Product Requirements / Recommendations
Avatar MSO
required
RADplus
required
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Avatar MSO Retro Claim Adjudication File Import
An issue is resolved to ensure that Retro Claim Adjudication entries for multiple services are correctly compiled/posted in the 'File Import' form for processing of '[Avatar MSO] Retro Claim Adjudication' import files.
Included Updates
None
Product Update Form Description
The error "A retro for this service will be created with information from Line #1. This line will be skipped." is resolved in the 'Retro Claim Adjudication' selection of the 'File Import' form.
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Topics
• Retro Claim Adjudication
• File Import
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Avatar MSO 'Void Claim Assignment' form
The 'Void Claim Assignment' form is added to Avatar MSO.
The Avatar MSO 'Void Claim Assignment' form allows for user entry of 'Void' (full takeback) Retro Claim Adjudication entries for claims/service(s) in 'Closed' status Claim Processing batches (where no previous Retro Claim Adjudication/Void entry has been filed for service).
Included Updates
None
Product Update Form Description
The 'Void Claim Assignment' form is added to Avatar MSO.
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Topics
• Retro Claim Adjudication
• NX
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Avatar MSO Budget Tracking
The 'Budget Tracking Account Setup' form and Avatar MSO Budget Tracking functionality are updated to ensure that Retro Claim Adjudication 'Take Back Amount' values (as well as any deleted services) are correctly reflected/added back to Budget Tracking Account/Account Level 'Remaining Amount' calculations.
Included Updates
None
Product Update Form Description
The issue is resolved where retro take back amounts are not added back to the remaining amount in the budget account.
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Topics
• Retro Claim Adjudication
• NX
• Budget Tracking
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'Electronic Billing' Support for Services Originating in Avatar MSO
An issue is resolved to ensure that 837 5010 Professional and Institutional files are produced without system error via the Avatar Cal-PM 'Electronic Billing' form for services originating in Avatar MSO when the Avatar Cal-PM 'Support MSO Other Healthcare Coverage' Registry Setting is enabled.
Included Updates
12
Required Updates
Avatar MSO 2022 Update 12
Product Update Form Description
The issue is resolved where the error "[SUBSCRIPT]zGetOHCData+44^SYSTEM.msoservicecob.1" is produced when compiling an 837 5010 Professional or Institutional file via the 'Electronic Billing' form that includes MSO OHC services.
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Topics
• Electronic Billing
• Claims Processing
• NX
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