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Avatar MSO 2024 Update 13

Product Requirements and Recommendations

Avatar MSO required
RADplus required

Recommended Update Level

Avatar MSO 2024 Monthly Release 2024.01.01
RADplus 2024 Monthly Release 2024.01.01

Product Update Description

The following issues are resolved: 1) The "Enable Coverage Effective Period" registry is allowing values other than "Y" and "N" to be filed. 2) The error "[VALUE OUT OF RANGE]dat+13^HRADTimeDateProcessors" produced when attempting to edit an existing service authorization via File Import.

Required Updates

None

Included Updates

None

Details

NEW0 CHANGED0 FIXED2
Fixed (2)
Avatar MSO 'Enable Coverage Effective Period' Registry Setting
An issue is resolved to ensure that the Avatar MSO 'Enable Coverage Effective Period' Registry Setting does not allow values other than "Y" and "N" to be filed. KB0076500 v0.01
Topics
• Registry Settings
 
File Import - Avatar MSO Service Authorization
An issue is resolved to ensure successful edit of an existing Service Authorization may be posted via File Import. KB0076512 v0.01
Topics
• File Import • Service Authorizations
 
Acceptance Tests

AV-97267 Summary | Details
Avatar MSO 'Enable Coverage Effective Period' Registry Setting
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Registry Settings (PM)
Scenario 1: Avatar MSO Registry Settings - Verification of 'Enable Coverage Effective Period' Registry Setting
Steps
  1. Open 'Registry Settings' form.
  2. Enter search value 'Enable Coverage Effective Period' and click 'View Registry Settings' button.
  3. Ensure Registry Setting 'Enable Coverage Effective Period' is returned (under 'Avatar MSO -> Claims Processing' path).
  4. Ensure that 'Enable Coverage Effective Period' Registry Setting may only be set to value 'N' (no/disabled) or 'Y' (yes/enabled); if any value other than 'N' or 'Y' is entered, ensure user is presented with error dialog noting 'The selected value is not valid in the current system code for the following reason: Invalid response -- must be Y or N' and the entry is disallowed.
  5. Ensure 'Registry Setting Details' field contains the following explanation text:

"Selecting 'Y' will add the ability to define multiple coverage effective periods with the 'CPT Code Definition' and 'Revenue Code Definition' forms. This will allow users to configure different definitions for a single CPT or Revenue Code based upon non-overlapping effective date ranges. Selecting 'Y' will do the following:


1 - Add the fields 'Coverage Period', 'Coverage Effective Date', 'Coverage Expiration Date', 'File Coverage Period', and 'Delete Coverage Period' in the 'CPT Code Definition' and 'Revenue Code Definition' forms.


2 - Add the required fields 'Coverage Period' and 'Coverage Revenue Period' the 'MSO to Parent System Integration Mapping' form for the CPT Code Mapping (Page 6) and Revenue Code Mapping (Page 7).


3 - Re-file all CPT and Revenue Code Definition mappings to map the initial coverage effective date range.


4 - Re-file all CPT and Revenue Code Definitions and create an initial coverage effective date range with an effective date of 1/1/1900.


5 - Update the CPT/Revenue Code Import to support the ability to import more than one definition for a single CPT or Revenue Code as long as the effective dates are provided and are non-overlapping.


NOTE: This registry setting is a ONE WAY registry setting that can only be enabled. Once turned on, this registry setting cannot be disabled."


Topics
• Registry Settings
AV-97323 Summary | Details
File Import - Avatar MSO Service Authorization
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • File Import
  • Service Authorization
Scenario 1: 'File Import' - Verification of '[Avatar MSO] Service Authorization - Member' Import
Specific Setup:
  • One or more client record(s) eligible for Service Authorization entry/import
  • Avatar MSO 'Service Authorization - Member' Import File containing one or more valid import rows, optionally including one or more 'Edit' rows/entries
Steps
  1. Open 'File Import' form in Avatar PM/Cal-PM.
  2. Select File Type '[Avatar MSO] Service Authorization - Member'.
  3. Click 'Process Action' button.
  4. Select Avatar MSO Service Authorization - Member import file and click 'Open' button.
  5. Select 'Compile/Validate File' in 'Action' field.
  6. Select loaded import file and click 'Process Action' button.
  7. Ensure that 'Compile/Validate File' action completes, and message 'Compiled' or '(File Name) contains one or more errors. These errors can be reviewed using 'Print Errors' action' is displayed.
  8. Click 'OK' button.
  9. Select 'Post File' in 'Action' field.
  10. Select compiled Avatar MSO Service Authorization - Member import file and click 'Process Action' button.
  11. Ensure that 'Post' action completes, and message 'Posted' and/or 'The selected file contains one or more lines with compilation errors. Only those lines without compilation errors will be posted' is displayed.
  12. Open Avatar MSO 'Service Authorization' form.
  13. Select Client ID for 'Service Authorization' view/edit where File Import record/row posted.
  14. Select Service Authorization row/record filed via File Import in form pre-display and click 'Edit' button to open.
  15. Ensure that imported/filed values are present in 'Service Authorization' form fields for new or updated file import rows/entries.
Topics
• File Import • Service Authorizations