Avatar MSO 2023 Quarterly Release 2023.02 Summary

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NEW5 CHANGED0 FIXED2

New (5)

Update 2 Details \| User Acceptance Tests Avatar MSO 837 Institutional Health Care Claim Processing The 'Contracting Provider Registration' form (837 Defaults section) is updated to support the 'Require Exact Authorization Number (Institutional)' field. Value Added: Adds 'Require Exact Authorization Number (Institutional)' control field to 'Contracting Provider Registration' form and 837 Institutional file processing Avatar MSO Claim Processing Batch Naming Convention The 'Set Batch File Naming Convention' Registry Setting is added to Avatar MSO. Value Added: Adds 'Set Batch File Naming Convention' Registry Setting to Avatar MSO Avatar MSO 'Provider EOB Report' The 'Provider EOB Report' form/report is added. Value Added: Adds 'Provider EOB Report' form/report to Avatar MSO Avatar MSO 'Service Authorization Request' Form The 'Service Authorization Request' form is updated to default additional field values when an Authorization Grouping is selected. Value Added: Adds 'Requested Units' and 'Units Authorized' defaulting in 'Service Authorization Request' form Avatar MSO 837 Health Care Claim Forms The 837 Health Care Claim forms are updated to filter loaded files by Contracting Provider. Value Added: Filters/restricts files available in 837 Health Care Claim forms by Contracting Provider Avatar MSO Claim Processing Forms The 'Does This Service Represent An Admission' field is updated to no longer be required in all Claim Processing forms. Value Added: Updates 'Does This Service Represent An Admission' field to be non-required in Claim Processing forms Avatar ProviderConnect NX Additional Support Avatar MSO is updated for additional support of Avatar ProviderConnect NX. Value Added: Updates Avatar MSO forms for Avatar ProviderConnect NX support.	Topics • Contracting Provider Registration • NX • 837 Health Care Claim Institutional • Registry Settings • Claims Processing • 837 Health Care Claim Professional • Reports • Service Authorizations • 837 Professional • 837 Institutional • Retro Claim Adjudication

Update 4 Details \| User Acceptance Tests Avatar MSO 'Enable Fee Override in PM' Registry Setting The Avatar MSO 'Enable Fee Override in PM' Registry Setting is updated to support an additional setting that will allow user-defined Type Of Override entries based on the date of service. Value Added: Updates Avatar MSO 'Enable Fee Override in PM' Registry Setting to support user defined Type Of Override based on service date	Topics • Close Batch • MSO To Parent System Integration Mapping • NX • Registry Settings

Update 12 Details \| User Acceptance Tests Avatar MSO 'Additional Checking' Registry Settings The Avatar MSO 'Additional Checking' Registry Settings are updated to support Date of Birth validation for only month and year values. Value Added: Updates Avatar MSO 'Additional Checking' Registry Settings to support Date of Birth validation for only month and year	Topics • Registry Settings • 837 Health Care Claim Professional • NX • 837 Health Care Claim Institutional

Update 13 Details \| User Acceptance Tests MSO Approve/Pend/Deny Rule – 837 Health Care Claim Professional 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. Value Added: Enables agencies to submit the add-on and add/or interactive complexity services in the same claims as the primary service. MSO Approve/Pend/Deny Rule - Claim Processing Forms 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. Value Added: Enables agencies to submit the add-on and add/or interactive complexity services in the same claims as the primary service.	Topics • 837 Health Care Claim Professional • Claims Processing • NX

Update 17 Details \| User Acceptance Tests MSO - CPT Code Definition - Limit License Type(s) Allowed The ''limit_lic_type_code' field' field in the 'SYSTEM.table_cpt_service_codes' has been increased to a length of 500 characters. Value Added: Allows reporting of additional values from the ‘Limit License Type(s) Allowed’ field in the ‘CPT Code Definition’ form.	Topics • CPT Code Definition • NX

Fixed (2)

Update 2 Details \| User Acceptance Tests Avatar MSO Service Authorization Widgets An issue is resolved to ensure that the Avatar MSO 'Pending Service Authorization' and 'Service Authorization Information' Widgets display Authorization Number values in case where user does not have access to the 'Service Authorization' form.	Topics • Widgets • Service Authorizations • NX

Update 11 Details \| User Acceptance Tests Contracting Provider Registration The functionality for 'Contracting Provider Registration' has been updated to allow the successful deletion of an existing record.	Topics • Contracting Provider Registration • NX

Avatar_MSO_2023_Quarterly_Release_2023.02_Details.csv