open 'Electronic Billing'.
113. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
114. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
115. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
116. Click [Process].
117. Validate that the compile completes successfully.
118. Click [OK].
119. Select 'Dump File' from 'Billing Options'.
120. Select 'Print' from 'Print Or Delete Report'.
121. Select the file compiled in step 105.
122. Click [Process].
123. Validate that the discharge date is not included instead, the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first and last dates of the services being billed.
124. Close the report.
125. Click [No].
126. Open the 'Guarantor/Program Billing Defaults' form.
127. Select 'Edit Template'.
128. Select "Template 1" from the 'Select Template' dropdown.
129. Select '837 Institutional'.
130. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'No (Inpatient/Outpatient)'.
131. Click [Submit].
132. Click [No].
133. Open 'Electronic Billing'.
134. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
135. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
136. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
137. Click [Process].
138. Validate that the compile completes successfully.
139. Click [OK].
140. Select 'Dump File' from 'Billing Options'.
141. Select 'Print' from 'Print Or Delete Report'.
142. Select the file compiled in step 105.
143. Click [Process].
144. Validate that the discharge date is not included instead, the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first and last dates of the services being billed.
145. Close the report.
146. Click [No].
147. Query the tables below and validate that the new columns 'inc_dis_dt_2300_dtp_code' and 'inc_dis_dt_2300_dtp_value' are shown with the field 'Include Discharge Date In Statement To Date (2300-DTP)' value,
148. SYSTEM.file_import_gpbdt_i837
149. SYSTEM.table_837_i_facility_prov_num
150. Close the SQL query window.

• At least one 'Guarantor/Program Billing Defaults' template exists, "Template 1", and the 837 Professional and Institutional sections contain data.
• Files can be saved to the local desktop, "File A", edited, and imported back into Avatar through 'File Import'.
• Registry setting '837I-Dates To Populate 2300 DTP' value set as '1'.

1. Open 'Guarantor/Program Billing Defaults'.
2. Edit the ‘837 Institutional’ section of "Template 1".
3. Validate that the new field has no values selected.
4. Click [Submit].
5. Export the template in 'Edit' mode, saving it to the desktop with a unique name "File A".
6. Edit the 'Edit' mode template to have a value defined for piece 130- 'Include Discharge Date In Statement To Date (2300-DTP)' and save it.
7. Open 'File Import'.
8. Import/Compile/Post the 'Edit' mode template "File A" in the 'Guarantor/Program Billing Defaults Template' file type.
9. Select 'Print File'.
10. Print the file posted in step 8 by selecting it and clicking 'Process Action'.
11. Validate that the Crystal report is included with the new field 'Include Discharge Date In Statement To Date (2300-DTP)' and it's value we selected in step 6 for file import for 837 Institutional.
12. Open 'Guarantor/Program Billing Defaults'.
13. Select 'Edit Template'.
14. Select the 'Edit mode template', "Template 1".
15. Select the ‘837 Professional’ section. The field, 'Include Discharge Date In Statement To Date (2300-DTP)' will have the value used in step 6.
16. Click [Submit].
17. Click [No].

• Guarantor:
• An active guarantor is identified or created - "Guarantor 1".
• Guarantor/Program Billing Defaults Template:
• An active 'Guarantor/Program Billing Defaults' template is identified or created that includes "Guarantor 1" - "Template 1".

