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Avatar MSO 2024 Update 22

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Product Requirements and Recommendations

Avatar MSO required
RADplus required

Recommended Update Level

Avatar MSO 2024 Monthly Release 2024.01.02
RADplus 2024 Monthly Release 2024.01.02

Product Update Description

Updated the 'Members By Authorized Procedure Code' form from a menu launched report to a report definition.

Required Updates

None

Included Updates

None

Details
NEW1 CHANGED0 FIXED0
New (1)
MSO - Members by Authorized Procedure Code
The menu launched report has been converted to a report definition for "Members by Authorized Procedure Code".
This change involves the conversion of the previously menu launched report to a report definition. This report definition is specifically for "Members by Authorized Procedure Code". This allows for a more streamlined and efficient way of generating reports.
Value Added: This new feature enhances the efficiency and ease of generating reports for "Members by Authorized Procedure Code".
Topics
• Contracting Provider Service Authorization • Service Authorizations
 
Acceptance Tests
AV-97437 Summary | Details
MSO - Members by Authorized Procedure Code
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • MembersByAuthorizedProcedureCode - Form
Scenario 1: Members by Authorized Procedure Code report
Specific Setup:
  • 'Client A':
  • A new client is created, or an existing one is identified and admitted to any Inpatient/ Outpatient program.
  • Has active diagnosis and financial eligibility records.
  • 'Funding Source 1':
  • An active funding source is created or identified.
  • 'Provider 1':
  • An active contracting provider is created or identified.
  • 'Provider 2':
  • An active contracting provider is created or identified.
  • Service Authorization(s):
  • For 'Client A' there are active service authorization records with valid begin and end dates, for 'Provider 1' and 'Provider 2'.
Steps
  1. Open 'Members By Authorized Procedure Code'.
  2. Verify that the form has the below field(s):
  3. Individual or All Providers:
  4. Is required and enabled.
  5. Provider:
  6. Verify this field is required or not based on the selected value in 'Individual or All Providers'.
  7. When 'Individual' is selected in 'Individual or All Providers' then it is required and enabled.
  8. When 'All' is selected in 'Individual or All Providers' then it is not required and disabled.
  9. Date,
  10. Is required and enabled.
  11. Leave all the required fields empty and click [Process].
  12. Verify an error message displays for the missing mandatory fields.
  13. Click [OK].
  14. Select 'Individual' in the 'Individual or All Providers' field.
  15. Enter any desired date in 'Date', that falls in the provider's authorization begin and end date range from the setup.
  16. Leave the field 'Provider' empty and click [Process].
  17. Verify an error message displayed for the missing mandatory field.
  18. Click [OK].
  19. Select 'Provider 1'.
  20. Click [Process].
  21. Verify that the report generated with the active service authorizations of 'Provider 1'.
  22. Click [Close Report].
  23. Click [Yes].
  24. Select 'All' in the 'Individual or All Providers' field.
  25. Enter any desired date in 'Date', that falls in both provider's authorization begin and end date range from the setup.
  26. Click [Process].
  27. Verify that the report generated with all the active service authorizations for 'Provider 1' and 'Provider 2'.
  28. Click [Close Report].
  29. Click [Yes].
  30. Enter any desired date in 'Date', that falls outside both provider's authorization begin and end date range from the setup.
  31. Click [Process].
  32. Verify that the report generated shows 'No Data Found For Report'.
  33. Click [Close Report].
  34. Click [No].
Topics
• Contracting Provider Service Authorization • Service Authorizations