Avatar MSO 2023 Release Notes
Requirements
Products
The following products are required before loading any Avatar MSO updates:
- RADplus
- Avatar MSO
Releases
Quarterly
Quarterly releases are a bundle of all individual updates released up to the date of generation. Quarterly releases do not require any prior quarterly releases.
Avatar MSO 2023 Quarterly Release 2023.04 Dec 22, 2023
All updates for Avatar MSO 2023
835 Health Care Claim Payment/Advice 837 Health Care Claim Institutional 837 Health Care Claim Professional 837 Institutional 837 Professional Budget Tracking Claim Processing Blackout Claims Adjudication Rule Definition Claims Processing Close Batch Contracting Provider Registration CPT Code Definition Create Voucher Data Import Database Management File Import Financial Eligibility Forms MSO To Parent System Integration Mapping NX Performing Provider Plan Definition Provider Fee Definition Registry Settings Reports Retro Claim Adjudication Revenue Code Definition Service Authorizations Upgrade Widgets
Avatar MSO 2023 Quarterly Release 2023.03 Sep 27, 2023
All updates for Avatar MSO 2023
835 Health Care Claim Payment/Advice 837 Health Care Claim Institutional 837 Health Care Claim Professional 837 Institutional 837 Professional Claim Processing Blackout Claims Processing Close Batch Contracting Provider Registration CPT Code Definition Create Voucher File Import Financial Eligibility Forms MSO To Parent System Integration Mapping NX Performing Provider Plan Definition Provider Fee Definition Registry Settings Reports Retro Claim Adjudication Service Authorizations Upgrade Widgets
Avatar MSO 2023 Quarterly Release 2023.02 Jun 26, 2023
All updates for Avatar MSO 2023
837 Health Care Claim Institutional 837 Health Care Claim Professional 837 Institutional 837 Professional Claims Processing Close Batch Contracting Provider Registration CPT Code Definition MSO To Parent System Integration Mapping NX Performing Provider Provider Fee Definition Registry Settings Reports Retro Claim Adjudication Service Authorizations Upgrade Widgets
Avatar MSO 2023 Quarterly Release 2023.01 Mar 27, 2023
All updates for Avatar MSO 2023
Claims Processing NX Performing Provider Provider Fee Definition Upgrade
Monthly
A bundle of individual updates released since the prior monthly. Each monthly release requires the prior monthly release.
Avatar MSO 2023 Monthly Release 2023.04.00 Dec 22, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.03.02
837 Health Care Claim Professional Claims Processing CPT Code Definition Database Management NX
Avatar MSO 2023 Monthly Release 2023.03.02 Nov 28, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.03.01
837 Health Care Claim Institutional 837 Health Care Claim Professional Budget Tracking Claims Processing Close Batch CPT Code Definition Data Import File Import MSO To Parent System Integration Mapping NX Registry Settings Retro Claim Adjudication Revenue Code Definition Service Authorizations
Avatar MSO 2023 Monthly Release 2023.03.01 Oct 27, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.03.00
837 Health Care Claim Institutional 837 Health Care Claim Professional Claims Adjudication Rule Definition Claims Processing NX
Avatar MSO 2023 Monthly Release 2023.03.00 Sep 27, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.02.02
837 Health Care Claim Institutional 837 Health Care Claim Professional Claim Processing Blackout Claims Processing Contracting Provider Registration CPT Code Definition Financial Eligibility NX Provider Fee Definition Registry Settings Service Authorizations
Avatar MSO 2023 Monthly Release 2023.02.02 Aug 29, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.02.01
837 Health Care Claim Institutional 837 Health Care Claim Professional Claims Processing Contracting Provider Registration File Import MSO To Parent System Integration Mapping NX Registry Settings Retro Claim Adjudication Service Authorizations
Avatar MSO 2023 Monthly Release 2023.02.01 Jul 27, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.02.00
835 Health Care Claim Payment/Advice 837 Health Care Claim Institutional 837 Health Care Claim Professional 837 Professional Claims Processing CPT Code Definition Create Voucher Forms MSO To Parent System Integration Mapping NX Plan Definition Registry Settings Retro Claim Adjudication Service Authorizations
Avatar MSO 2023 Monthly Release 2023.02.00 Jun 26, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.01.02
CPT Code Definition NX
Avatar MSO 2023 Monthly Release 2023.01.02 May 26, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.01.01
837 Health Care Claim Professional Claims Processing Close Batch MSO To Parent System Integration Mapping NX Registry Settings
Avatar MSO 2023 Monthly Release 2023.01.01 Apr 27, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.01.00
837 Health Care Claim Institutional 837 Health Care Claim Professional 837 Institutional 837 Professional Claims Processing Contracting Provider Registration NX Registry Settings Reports Retro Claim Adjudication Service Authorizations Widgets
Avatar MSO 2023 Monthly Release 2023.01.00 Mar 27, 2023
All updates since Avatar MSO 2023 Monthly Release 2023.00.01
Claims Processing NX Performing Provider Provider Fee Definition
Avatar MSO 2023 Monthly Release 2023.00.01 Feb 24, 2023
Avatar MSO 2023 Monthly Release 2023.00.00 Jan 30, 2023
Individual
A list of individual updates for the Avatar MSO 2023 product. Each update may include other updates.
