Avatar MSO 2024 Update 25

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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

Updated the 'Pended Services By Procedure Code' form from a menu launched report to a report definition.

Required Updates

None

Included Updates

None

Details

NEW1 CHANGED0 FIXED0

New (1)

AV-97440 Details \| User Acceptance Tests Avatar MSO 'Pended Services By Procedure Code' Report The Avatar MSO 'Pended Services By Procedure Code' report is updated to a form-based report format. Value Added: Updates 'Pended Services By Procedure Code' report/form.	Topics • Reports

Acceptance Tests

AV-97440 Summary | Details

Avatar MSO 'Pended Services By Procedure Code' Report

Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:

Crystal Report Viewer
Pended Services By Procedure Code

Scenario 1: 'Pended Services By Procedure Code' - Form and Report Verification

Specific Setup:

One or more 'Pended' status services in Avatar MSO system

Steps

Open Avatar MSO 'Pended Services By Procedure Code' form/report (under 'Avatar MSO -> MSO Reporting -> Claims Processing Reports' menu path).
Ensure the following criteria selection fields are present in form:
'Individual or All Contracting Providers'
'Contracting Provider' (only enabled where 'Individual' selected in 'Individual or All Contracting Providers' field)
'From Date'
'Through Date'
Enter/select criteria for 'Pended Services By Procedure Code' report.
Click 'Process' button to run report/display results.
Ensure 'Pended Services By Procedure Code' report results are displayed in report viewer window, including the following fields/information:
'Procedure Code' (CPT Code/Revenue Code)
'Contracting Provider' (Name and ID)
'Member Receiving Service' (Name and ID)
'Date of Service'
'A/P/D' (Approve/Pended/Denied claim status)
'Total Fee Table Amount'
'Expected Disbursement'
'Member Copay'
'Member Deductible'
'Authorization Number'
'Amount Billed'
Ensure that report results are limited to selected Contracting Provider' and selected 'From Date'/'Through Date' criteria; ensure that if no 'Pending' status services exist in Avatar MSO matching selected report criteria, 'No Data Found For Report' message is displayed.
Ensure that report results are grouped by Procedure Code (CPT Code/Revenue Code) and Contracting Provider; ensure that clicking on Procedure Code and/or Contracting Provider/display results in sub-report for only the selected data.
Click 'Close Report' button to close report viewer.
Ensure user is presented with dialog noting 'Pended Services By Procedure Code has completed. Do you wish to return to form?'; click 'Yes' button to return to 'Pended Services By Procedure Code' form or 'No' to close form.

Topics

• Reports