Avatar MSO 2023 Monthly Release 2023.04.00 Summary

The A/P/D rule has been updated to count the service as one service when a primary service has add-on or interactive complexity services.

The A/P/D rule has been updated to count the service as one service when a primary service has add-on add/or interactive complexity services.

Resolves an issue to ensure that the 'CPT Code Definition' form rejects the invalid 'Interactive Complexity CPT Code' with correct validation error.

Resolves an issue to ensure that the 'Fast Service Entry Submission' form approves the service for the different member rendered on the same date when the 'Approve/Pend/Deny Rule Definition' is set up to deny duplicate services and 'Member ID' is checked in the 'Duplicate Service Parameters' field.

Resolves an issue to ensure that the 'Does This Service Represent An Admission' field is not a required field in the 'Claim Processing With Override (CMS 1500)' form.

Resolves an issue to ensure that the 'Fast Service Entry' form displays correct Denial message when the CPT code is not covered by the plan.

Resolves an issue to ensure that user can access 'SYSTEM.history_member_auths_proc', 'SYSTEM.service_auth_detail', and 'SYSTEM.service_auth_svc' SQL tables successfully in a timely manner.