Avatar MSO 2023 Update 42 Feb 22, 2024
Avatar MSO 2023 Update 43 Feb 8, 2024
The following issues are resolved: 1) The "(500) Internal Server Error" produced when attempting to print any MSO file import report via the 'File Import' form. This issue only occurs in AvatarNX. 2) The error "[VALUE OUT OF RANGE]dat+13^HRADTimeDateProcessors" produced when sorting an 837 file via the 'Electronic Billing' form when it includes services pushed from MSO with OHC data. This can only occur with services filed via Web Service. 3) The 'Update Namespace for All Mappings' command button in the 'Funding Source/Guarantor Mapping' form is not updating the system code for existing entries.
Budget Tracking Claims Processing Contracting Provider Service Authorization File Import Funding Source NX
Avatar MSO 2023 Update 41 Dec 20, 2023 • 2023.04.00
The following issues are resolved: 1) The file import process in the 'CPT Code Definition' form is not validating the interactive complexity code. 2) Services entered through the 'Fast Service Entry Submission' form is incorrectly denying with "Maximum Number Of Units Of Procedure Code Per Day Exhausted". 3) Claim processing override forms are not enabling override fields if 'Does This Service Represent An Admission' is not answered. 4) Member and Contracting Provider authorizations defined as "All" codes are loaded for selection in the claim processing forms when the plan does not cover the procedure code. 5) Queries accessing the 'SYSTEM.history_member_auths_proc', 'SYSTEM.service_auth_detail', and 'SYSTEM.service_auth_svc' tables are taking a long time to complete.
Claims Processing CPT Code Definition Database Management
Avatar MSO 2023 Update 39 Dec 4, 2023 • 2023.04.00
The following issues have been resolved: 1) The 837 Healthcare Claim Professional Compile and Post logic would not recognize some associated Add-On codes for a Primary Service, which caused the primary service to deny with the message "Number of services per claim allowed exceeded". 2) The issue where the hard error '[SUBSCRIPT]zCheckNumSvcPerClm+51^SYSTEM.batchclmutils.1 ^MSOCPT(1,"")' occurs when trying to manually create the claim and service details via CMS 1500 form for batch.
837 Health Care Claim Professional Claims Processing NX
Avatar MSO 2023 Update 40 Nov 22, 2023 • 2023.03.02
The maximum lengths of Service Authorization file import fields 'Comments On Authorization' and 'Internal Comments' are increased to 5000 characters. Also, the maximum length of Budget Tracking Account Level field 'Comments' is increased to 5000 characters. In addition, the following issues are resolved: 1) Provider fee changes for a specific funding source filed via the 'Provider Fee Definition' form creates retro claim adjudications for services not associated to that funding source. 2) 'Allow Duplicate Services on the Same Day?' in the 'Provider Fee Definition' form is not recognized for Procedure Code Groups. 3) In the 'Provider Fee Definition' form, invalid overlap error prevents expiration date to be added to an existing fee. 4) When associated codes are uploaded via the 'Set Associated Codes' form, existing association's 'Determine Fee Table Amount By Code Authorized or Code Claimed' values are not preserved.
