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.
'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.
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.
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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.
'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.
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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.
'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.
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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.
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Topics
• 837 Health Care Claim Professional
• Claims Processing
• NX
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