1. Open the 'Registry Settings' form.
2. Set the 'Limit Registry Settings to the Following Search Criteria' text input box to "837I-Dates To Populate 2300 DTP".
3. Select 'Yes' in 'Include Hidden Registry Settings'.
4. Click [View Registry Settings].
5. Validate that the registry setting exists and show the respective values.
6. Set the 'Registry Setting Value' field to '2'.
7. Click [Submit].
8. Click [OK].
9. Click [No].
10. Open the 'Guarantor/Program Billing Defaults' form.
11. Select 'Edit Template'.
12. Select "Template 1" from the 'Select Template' dropdown.
13. Select '837 Institutional'.
14. Validate that the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' is not shown.
15. Click [Submit].
16. Click [No].
17. Open the 'Admission' form.
18. Admit an Inpatient client - "Client 1".
19. Using the 'Diagnosis' form, File an active diagnosis record for "Client 1".
20. File the 'Financial Eligibility' form for "Client 1", with "Guarantor 1".
21. Specify the 'Coverage Effective Date' and 'Coverage Expiration Date' in the financial eligibility.
22. Create charges for "Client 1" for more than one date(s), that fall between the dates saved in step 21.
23. Create a new Interim Billing Batch File "Batch 1" which covers the services created for "Client 1" in step 22.
24. Close the charges using the Interim Billing Batch File "Batch 1".
25. Open 'Client Ledger'.
26. Select "Client 1" and the respective Episode.
27. Validate that all the services are closed.
28. Open 'Electronic Billing'.
29. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
30. Set 'First Date Of Service To Include' with the date earlier than the 'Coverage Effective Date' filed in step 21.
31. Set 'Last Date Of Service To Include' with a date later than the 'Coverage Expiration Date' filed in step 21.
32. Click [Process].
33. Validate that the compile completes successfully.
34. Click [OK].
35. Select 'Dump File' from 'Billing Options'.
36. Select 'Print' from 'Print Or Delete Report'.
37. Select the file compiled in step 31.
38. Click [Process].
39. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the 'Coverage Effective date' filed in step 21 and the 'Last Date Of Service To Include' selected in step 29(b).
40. Close the report.
41. Click [No].
42. Open 'Discharge' form.
43. Set the 'Date Of Discharge' field to a date that is greater than the 'Coverage Expiration Date' filed in step 21.
44. Fill in all the required fields and select [Submit].
45. Open 'Electronic Billing'.
46. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
47. Set 'First Date Of Service To Include' with the date earlier than the 'Coverage Effective Date' filed in step 21.
48. Set 'Last Date Of Service To Include' with a date later than the 'Coverage Expiration Date' filed in step 21.
49. Click [Process].
50. Validate that the compile completes successfully.
51. Click [OK].
52. Select 'Dump File' from 'Billing Options'.
53. Select 'Print' from 'Print Or Delete Report'.
54. Select the file compiled in step 46.
55. Click [Process].
56. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the 'Coverage Effective Date' and 'Coverage Expiration Date' filed in step 21.
57. Close the report.
58. Click [No].
59. Open 'Electronic Billing'.
60. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
61. Set 'First Date Of Service To Include' with the date later than the 'Coverage Effective Date' filed in step 21.
62. Set 'Last Date Of Service To Include' with a date earlier than the 'Coverage Expiration Date' filed in step 21.
63. Click [Process].
64. Validate that the compile completes successfully.
65. Click [OK].
66. Select 'Dump File' from 'Billing Options'.
67. Select 'Print' from 'Print Or Delete Report'.
68. Select the file compiled in step 46.
69. Click [Process].
70. Validate that the discharge date is not included instead, the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the First Date Of Service To Include' and 'Last Date Of Service To Include' dates used in the step 57(a, b).
71. Close the report.
72. Click [No].

• Client: The client should be admitted and have an active episode - "Client A".
• Financial Eligibility: "Client A" should have an already existing Financial Eligibility record with both Coverage Effective and Expiration dates.