Budget Tracking Claims Processing Data Import File Import Retro Claim Adjudication
Avatar MSO 2023 Update 38 Nov 9, 2023 • 2023.03.02
Performance improvements are made to the 'Service Authorization' and 'Service Authorization Request' forms.
NX Service Authorizations
Avatar MSO 2023 Update 37 Oct 31, 2023 • 2023.03.02
The following modifications are made: 1) 'Enable Coverage Effective Period' registry setting is added to Avatar MSO. 2) An issue is resolved where replacements and voids in claims with multiple services would not get pushed over to PM from MSO.
837 Health Care Claim Institutional 837 Health Care Claim Professional Claims Processing Close Batch CPT Code Definition MSO To Parent System Integration Mapping Registry Settings Revenue Code Definition
Avatar MSO 2023 Update 36 Oct 19, 2023 • 2023.03.01
The issue is resolved where "Beginning Of Fiscal Year For A Batch" registry setting is not creating separate batches.
837 Health Care Claim Institutional 837 Health Care Claim Professional Claims Processing
Avatar MSO 2023 Update 33 Sep 27, 2023 • 2023.03.01
The issue is resolved where 'Limit' rules defined via the 'Claim Adjudication Rules Definition' form fails to recognize when the limit is exceeded.
Claims Adjudication Rule Definition Claims Processing NX
Avatar MSO 2023 Update 34 Sep 22, 2023 • 2023.03.00
The 'Determine Inpatient Co-Pay Based on Avatar PM 834 Data', 'Enable APD Rule for Missing TPL/COB/OHC' and 'Enable Additional Fields' registry settings are added. The 'Allow Provider Fee Definition By Age' registry setting is updated to also add 'Age on Admission' to 'Provider Fee Definition'. The issue where claims may be denied when there is a valid authorization is resolved. Note: Avatar PM 2023 Update 58 is required for the functionality enabled by the 'Determine Inpatient Co-Pay Based on Avatar PM 834 Data' and 'Enable APD Rule for Missing TPL/COB/OHC' registry settings.
837 Health Care Claim Institutional 837 Health Care Claim Professional Claim Processing Blackout Claims Processing Contracting Provider Registration CPT Code Definition Financial Eligibility NX Provider Fee Definition Registry Settings Service Authorizations
Avatar MSO 2023 Update 31 Sep 19, 2023 • 2023.03.00
An issue is resolved where the automated MSO 837 validation process was incorrectly validating files while they were still being processed.
Claims Processing
Avatar MSO 2023 Update 18 Aug 28, 2023 • 2023.02.02
The '837 Health Care Claim Professional' and '837 Health Care Claim Institutional' are modified to determine 'Funding Source' based on Avatar PM eligibility tables if Funding Source cannot be determined. This will only occur when the 'Determine Funding Source By Policy Number' and 'Enable Eligibility Check' registry settings are enabled.
837 Health Care Claim Institutional 837 Health Care Claim Professional NX Registry Settings
Avatar MSO 2023 Update 29 Aug 22, 2023 • 2023.02.02
The following issues are resolved: 1) When compiling an 837 Institutional file via the '837 Health Care Claim Institutional' form, claims without an admission segment (DTP*435) are rejected with critical error "Invalid admission date for claim ()". 2) The 277 file produced via the 'Claim Acknowledgement (277CA) File' form is incorrectly adding a rejected record in the SYSTEM.clmstatusresp table for 0 dollar claims that are accepted.
837 Health Care Claim Institutional
Avatar MSO 2023 Update 14 Aug 22, 2023 • 2023.02.02
The following issues are resolved: 1) Services are being approved over the annual dollar limit filed in the 'Plan Definition' form. 2) COB Adjustment Data goes missing after adding a subsequent TPL grid entry in the claim processing forms. 3) Automated 837 processing fails to process multiple threads.
Claims Processing NX
Avatar MSO 2023 Update 8 Aug 22, 2023 • 2023.02.02
The 'Enable Authorize and Adjudicate on Per Stay Basis' registry setting is added.
