Avatar MSO 2023 Monthly Release 2023.02.01 Summary

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NEW3 CHANGED0 FIXED4

New (3)

Update 19 Details \| User Acceptance Tests Avatar MSO 'Enable Fee Override in PM' Registry Setting The Avatar MSO To Cal-PM Parent service push process is updated to support the 'Enable Fee Override in PM' Registry Setting for Other Healthcare Coverage information. Value Added: Updates 'Enable Fee Override in PM' Registry Setting for services with Other Healthcare Coverage information	Topics • Registry Settings • MSO To Parent System Integration Mapping • Claims Processing • NX

Update 21 Details \| User Acceptance Tests Avatar MSO 'Plan Definition' form The 'Plan Coverage Level Name' field is added to the 'Plan Definition' form. Value Added: Adds 'Plan Coverage Level Name' field to 'Plan Definition' form	Topics • Plan Definition • NX

Update 28 Details \| User Acceptance Tests Avatar MSO to Avatar PM/Cal-PM Service Filing Avatar MSO is updated to add support for linking Add-On services with the associated Primary Service when transferring services to Avatar PM/Cal-PM. Value Added: Adds support for linking Primary Service to Add-On/Interactive Complexity services when filing to Avatar PM/Cal-PM	Topics • MSO To Parent System Integration Mapping • CPT Code Definition • 837 Professional • Claims Processing • NX

Fixed (4)

Update 6 Details \| User Acceptance Tests Avatar MSO Automated Claim Processing and Service Adjudication An issue is resolved to ensure that services are correctly adjudicated (Approved/Denied) when 837 files are posted via Avatar MSO Import/Export File Configuration and Claim Processing Automation functionality. Avatar MSO 'Create Voucher' Form/Function An issue is resolved to ensure that the 'Create Voucher' form does not allow multiple voucher creation processes to run at same time for same claims/services. Avatar MSO '835 Healthcare Claim Payment/Advice' Information An issue is resolved to ensure that 835 files produced via the Avatar MSO '835 Health Care Claim Payment/Advice' form include CAS-2110 Claim Adjustment Reason Code/Remark Code values for services denied with 'Missing valid primary CPT Code' adjudication reason.	Topics • 837 Health Care Claim Professional • Claims Processing • 837 Health Care Claim Institutional • Create Voucher • NX • 835 Health Care Claim Payment/Advice

Update 9 Details \| User Acceptance Tests Avatar MSO 'Create EOB' Form/Function An issue is resolved to ensure that Retro Claim Adjudication entries are placed in an EOB for the corresponding fiscal year when Avatar MSO Registry Settings 'Include In EOB Retros For Replaced Services Not On EOB' and 'Create EOB By Fiscal Year' Registry Settings are enabled.	Topics • Registry Settings • Retro Claim Adjudication • NX • myAvatar/myAvatar NX

Update 22 Details \| User Acceptance Tests MSO Case Default An issue has been corrected for a misspelled word in the 'Maximum field warning' dialog	Topics • Forms • NX

Update 25 Details \| User Acceptance Tests Avatar MSO 'Service Authorization Request' Form An issue is resolved to ensure that the 'Contracting Provider Program' field in the 'Service Authorization Request' form is populated with selection values if the 'Provider To Be Authorized' field/value is defaulted in form for Avatar ProviderConnect NX users.	Topics • Service Authorizations • NX

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