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Avatar MSO 2024 Monthly Release 2024.00.00 Summary

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NEW2 CHANGED1 FIXED4
New (2)
Avatar MSO 'Approve/Pend/Deny Rules Definition' form
The Avatar MSO 'Approve/Pend/Deny Rules Definition' form is updated to allow A/P/D Rules for a Funding Source to be defined for date range periods.
Value Added: Allows Approve/Pend/Deny Rule Coverage Periods to be defined by date range
Avatar MSO 'Approve/Pend/Deny Rules Definition' Claim Processing
Avatar MSO Claim Processing functions are updated to support Approve/Pend/Deny Rules/adjudication status based on service date.
Value Added: Adds support for Approve/Pend/Deny Rules by Rule Coverage Period for Claim Processing/Service Adjudication
Topics
• Approve/Pend/Deny Rules Definition • 837 Health Care Claim Professional • Claims Processing • 837 Health Care Claim Institutional
 
2023 Update 42 Details | User Acceptance Tests
Avatar MSO - application mappings
"Avatar MSO" internal mapping definition entries are migrated to new data storage location. Please Note: this update only applies in event that "RADplus 2023 Update 91" (which performed this migration), was installed prior to the "Avatar MSO" module installation or when "MSO" namespace was disconnected in the system
Value Added: Ensures mapping definition entries are migrated to their new data storage location.
Topics
• Forms
 
Changed (1)
2024 Update installation
Installation will upgrade to the 2024 version. This will not change any current functionality.
Value Added: Upgrade to current 2024 version
Topics
• Upgrade
 
Fixed (4)
Avatar MSO 'Fast Service Entry' form
An issue is resolved in the 'Fast Service Entry' form (and 'Fast Service Entry Submission' form) to ensure that services entered for distinct/multiple clients are not incorrectly denied under the 'Number of Services Per Claim Allowed' Approve/Pend/Deny Rule.
Avatar MSO 'Fast Service Entry' form
An issue is resolved in the 'Fast Service Entry' form (and 'Fast Service Entry Submission' form) to ensure that the 'Procedure Not On Fee Schedule' error/alert dialog is not incorrectly displayed on CPT Service Code selection in case where Provider Fee for selected code is defined using Contracting Provider Program.
Avatar MSO to Avatar Cal-PM Parent System Service Filing
An issue is resolved to ensure that Avatar MSO services including Third Party Payment/Adjustment information are filed/pushed to Avatar Cal-PM with expected disbursement as the service charge (to ensure correctly balanced Avatar Cal-PM outbound 837 claim information where Other Healthcare Coverage information is included in original claim/service).
Topics
• Claims Processing • Approve/Pend/Deny Rules Definition • Registry Settings • MSO To Parent System Integration Mapping
 
Claims Processing
An issue has been resolved to ensure claims are uploaded to ProviderConnect after an 837 file is posted.
Create EOB
An issue has been resolved to ensure that the 'Create EOB' form works correctly in IRIS systems.
Topics
• 837 Professional • 837 Institutional • Claims Processing • Create EOB • NX
 
Claims Adjudication Rule Definition - Limit Rule Definition
Resolves an issue to ensure that the 'For Diagnosis' field is enabled and accessible for the 'Limit' rule definition.
Topics
• Claims Processing • NX
 
2023 Update 43 Details | User Acceptance Tests
File Import - MSO service authorizations
Resolves an issue to ensure that the 'MSO Service Authorization' file can be printed successfully after importing through 'File Import' form.
Electronic Billing - "Add Support For The Input Of Third Party Payer Amounts" is set to 2
Resolves an issue to ensure that the services inbound into MSO via web service compile successfully via 'Electronic Billing' if the adjudication date is missing in the table.
Funding Source/Guarantor Mapping - Update Namespace for All Mappings
Resolves an issue to ensure that the 'Update Namespace for All Mappings' option in the 'Funding Source/Guarantor Mapping' form updates the system code for existing entries successfully.
Topics
• File Import • NX • Contracting Provider Service Authorization • Budget Tracking • Claims Processing • Funding Source
 

Avatar_MSO_2024_Monthly_Release_2024.00.00_Details.csv