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Avatar MSO 2024 Monthly Release 2024.01.01 Summary

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NEW2 CHANGED0 FIXED4
New (2)
Avatar MSO Registry Settings
Registry Setting 'Enforce Adjudication for Authorization Dates When Authorizing by Plan' is added to Avatar MSO.
Value Added: Allows for authorization begin/end date checks when validating Service Authorization and Contracting Provider Service Authorizations by Plan
Topics
• Claims Processing • Registry Settings • 837 Health Care Claim Professional • 837 Health Care Claim Institutional
 
Avatar MSO Service Authorization Forms Pre-Display
Pre-display sort order is updated for several Avatar MSO Service Authorization forms.
Value Added: Updates pre-display for several Avatar MSO forms to display the most recently entered Authorization first
Topics
• Contracting Provider Service Authorization • Service Authorizations
 
Fixed (4)
'Client Merge' for 'ProviderConnect File Attach' Records
An issue is resolved to ensure that ProviderConnect File Attach attachments associated to Client/Provider are moved to 'Target Client' record for non-episodic information merged via Avatar PM/Cal-PM 'Client Merge' form.
'MSO To Parent System Integration Mapping' Form
An issue is resolved to ensure that error "[UNDEFINED]GetProcCodeMapping+41^MSPPMMAPEditUtils" does not occur in the 'MSO to Parent System Integration Mapping' form 'Mapping Delete' section in case where Contracting Provider Programs with existing Provider/Program/Service Code mapping(s) are deleted.
Avatar MSO 'Claim Acknowledgement (277CA) File' Service Line Information
An issue is resolved to ensure that 277CA files generated via the Avatar MSO 'Claim Acknowledgement (277CA) File' form do not produce/include service line information for approved services.
Avatar MSO Claim Processing Eligibility Check
An issue is resolved to ensure that Avatar MSO Claim Processing Parent System Financial Eligibility adjudication/check correctly recognizes CPT Code/Revenue Code Coverage Effective Periods where used in mappings defined via the 'MSO to Parent System Integration' form (where Avatar MSO Registry Setting 'Enable Coverage Effective Period' is enabled).
Avatar MSO 'Service Authorization' Form
An issue is resolved to prevent form latency issues after a 'Begin Date Of Authorization' is entered/selected in the Avatar MSO 'Service Authorization' form.
Topics
• Client Merge • MSO To Parent System Integration Mapping • 837 Health Care Claim Professional • Claims Processing • 837 Health Care Claim Institutional • Registry Settings • CPT Code Definition • Revenue Code Definition • Service Authorizations
 
'MSO EOB Message Customization' Messages
'Miscellaneous' type message/rule 'Total Expected Disbursement exceeds current Account Level amount' is added to the 'MSO EOB Message Customization' form.
Avatar MSO 'Fast Service Entry' form
An issue is resolved to ensure that the Avatar MSO 'Fast Service Entry' form does not incorrectly trigger service time overlap denials across different/distinct member IDs.
Avatar MSO Claim Processing Duplicate Service Check
An issue is resolved in Avatar MSO 'Claim Processing...' forms/functions to ensure that services are not incorrectly denied for failing the duplicate service check across different/distinct member IDs.
Topics
• Claims Processing • Registry Settings • CPT Code Definition
 
Web service - WEBSVC.ServiceAuthorization.GetRemainingUnits
Resolves an issue to ensure that the 'GetRemainingUnits' method of the web service displays the correct remaining units after each service entry.
Topics
• Service Entry • Web Services
 
Approve/Pend/Deny Rule Definition - Duplicate service check
Resolves an issue to ensure that any 'Claim Processing' forms correctly defined the status of the claim when duplicate claims/services are created for the member.
Topics
• 837 Health Care Claim Professional • 837 Professional • Claims Processing
 

Avatar_MSO_2024_Monthly_Release_2024.01.01_Details.csv