Product Requirements / Recommendations
Avatar MSO
required
RADplus
required
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Avatar MSO 'Claim Acknowledgement (277CA) File' Service Line Information
The 'Claim Acknowledgement (277CA) File' process is updated to add support for Service Line Information segments.
The Avatar MSO 'Claim Acknowledgement (277CA) File' process is updated to add support for the following Service Line Information segments in 277CA response files for rejected and 'split claims' (claims where both accepted and rejected services are included in inbound 837 Health Care Claim file):
* '2220D-SVC' Service Line Information
* '2220D-STC' Service Line Level Status Information
* '2220D-REF' Service Line Item Identification
* '2220D-DTP' Service Line Date
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Avatar MSO 'Claim Acknowledgement (277CA) File' Report
The 'Claim Acknowledgement (277CA) File' Report is updated to add support for Service Line Information including 'split claims'.
The Avatar MSO 'Claim Acknowledgement (277CA) File' Report is updated to add support for 277CA response Service Line Information including 'split claims' (claims where both accepted and rejected services are included in inbound 837 Health Care Claim file).
Included Updates
13
Product Update Form Description
The 'Claim Acknowledgement (277CA) File' process is updated to add support for Service Line Information segments.
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Topics
• 837 Health Care Claim Professional
• Claims Processing
• 837 Health Care Claim Institutional
• Claim Acknowledgement (277CA)
• Reports
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Avatar MSO 'Functional Acknowledgement File' Deletion
An issue is resolved to ensure that deletion of an Avatar MSO 837 inbound file also deletes the corresponding Functional Acknowledgement (999) file entry.
Included Updates
None
Product Update Form Description
The issue is resolved where deleting a MSO 837 file does not delete the corresponding Functional Acknowledgement file.
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Topics
• 837 Health Care Claim Professional
• Functional Acknowledgement (999) File
• 837 Health Care Claim Institutional
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