837 Health Care Claim Institutional 837 Health Care Claim Professional Claims Processing File Import NX Registry Settings Retro Claim Adjudication Service Authorizations
Avatar MSO 2023 Update 20 Aug 16, 2023 • 2023.02.02
The following issues are resolved: 1) "Historic group is not a child of current screen." error produced when attempting to edit a performing provider within the 'Contracting Provider Registration' form. 2) The claim processing forms incorrectly denies a previously approved service with "Performing Provider is blank" when the total charge is modified and performing provider is required.
Claims Processing Contracting Provider Registration NX
Avatar MSO 2023 Update 30 Aug 15, 2023 • 2023.02.02
The registry setting 'Send units to Avatar PM' is updated to accept a new value '1'. This will update the 'Service Filing' tab in the 'MSO to Parent System Integration Mapping' form to now include the ability to configure a 'Send Units' definition by an effective date range.
MSO To Parent System Integration Mapping NX
Avatar MSO 2023 Update 26 Aug 9, 2023 • 2023.02.02
The following modifications are made: 1) A new registry setting 'Require Current Authorization Status Reason' is added to Avatar MSO. This registry setting will allow users to make the field 'Current Authorization Status Reason' required or optional in the 'Service Authorization Request' form. 2) The registry setting 'Set Service Authorization Pre-Display' is updated to account for the option to include the "Benefit Plan" field in the pre-display for Service Authorization forms.
NX Service Authorizations
Avatar MSO 2023 Update 27 Jul 28, 2023 • 2023.02.02
The following issues are resolved: 1) 'Fast Service Entry' claim status over-rides are not being recognized when services are re-adjudicated. 2) 'Claims Adjudication Rules Definition' are not correctly adjudicated for procedure code groupings that contain CPT/Revenue codes with colon(s).
Claims Processing NX
Avatar MSO 2023 Update 28 Jul 25, 2023 • 2023.02.01
Avatar MSO is updated to add support for linking Add-On services entered in MSO with the associated Primary Service when transferring services from MSO to PM/CAL-PM when batches are closed for original claims/services.
837 Professional Claims Processing CPT Code Definition MSO To Parent System Integration Mapping NX
Avatar MSO 2023 Update 21 Jul 25, 2023 • 2023.02.01
The 'Plan Coverage Level Name' field is added to 'Plan Definition' (Plan Coverage Definition).
NX Plan Definition
Avatar MSO 2023 Update 6 Jul 25, 2023 • 2023.02.01
The following issues are resolved: 1) Services are incorrectly approved when automated 837 files are posted. 2) 'Create Voucher' form is allowing multiple voucher processes to run at same time. 3) The 835 file produced via the '835 Health Care Claim Payment/Advice' form is not producing the CAS-2110 segment for services denied with 'Missing valid primary CPT Code'.
835 Health Care Claim Payment/Advice 837 Health Care Claim Institutional 837 Health Care Claim Professional Claims Processing Create Voucher NX
Avatar MSO 2023 Update 9 Jul 13, 2023 • 2023.02.01
The issue is resolved where when 'Include In EOB Retros For Replaced Services Not On EOB' and 'Create EOB By Fiscal Year' registries are enabled, retros are placed in an EOB for the incorrect fiscal year.
NX Registry Settings Retro Claim Adjudication
Avatar MSO 2023 Update 22 Jul 3, 2023 • 2023.02.01
An issue is resolved to correctly spell "Maximum" in the 'Maximum field warning' dialog that is received in the 'MSO Case Default' form, when a value is selected in the 'MSO Case Default Fields' field that contains more than 4 fields.
Forms NX
Avatar MSO 2023 Update 19 Jun 28, 2023 • 2023.02.01
The Avatar MSO To Parent service push process is updated to support the 'Enable Fee Override in PM' registry setting for 837 originated services with Other Healthcare Coverage. In addition, the process will no longer default the expected disbursement if the 'Support MSO Other Healthcare Coverage' registry setting is enabled.
