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Avatar MSO 'Performing Provider Association' form
The 'Performing Provider Association' form is added to Avatar MSO.
The 'Performing Provider Association' form is added, and will allow users to assign Performing Providers to Contracting Provider Registrations without using the 'Contracting Provider Registration' form. In addition, the following fields are added to the 'Contracting Provider Registration' and 'Performing Provider Registration' forms:
- 'Performing Provider's Office Telephone (1)'
- 'Performing Provider's Office Telephone (2)'
- 'Performing Provider's Cellular Telephone'
- 'Performing Provider's Fax'
- 'Secondary Provider Identification Number'
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Avatar MSO 'Fast Service Entry Submission' Form
The 'Date Claims Submitted' field in the 'Fast Service Entry Submission' form is updated to default in the current date and remain disabled.
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Avatar MSO 'Fast Service Entry Submission' Form
An issue is resolved in the 'Fast Service Entry Submission' form to ensure that the 'Claim Status' field is not enabled for edit when selecting an authorization from the 'Display Valid Authorizations' menu.
Included Updates
8
Product Update Form Description
The following modifications are made: 1) The 'Performing Provider Association' form is added to Avatar MSO. This form will allow the user to assign Performing Providers to Contracting Provider Registrations without using the 'Contracting Provider Registration' form. 2) The following fields are added to the 'Contracting Provider Registration', 'Performing Provider Association' and 'Performing Provider Registration' forms: 'Performing Provider's Office Telephone (1)','Performing Provider's Office Telephone (2)','Performing Provider's Cellular Telephone', 'Performing Provider's Fax', 'Secondary Provider Identification Number'. 3) The 'Date Claims Received' field in the 'Fast Service Entry Submission' form is updated to default in the current date and will now remain disabled. 4) An issue is resolved where the 'Claim Status' field would become enabled when selecting an authorization from the 'Display Valid Authorizations' menu.
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Topics
• Performing Provider
• Contracting Provider Registration
• NX
• Claims Processing
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'Provider Activity Invoice' Forms
The 'Activity Through Date' field is added to the 'Provider Activity Invoice' forms.
The 'Activity Through Date' field is added to the Avatar MSO 'Provider Activity Invoice' and 'Provider Activity Invoice with Override' forms. In addition, the 'Activity Date' field is updated to 'Activity From Date' in the 'Provider Activity Invoice' and 'Provider Activity Invoice with Override' forms.
Included Updates
None
Product Update Form Description
The 'Through Date' field is added to the 'Provider Activity Invoice' (Provider Activity Invoice Details) and 'Provider Activity Invoice with Override' (Provider Activity Invoice Details) forms. The InvoiceEntry web service is updated to include 'Activity Through Date'.
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Topics
• Provider Activity
• NX
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Avatar MSO - 835 Healthcare Claim Payment/Advice
The '835 Healthcare Claim Payment/Advice' functionality has been updated in the following way: If 'Sort' is selected in 'Options' and the selected file has previously been sorted, a dialog box displays the message: Previously sorted 835 contains the same EOB(s). Continue sort?
The dialog box allows the user to select 'No' to cancel the selection.
The dialog box allows the user to select 'Yes' to continue to sort the file and will produce a file with same information as the previous file, except for the envelope information.
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[Avatar MSO] Service Authorization - Member
The '[Avatar MSO] Service Authorization - Member' functionality has been updated to prevent an error for 'Type Of Authorization' field, when editing the file import to include the authorization number and posting it again as an edit.
Included Updates
None
Product Update Form Description
The following issues are resolved: 1) When the 'Sort File' option in the '835 Healthcare Claim Payment/Advice' form is selected and the 'Process' button clicked once, the system creates multiple identical files that are available to be selected. 2) Service Authorization file import is incorrectly rejecting records with invalid 'Type Of Authorization'.
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Topics
• 835 Health Care Claim Payment/Advice
• File Import
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American Medical Association Copyright Notice Display
AMA 'CPT Code' Trademark/Copyright labels are added to the Avatar MSO 'CPT Code Definition' and 'CPT Code Cross Reference' forms.
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Claims Processing/Service Entry 'Client And Counselor Groups' Support
Avatar MSO is updated to support 'ODS Group Service' calculations in conjunction with the 'Enable Client and Counselor Groups in Service Entry' Registry Setting in various Claims Processing/Service Entry and System Definition forms.
The 'Travel Time' and 'Group Service Units Per Day' fields are added to the following Avatar MSO forms (where Avatar MSO Registry Setting 'Enable Client and Counselor Groups in Service Entry' is enabled):
* 'Claim Processing (CMS 1500)' ('Service Detail' section)
* 'Claim Processing with Override(CMS 1500)' ('Service Detail' section)
* 'Claim Processing (UB04)' ('Service Detail' section)
* 'Claim Processing with Override (UB04)' ('Service Detail' section)
* 'Fast Service Entry' ('Fast Service Detail' section)
* 'Fast Service Entry Submission' ('Fast Service Detail' section)
The 'Start Date for 'Use ODS Group Service Calculation'' Registry Setting is added to Avatar MSO.