1. Open the 'Registry Settings' form.
2. Set the 'Limit Registry Settings to the Following Search Criteria' to 'Restrict Coverage Effective Date Edits to Prior Dates Only'.
3. Click [View Registry Settings].
4. Validate that the respective registry setting shows up.
5. Set the 'Avatar PM->Billing->Financial Eligibility->->->Restrict Coverage Effective Date Edits to Prior Dates Only' registry setting to a value other than 'Y' or 'N'.
6. Verify an error message displays that the valid choices are 'Y or N' only.
7. Set the 'Avatar PM->Billing->Financial Eligibility->->->Restrict Coverage Effective Date Edits to Prior Dates Only' registry setting to 'Y' and then submit to save.
8. Open the 'Financial Eligibility' form.
9. Search and select "Client A".
10. Select the Episode from the grid.
11. Select 'Guarantor Selection'.
12. Check if the 'Coverage Effective Date' field is already showing the date in the file.
13. Try to enter a date that is after the date that is already in the file and move away from the field.
14. Validate that an error message appears when updating the 'Coverage Effective Date' field to a date that is later than the previously filed date.
15. Validate the error text - 'The Coverage Effective Date cannot be updated to be later than the previously filed date.'.
16. Click [OK].
17. Validate that the 'Coverage Effective Date' field is restored with the last value saved.
18. Set 'Coverage Effective Date' with a date that is before the date that is already in the file and move away from the field.
19. Validate that there are no errors shown.
20. Click [Submit].
21. Open the 'Financial Eligibility' form.
22. Search and select "Client A".
23. Select the Episode from the grid.
24. Select 'Guarantor Selection'.
25. Check if the 'Coverage Effective Date' field is showing with the date we save in step 18.
26. Click [Discard].
27. Click [Yes].
28. Open the 'Registry Settings' form.
29. Set the 'Limit Registry Settings to the Following Search Criteria' to 'Restrict Coverage Effective Date Edits to Prior Dates Only'.
30. Click [View Registry Settings].
31. Set the 'Avatar PM->Billing->Financial Eligibility->->->Restrict Coverage Effective Date Edits to Prior Dates Only' registry setting to 'N' and then submit to save.
32. Open the 'Financial Eligibility' form.
33. Search and select "Client A".
34. Select the Episode from the grid.
35. Select 'Guarantor Selection'.
36. Check if the 'Coverage Effective Date' field is showing with the date we save in step 18.
37. Try to enter a date that is after the date that is already in the file and move away from the field.
38. Validate that there are no errors shown.
39. Click [Submit].
40. Open the 'Financial Eligibility' form.
41. Search and select "Client A".
42. Select the Episode from the grid.
43. Select 'Guarantor Selection'.
44. Check if the 'Coverage Effective Date' field is showing with the date we save in step 37.
45. Click [Discard].
46. Click [Yes].

• Guarantor:
• An active guarantor is identified or created - "Guarantor 1".
• Guarantor/Program Billing Defaults Template:
• An active 'Guarantor/Program Billing Defaults' template is identified or created that includes "Guarantor 1" - "Template 1".

