Avatar PM 2022 Update 7

1. Open 'Registry Settings' form.
2. Set 'Include Hidden Registry Settings' field to 'Yes'.
3. Enter search value 'Enable Supervising Practitioner Based on Rendering Practitioner (2310B)' and click 'View Registry Settings' button.
4. Ensure Registry Setting is returned (under 'Avatar PM -> Billing -> Electronic Billing -> 837 Professional -> Enable Supervising Practitioner Based On Rendering Practitioner (2310B)' path).
5. Ensure 'Registry Setting Details' field contains the following explanation text:

Selecting 'Y' gives an end-user the ability to optionally specify whether to include the information for the supervising practitioner associated with the rendering practitioner in loop 2310B. This is accomplished by the addition of a new selection of 'Supervising Practitioner Based On Rendering Practitioner' to the 'Select Type Of Information To Include In Rendering Provider Name (2310B)' field within the '837 Professional' tab of the 'Guarantor/Program Billing Defaults' form. When 'Supervising Practitioner Based On Rendering Practitioner' is selected, loop 2310B will be populated based upon the supervising practitioner associated with the rendering practitioner as defined in the 'Practitioner Numbers By Guarantor and Program' form. If a supervising practitioner is not defined then loop 2310B will be populated based upon the rendering practitioner. If multiple services are within the claim then 2130B will be populated based upon the first service within the claim for which the rendering practitioner has a defined supervising practitioner. The selection of 'Supervising Practitioner Based On Rendering Practitioner' will result in the suppression of loop 2310D.

Selecting 'N' removes the selection of 'Supervising Practitioner Based On Rendering Practitioner' and disables the logic.

Please Note: The logic associated with this registry setting is only applicable when the registry setting 'Avatar PM -> Billing -> Electronic Billing -> 837 Professional -> Rendering Provider Name (Loop 2310B)' is set to a value of 'Y'.

1. Open 'Registry Settings' form.
2. Set 'Include Hidden Registry Settings' field to 'Yes'.
3. Enter search value 'Enable Submitter Identification' and click 'View Registry Settings' button.
4. Ensure Registry Setting is returned (under 'Avatar PM -> Billing -> Electronic Billing -> All 837 Submissions- > Enable Submitter Identification Definition' path).
5. Ensure 'Registry Setting Details' field contains the following explanation text:

Enabling this functionality gives an end-user the ability to optionally specify identification information based on guarantor, program, service code, and client combination for a specific date range. This is accomplished by adding the 'Submitter Identification Definition' form under 'Avatar PM -> System Maintenance -> System Definition'. In addition, the following 837 logic is enabled:

When generating an 837 bill, a check will be made to see if a value of 'ZZZ' is in 'Billing Provider Secondary Identification Code Qualifier (2010BB-REF)' field.

If '1' is selected, the 'Submitter Primary Identification Qualifier (1000A-NM1-08)' and 'Submitter Primary Identification Number (1000A-NM1-09)' will be populated with the values specified in the 'Submitter Identification Code Qualifier' and 'Submitter Identification Number' fields of the above form respectively.

If '2' is selected, the 'Billing Provider Secondary Identification Code Qualifier (2010BB-)' and 'Billing Provider Secondary Identification # (2010BB-)' will be populated with the same values specified for any iteration that contains the 'ZZZ' dictionary code.

Selecting '1&2' will populate both 1000A-NM1 and 2010BB-REF with the values specified. The dictionary code would need to be added to the 'Billing Provider Secondary Code Qualifier (2010BB-)'. This also necessitates that the bills will be sorted by submitter identification number.

Selecting '0' will remove the form from the menu and disable the 837 logic.



Note: This functionality is used to meet a PA State requirement.