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Registry Setting - Claims Processing
A new registry 'Avatar MSO->Claims Processing->Include In EOB Retros For Replaced Services Not On EOB' is introduced to allow the end-user to modify the 'Create EOB' process to include retro claim adjudications for replacement services not on the EOB.
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File Import - Service Authorizations
File Import for member or contracting provider service authorizations is modified to always retain data in site specific fields in 'Add' or 'Edit' mode.
Included Updates
7, 12, 22, 26
Required Updates
Avatar MSO 2021 Update 22
Product Update Form Description
A new registry 'Avatar MSO->Claims Processing->Include In EOB Retros For Replaced Services Not On EOB' is introduced to allow the end-user to modify the 'Create EOB' process to include retro claim adjudications for replacement services not on the EOB. Also, the issue is resolved where in the 'File Import' form, site specific fields are not retained on edit of an existing member or contracting provider service authorization.
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Topics
• Retro Claim Adjudication
• NX
• myAvatar/myAvatar NX
• File Import
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Included Updates
2, 3, 4, 8, 9, 10, 11, 15, 16, 18, 19, 23, 29
Product Update Form Description
An error may occur in 'Budget Tracking Account Setup' form "[UNDEFINED]PRE+183^MSOPCERT *PT(10549)" is resolved.
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Topics
• NX
• Budget Tracking
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837 Health Care Claim - Performing Provider
Functionality for the 837 Health Care Claim Institutional and the 837 Health Care Claim Professional has been updated to select the correct Performing Provider regardless of the associated Contracting Provider Registration.
Included Updates
2, 3, 4, 8, 9, 10, 11, 15, 16, 18, 19, 23, 29, 30
Required Updates
Avatar MSO 2021 Update 15
Avatar MSO 2021 Update 29
Product Update Form Description
The issue is resolved where when compiling an 837 file via the '837 Health Care Claim Professional' or '837 Health Care Claim Institutional' form, the performing provider is not found if the performing provider is not filed in the first contracting provider registration.
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Topics
• Performing Provider
• Contracting Provider Registration
• 837 Health Care Claim Institutional
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