Product Requirements / Recommendations
Avatar MSO
required
RADplus
required
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Avatar MSO 'Claim Processing Automation' form.
An issue is resolved to ensure files are correctly loaded/compiled/posted via Avatar MSO Claim Processing Automation functions.
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'837 Health Care Claim Professional' Form / '837 Health Care Claim Institutional' Form
An issue is resolved to ensure that user-friendly error messaged are produced on attempted loading of an invalid format 837 Professional or Institutional file.
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Avatar MSO 'Other EOB Information' form
An issue is resolved to ensure that Avatar MSO SQL table 'SYSTEM.table_eob_core' data is updated when an existing check date, check number, or check amount is removed via the 'Other EOB Information' form.
Included Updates
None
Product Update Form Description
The following issues are resolved: 1) The error "[UNDEFINED]FileClaimForm+5^MSOCLAIMFORMFile" produced on 837 automated posting. 2) The error "[UNDEFINED]Save997toClass+60^MSOEACK997Compile" produced on load of an 837 Professional or Institutional file and the error "[MAXNUMBER]Save997toClass+38^MSOEACK997Compile" produced on compile of an 837 Professional or Institutional file. 3) The 'SYSTEM.table_eob_core' table is not updated when an existing check date, check number, or check amount is removed via the 'Other EOB Information' form.
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Topics
• 837 Health Care Claim Professional
• Claims Processing
• 837 Health Care Claim Institutional
• NX
• Create EOB
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Avatar MSO to Avatar PM Service Filing
An issue is resolved to ensure that using the 'File' or 'Delete' fields in the 'Service Filling' section of the 'MSO to Parent System Integration Mapping' form while claims are being filed from MSO to PM correctly validates for EOB/EOB check numbers before filing.
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'Claim Entry' Web Service
An issue is resolved to ensure that the Avatar MSO 'Claim Entry' Web Service correctly files data where Batch ID to be created exceeds 6 digits in length.
Included Updates
None
Product Update Form Description
The following updates are included: 1) An issue is resolved where the Avatar MSO 'Claim Entry' web service may not correctly file claim/service data. 2) An issue is resolved where using the 'File' or 'Delete' fields in the 'Service Filling' section of the 'MSO to Parent System Integration Mapping' form while claims are being filed from MSO to PM may result in claims incorrectly validating for EOB and EOB check numbers before filing.
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Topics
• MSO To Parent System Integration Mapping
• NX
• Web Services
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Avatar MSO 'Performing Provider Registration' Form.
An issue is resolved to ensure that Performing Provider Registration can be terminated after the existing registration date is modified to an earlier date.
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'837 Health Care Claim Professional' Form / '837 Health Care Claim Institutional' Form
An issue is resolved to ensure successful loading of either a 837 5010 Professional file (via the '837 Health Care Claim Professional' form) or an 837 5010 Institutional file (via the '837 Health Care Claim Institutional' form) where the '2430-CAS-02' value is blank.
Included Updates
None
Product Update Form Description
The following issues are resolved: 1) Performing provider registration cannot be terminated after the existing registration date is modified to an earlier date. 2) The error "[SUBSCRIPT]DOSEGMENT+25^EB837pLoad" produced when loading an 837 5010 Professional file via the '837 Health Care Claim Professional' form, and the error "[SUBSCRIPT]DOSEGMENT+36^EB837iLoad" produced when loading an 837 5010 Institutional file via the '837 Health Care Claim Institutional' form.
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Topics
• Performing Provider
• NX
• 837 Health Care Claim Professional
• Claims Processing
• 837 Health Care Claim Institutional
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837 Health Care Claim Adjustment Posting
An issue is resolved to ensure that after an 837 5010 Professional or Institutional inbound file is posted and automatically re-adjudicated, OHC claim adjustment data in the SYSTEM.mso_claim_adjustments table is retained, to ensure that claim adjustment segments are produced in the 837 generated in the parent PM system.
Included Updates
None
Product Update Form Description
The issue is resolved where after an 837 5010 Professional or Institutional inbound file is posted and automatically re-adjudicated, OHC claim adjustment data in the SYSTEM.mso_claim_adjustments table is not retained, causing claim adjustment segments to not produce in the 837 generated in the parent PM system.
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Topics
• 837 Health Care Claim Professional
• Claims Processing
• NX
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