1. Open the 'Registry Settings' form.
2. Set the 'Limit Registry Settings to the Following Search Criteria' text input box to "837I-Dates To Populate 2300 DTP".
3. Select 'Yes' in 'Include Hidden Registry Settings'.
4. Click [View Registry Settings].
5. Validate that the registry setting exists and show the respective values.
6. Set the 'Registry Setting Value' field to '1'.
7. Click [Submit].
8. Click [OK].
9. Click [No].
10. Open the 'Guarantor/Program Billing Defaults' form.
11. Select 'Edit Template'.
12. Select "Template 1" from the 'Select Template' dropdown.
13. Select '837 Institutional'.
14. Validate that the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' is shown with the following options, (none selected by default):
15. Yes (Inpatient/Outpatient)
16. Yes (Outpatient Only)
17. Yes (Inpatient Only)
18. No (Inpatient/Outpatient)
19. Click [Submit].
20. Click [No].
21. Open the 'Admission' form.
22. Admit an Inpatient client - "Client 1".
23. Using the 'Diagnosis' form, File an active diagnosis record for "Client 1".
24. File the 'Financial Eligibility' form for "Client 1", with "Guarantor 1".
25. Specify the 'Coverage Effective Date' and 'Coverage Expiration Date' in the financial eligibility.
26. Create charges for "Client 1" for more than one date, with the dates between the dates saved in step 21.
27. Create a new Interim Billing Batch File, "Batch 1", which covers the services created for "Client 1" in step 22.
28. Close the charges using the Interim Billing Batch File, "Batch 1".
29. Open 'Client Ledger'.
30. Select "Client 1" and the respective Episode.
31. Validate that all the services are closed.
32. Open 'Electronic Billing'.
33. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
34. Set 'First Date Of Service To Include' with a date before the 'Coverage Effective Date' filed in step 21.
35. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
36. Click [Process].
37. Validate that the compile completes successfully.
38. Click [OK].
39. Select 'Dump File' from 'Billing Options'.
40. Select 'Print' from 'Print Or Delete Report'.
41. Select the file compiled in step 31.
42. Click [Process].
43. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first and last dates of the services being billed.
44. Close the report.
45. Click [No].
46. Open 'Discharge' form.
47. Set the 'Date Of Discharge' field to a date that is the day after the last day of service.
48. Fill in all the required fields and select [Submit].
49. Open 'Electronic Billing'.
50. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
51. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
52. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
53. Click [Process].
54. Validate that the compile completes successfully.
55. Click [OK].
56. Select 'Dump File' from 'Billing Options'.
57. Select 'Print' from 'Print Or Delete Report'.
58. Select the file compiled in step 46.
59. Click [Process].
60. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first date of the service being billed and the discharge date file in step 41.
61. Close the report.
62. Click [No].
63. Open the 'Guarantor/Program Billing Defaults' form.
64. Select 'Edit Template'.
65. Select "Template 1" from the 'Select Template' dropdown.
66. Select '837 Institutional'.
67. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'Yes (Inpatient/Outpatient)'.
68. Click [Submit].
69. Click [No].
70. Open 'Electronic Billing'.
71. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
72. Set 'First Date Of Service To Include' a date before the 'Coverage Effective Date' filed in step 21.
73. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
74. Click [Process].
75. Validate that the compile completes successfully.
76. Click [OK].
77. Select 'Dump File' from 'Billing Options'.
78. Select 'Print' from 'Print Or Delete Report'.
79. Select the file compiled in step 65.
80. Click [Process].
81. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first date of the service being billed and the discharge date file in step 41.
82. Close the report.
83. Click [No].
84. Open the 'Guarantor/Program Billing Defaults' form.
85. Select 'Edit Template'.
86. Select "Template 1" from the 'Select Template' dropdown.
87. Select '837 Institutional'.
88. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'Yes (Inpatient Only)'.
89. Click [Submit].
90. Click [No].
91. Open 'Electronic Billing'.
92. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
93. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
94. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
95. Click [Process].
96. Validate that the compile completes successfully.
97. Click [OK].
98. Select 'Dump File' from 'Billing Options'.
99. Select 'Print' from 'Print Or Delete Report'.
100. Select the file compiled in step 85.
101. Click [Process].
102. Validate that the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first date of the service being billed and the discharge date file in step 41.
103. Close the report.
104. Click [No].
105. Open the 'Guarantor/Program Billing Defaults' form.
106. Select 'Edit Template'.
107. Select "Template 1" from the 'Select Template' dropdown.
108. Select '837 Institutional'.
109. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'Yes (Inpatient Only)'.
110. Click [Submit].
111. Click [No].
112. Open 'Electronic Billing'.
113. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
114. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
115. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
116. Click [Process].
117. Validate that the compile completes successfully.
118. Click [OK].
119. Select 'Dump File' from 'Billing Options'.
120. Select 'Print' from 'Print Or Delete Report'.
121. Select the file compiled in step 105.
122. Click [Process].
123. Validate that the discharge date is not included instead, the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first and last dates of the services being billed.
124. Close the report.
125. Click [No].
126. Open the 'Guarantor/Program Billing Defaults' form.
127. Select 'Edit Template'.
128. Select "Template 1" from the 'Select Template' dropdown.
129. Select '837 Institutional'.
130. Set the new field, 'Include Discharge Date In Statement To Date (2300-DTP)' to 'No (Inpatient/Outpatient)'.
131. Click [Submit].
132. Click [No].
133. Open 'Electronic Billing'.
134. Run the '837-Institutional' bill for the Interim Billing "Batch 1", for "Guarantor 1".
135. Set 'First Date Of Service To Include' with the date before the 'Coverage Effective Date' filed in step 21.
136. Set ' Last Date Of Service To Include' with a date after the 'Coverage Expiration Date' filed in step 21.
137. Click [Process].
138. Validate that the compile completes successfully.
139. Click [OK].
140. Select 'Dump File' from 'Billing Options'.
141. Select 'Print' from 'Print Or Delete Report'.
142. Select the file compiled in step 105.
143. Click [Process].
144. Validate that the discharge date is not included instead, the Statement From and To Date in the 2300-DTP-03 segment of the 837 Institutional file is overridden by the first and last dates of the services being billed.
145. Close the report.
146. Click [No].
147. Query the tables below and validate that the new columns 'inc_dis_dt_2300_dtp_code' and 'inc_dis_dt_2300_dtp_value' are shown with the field 'Include Discharge Date In Statement To Date (2300-DTP)' value,
148. SYSTEM.file_import_gpbdt_i837
149. SYSTEM.table_837_i_facility_prov_num
150. Close the SQL query window.