The 'Use ODS Group Service Calculation' and 'Maximum Travel Time (minutes)' fields are added to the Avatar MSO 'CPT Code Definition' and 'Revenue Code Definition' forms/import. For updated CPT Code/Revenue Code Import Format, please refer to included 'Avatar_MSO_2022_File_Import_Record_Layouts' document.
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American Medical Association Copyright Notice Display
AMA 'CPT Code' Trademark/Copyright labels are added to multiple Avatar MSO forms.
AMA 'CPT Code' Trademark/Copyright labels are added to the following Avatar MSO forms:
* 'Provider Fee Definition'
* 'Copy Provider Fee Definition'
* 'Service Authorization'
* 'Contracting Provider Service Authorization'
* 'Funding Source Service Authorization'
* 'Automatic Authorization Approval Setup'
* 'MSO to Parent System Integration Mapping'
* 'Set Associated Codes' ('CPT Codes' section)
* 'Contracting Provider Registration' ('837 Defaults' section)
* 'Plan Definition' ('Plan Coverage Definition' section)
* 'Claim Processing (CMS 1500)' ('Service Detail' section)
* 'Claim Processing with Override(CMS 1500)' ('Service Detail' section)
* 'Claim Processing (UB04)' ('Service Detail' section)
* 'Claim Processing with Override (UB04)' ('Service Detail' section)
* 'Fast Service Entry' ('Fast Service Detail' section)
* 'Fast Service Entry Submission' ('Fast Service Detail' section)
Included Updates
8, 11
Product Update Form Description
The following is included: 1) The 'Use ODS Group Service Calculation' and 'Maximum Travel Time (minutes)' fields are added to 'CPT Code Definition' and 'Revenue Code Definition'. 2) The 'Travel Time' and 'Group Service Units Per Day' fields are added to 'Claim Processing (CMS 1500)' (Service Detail), 'Claim Processing with Override(CMS 1500)' (Service Detail), 'Claim Processing (UB04)' (Service Detail), 'Claim Processing with Override (UB04)' (Service Detail), 'Fast Service Entry' (Fast Service Detail), and 'Fast Service Entry Submission' (Fast Service Detail). Note: The above fields are visible only when the 'Enable Client and Counselor Groups in Service Entry' registry setting is enabled. 3) The 'Start Date for 'Use ODS Group Service Calculation'' registry setting is added. 4) CPT trademark/Copyright labels are added to the forms 'CPT Code Definition', 'CPT Code Cross Reference', 'Provider Fee Definition', 'Copy Provider Fee Definition', 'Service Authorization', 'Contracting Provider Service Authorization', 'Funding Source Service Authorization', 'Automatic Authorization Approval Setup', 'MSO to Parent System Integration Mapping', 'Set Associated Codes' (CPT Codes), 'Contracting Provider Registration' (837 Defaults), 'Plan Definition' (Plan Coverage Definition) and the Claim Processing (Service Detail) forms.
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Topics
• CPT Code Definition
• NX
• Revenue Code Definition
• Claims Processing
• Registry Settings
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MSO Service Authorization
'Chart View' as been updated to display data from the 'Service Authorization Request' and 'Service Authorization' forms. The 'MSO Care Manager' data will display on those forms.
The 'All Documents' widget has been updated to display all data for the 'Assign MSO Care Manager', 'Service Authorization Request' and 'Service Authorization' forms.
Included Updates
None
Product Update Form Description
The issue is resolved where the error "[INVALID OREF]GetTab+88^UICHARTLIB" is produced when accessing the 'Service Authorization' chart.
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Topics
• Widgets
• Service Authorizations
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Client Merge - Service Authorization - AUTuniqueid
Client Merge functionality is updated to ensure the correct AUTuniqueid is created when clients are merged that have existing Service Authorization records.
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Foster Home Registration
The 'Foster Home Registration' form is updated to ensure a user can edit the 'Foster Home Name' field and enter an existing value successfully.
Included Updates
None
Product Update Form Description
The following issues are resolved: 1) The "SYSTEM.service_auth_svc" table is not being updated after member merge. 2) The error "This name is already in use by provider" is produced incorrectly in the 'Foster Home Registration' form.
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Topics
• Client Merge
• Service Authorizations
• NX
• Foster Care
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MSO SYSTEM.placement_disruption table
The 'MSO SYSTEM.placement_disruption' table has been added to the CDR to allow users to query the 'MSO SYSTEM.placement_disruption' table from the parent namespace.
Included Updates
None
Product Update Form Description
The 'SYSTEM.placement_disruption' table is added to CDR.
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Topics
• Foster Care
• NX
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Included Updates
8, 11, 20
Required Updates
Avatar MSO 2022 Update 20
Product Update Form Description
The issue is resolved where existing entries cannot be deleted in the 'Claim Processing Blackout' form.
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Topics
• Claims Processing
• NX
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Included Updates
None
Product Update Form Description
The "[PROPERTY DOES NOT EXIST]ProcessFields+23^MSOWebServiceClaimEntryAPI *TravelTime,SYSTEM.ClaimEntryServiceObject" error which could occur during the ProviderConnect pre-adjudication process is resolved.
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Topics
• Claims Processing
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