Claims Processing MSO To Parent System Integration Mapping NX Registry Settings
Avatar MSO 2023 Update 25 Jun 28, 2023 • 2023.02.01
An issue is resolved where the 'Contracting Provider Program' field in the 'Service Authorization Request' form would not populate if the 'Provider To Be Authorized' field was defaulted for ProviderConnect NX users.
NX Service Authorizations
Avatar MSO 2023 Update 17 Jun 23, 2023 • 2023.02.00
The property 'limit_lic_type_code' in the 'SYSTEM.table_cpt_service_codes' table has had its maximum length increased to 500.
CPT Code Definition NX
Avatar MSO 2023 Update 13 May 25, 2023 • 2023.01.02
Updated the 837 Healthcare Claim Professional Compile and Post logic to skip the Number of Services Allowed Per Claim APD rule for CPT codes that are defined as Add-On or Interactive Complexity.
837 Health Care Claim Professional Claims Processing NX
Avatar MSO 2023 Update 4 May 10, 2023 • 2023.01.02
The 'Enable Fee Override in PM' Registry Setting is updated to support an additional setting that will let users define the type of override based on the date of service.
Close Batch MSO To Parent System Integration Mapping NX Registry Settings
Avatar MSO 2023 Update 12 Apr 26, 2023 • 2023.01.01
Avatar MSO Registry Settings 'Additional Checking' (837 Institutional/837 Professional) are updated to support a new value of '3'. This will allow validation for only the month and year when comparing subscriber DOB to client demographic DOB contained in the inbound 837I/P file during 837 Institutional and Professional compile/process.
837 Health Care Claim Institutional 837 Health Care Claim Professional NX Registry Settings
Avatar MSO 2023 Update 11 Apr 26, 2023 • 2023.01.01
An issue is resolved where an user cannot delete a row in the 'Contracting Provider Registration' form.
Contracting Provider Registration NX
Avatar MSO 2023 Update 2 Mar 31, 2023 • 2023.01.01
The following modifications are made: 1) The 'Contracting Provider Registration' form (837 Defaults section) is updated to support the 'Require Exact Authorization Number (Institutional)' field. 2) The 'Provider EOB Report' form is added to Avatar MSO. 3) The 'Set Batch File Naming Convention' registry setting is added. This registry setting will control how batches will be named when claims were created via 837 files or Fast Service Entry forms. 4) An issue is resolved where the 'Pending Service Authorization' and 'Service Authorization Information' widget would not display the authorization number if the user did not have access to the 'Service Authorization' form. 5) The '837 Health Care Claim Professional' and '837 Health Care Claim Institutional' forms are updated to sort Loaded files by Contracting Provider. 6) The 'Does This Service Represent An Admission' field is updated to no longer be required in all MSO Claim Processing and Fast Service Entry forms. 7) The 'Service Authorization Request' form is updated to default in the 'Requested Units' and 'Units Authorized' fields when an Authorization Grouping is selected. 8) The 'Void Claim Assignment' and 'Authorization Hardcopy' forms are updated to support ProviderConnect NX functionality. 9) An issue is resolved where the 'Date Claims Received' field in the 'Fast Service Entry Submission' form would not default the current date upon re-entering the form after filing.
837 Health Care Claim Institutional 837 Health Care Claim Professional 837 Institutional 837 Professional Claims Processing Contracting Provider Registration NX Registry Settings Reports Retro Claim Adjudication Service Authorizations Widgets
Avatar MSO 2023 Update 7 Mar 22, 2023 • 2023.01.00
An issue is resolve where "[UNDEFINED]ClassStorageUp+53^MSOFEE" error is produced when importing files via Provider Fee Definition form.
Provider Fee Definition
Avatar MSO 2023 Update 3 Mar 20, 2023 • 2023.01.00
The following modifications are made: 1) Resolves issues in the 'Claims Adjudication Rules Definition' form where the form fails to file limit rules for procedure/revenue codes with dashes, and also fails to return when attempting to remove a limit rule with a diagnosis code. 2) The 'Performing Provider Registration' form is modified to not allow registration date to be modified to a later date if the performing provider is associated to a contracting provider.
Claims Processing NX Performing Provider