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Avatar MSO 2024 Update 28

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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 'Services Paid Within 30 Days' form from a menu launched report to a report definition.

Required Updates

None

Included Updates

None

Details
NEW1 CHANGED0 FIXED0
New (1)
MSO - Services paid within 30 days
The menu launched report is converted to a report definition for "Services paid within 30 days".
Value Added: This enhancement streamlines report processing.
Topics
• Create EOB • Create Voucher • Reports • Service Authorizations
 
Acceptance Tests
AV-97441 Summary | Details
MSO - Services paid within 30 days
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Services paid within 30 days
Scenario 1: Services paid within 30 days 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'.
  • Claim Processing:
  • Services are created in different batches for 'Provider 1' and 'Provider 2'.
  • The respective batches are closed.
  • EOB:
  • EOB's are created for the above services.
Steps
  1. Open 'Services Paid Within 30 Days'.
  2. Verify that the form has the below fields:
  3. Individual or All Contracting Providers:
  4. Is required and enabled.
  5. Contracting Provider:
  6. 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. From Date:
  10. Is required and enabled.
  11. Through Date:
  12. Is required and enabled.
  13. Leave all the required fields empty and click [Process].
  14. Verify an error message displays for the missing mandatory fields.
  15. Click [OK].
  16. Select 'Individual' in the 'Individual or All Contracting Providers' field.
  17. Click [Process].
  18. Verify an error message displays for the missing mandatory fields.
  19. Click [OK].
  20. Select 'Provider 1'.
  21. Enter any desired 'From Date' and 'Through Date', that does not cover the 'Provider 1' services from setup.
  22. Click [Process].
  23. Verify that the report generated has 'No Data Found For Report'.
  24. Click [Close Report].
  25. Click [Yes].
  26. Enter any desired 'From Date' and 'Through Date', that covers the 'Provider 1' services from setup.
  27. Click [Process].
  28. Verify that the report contains 'Provider 1' data within the entered date range.
  29. Click [Close Report].
  30. Click [Yes].
  31. Select 'All' in the 'Individual or All Contracting Providers' field.
  32. Enter any desired date in 'Date', that falls in both 'Provider 1' and 'Provider 2' authorization begin and end date range from setup.
  33. Click [Process].
  34. Verify that the report contains 'Provider 1' and 'Provider 2' data within the entered date range.
  35. Click [Close Report].
  36. Click [No].
Topics
• Create EOB • Create Voucher • Reports • Service Authorizations