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Avatar PM 2022 Monthly Release 2022.00.01 Details


Product Requirements / Recommendations

Avatar PM required
RADplus required


  • Avatar State Forms 'Enable Texas TMHP Billing' Registry Setting - Financial Eligibility Field
    Support for Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' is added to Avatar PM.
    When enabled, Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' will add the 'TMHP Waiver Reference Number' field to the Avatar PM 'Financial Eligibility', 'Cross Financial Eligibility', and 'Family Financial Eligibility' forms ('Guarantor Selection' section). The Avatar PM 'FinancialEligibility' and 'CrossEpisodeFinancialEligibility' web services are updated accordingly.
  • Avatar State Forms 'Enable Texas TMHP Billing' Registry Setting - Service Code Fields
    Support for Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' is added to Avatar PM.
    When enabled, Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' will add the 'TMHP Type Of Service' and 'Line Item Control Number - Positions 5 to 20 (2400-REF)' fields to the Avatar PM 'Service Codes' form. The 'Service Code Upload Process' form and file layout are updated accordingly. Please refer to updated 'Avatar_PM_Service_Code_Upload_Layout.xls' document included with Avatar PM 2022 Update 3 for Service Code Upload format/layout.
  • Avatar State Forms 'Enable Texas TMHP Billing' Registry Setting - Practitioner Enrollment Field
    Support for Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' is added to Avatar PM.
    When enabled, Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' will add the 'Attendant ID' field to the Avatar PM 'Practitioner Enrollment' form. The Avatar PM 'PractitionerRegister' and 'ClinicianServices' web services are updated accordingly.
  • Avatar State Forms 'Enable Texas TMHP Billing' Registry Setting - Guarantors/Payors Field
    Support for Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' is added to Avatar PM.
    When enabled, Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' will add the 'TMHP Waiver Skip 2300-REF Segment' field to the Avatar PM 'Guarantors/Payors' form.
  • Avatar State Forms 'Enable Texas TMHP Billing' Registry Setting - 837 and 835 Functionality
    Support for Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' is added to Avatar PM.
    When enabled, Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' will allow Avatar PM 'Electronic Billing' 837 Professional files to include/report 2300-REF Referral Number/Reference Identification and 2400-REF Line Item Control Number values from various Texas TMHP Billing configuration/entry fields. In addition, Avatar State Forms Registry Setting 'Enable Texas TMHP Billing' will allow Avatar PM '835 Health Care Claim Payment/Advice' file processing to compile and post claim/service payment and adjustment information for Texas TMHP Billing 837 Professional claims using 835 2100-CLP Claim Payment Information.
Included Updates
None
Product Update Form Description
Avatar PM is updated to support state specific functionality.

Topics
• Registry Settings • Financial Eligibility • NX • Web Services • Service Codes • Service Code Upload Process • Practitioner • Practitioner Enrollment • Guarantor/Payors • Electronic Billing • 837 Professional • Dictionary • 835 Health Care Claim Payment/Advice
  • Unbilled Services Compile Definition and Export - error messages
    Additional error messaging functionality has been added to the 'Unbilled Services Compile Definition and Export'.
Included Updates
None
Product Update Form Description
The unbilled services compile is updated to support new errors.

Topics
• Unbilled Services Report • myAvatar/myAvatar NX
  • 'Eligibility Response (271)' File Posting
    An issue is resolved to ensure successful posting of files via the Avatar PM 'Eligibility Response (271)' form.
Included Updates
None
Product Update Form Description
The "[UNDEFINED]SetEligbiltySubscriber+18^ECB271Post *subscriberarr("subscriberssn")" error which could occur in the 'Eligibility Response (271)' form is resolved.
Topics
• Eligibility Response (271) • NX