Avatar MSO 2022 Update 22

Product Requirements / Recommendations

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Product Update Form Description

The issue is resolved where EOB CSV files are not being deposited in the Contracting Provider specific file folder.

Included Updates

None

Required Updates

None

Details

NEW0 CHANGED0 FIXED1

Fixed (1)

AV-77934 Details \| User Acceptance Tests Registry Setting - Enable Contracting Provider Specific File Folder Structure An issue is resolved to ensure the EOB CSV files are placed in the appropriate Contracting Provider specific file folder.	Topics • Contracting Provider Registration • NX • Registry Settings

Acceptance Tests

AV-77934 Summary | Details

Registry Setting - Enable Contracting Provider Specific File Folder Structure

Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:

Scenario 1: Registry Setting - Enable Contracting Provider Specific File Folder Structure

Specific Setup:

A directory has been created on the server that will contain the specific file folders for contracting providers if the following registry setting is enabled.
Registry Setting: Enable Contracting Provider Specific File Folder Structure = Y.
Validate that a file folder has been created on the server for the facility and for each contracting provider within the facility folder.
Import/Export File Configuration:
277 Claim Acknowledgement: Select Yes in ‘Automatically Generate a 277 Claim Acknowledgement File’.
999 Functional Acknowledgement: Select Yes in ‘Automatically Generate a 999 Functional Acknowledgement File’.
Automated Claim Processing Output: The directory created above is placed in ‘Automated Claim Processing Output File Path’.
837 Professional and 837 Institutional are defined as desired.
A file to use in '837 Health Care Claim Professional' or '837 Health Care Claim Institutional’ is available. Note the contracting provider.

Steps

Open ‘Applying Contracting Provider’ and create a record.
Open ‘Contracting Provider Registration’, selecting the ‘Applying Contracting Provider’ record.
Complete the ‘Contracting Provider Registration’ as desired.
Validate that a new folder was created for the ‘Contracting Provider’ within the facility folder.
Open ‘Contracting Provider Termination’ and terminate the contracting provider.
Validate that the folder now contains ‘Inactive’.
Open '837 Health Care Claim Professional' or '837 Health Care Claim Institutional’ and load, compile and post the file. Note the batch number in the posted report.
Open ‘Close Batch’ and close the batch.
Open ‘Create Voucher’ and create the voucher for the contracting provider.
Open ‘Create EOB’ and create the EOB for the contracting provider.
Create and post the 835 file in '835 Health Care Claim Payment/Advice'.
Validate that the folder for the contracting provider contains a new file in the ‘277’, ‘835’ and ‘999’ folders.

Topics

• Contracting Provider Registration • NX • Registry Settings