Avatar PM 2023 Monthly Release 2023.02.02 Summary
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NEW9
CHANGED1
FIXED2
New (9)
Avatar PM 'Benefit Enrollment and Maintenance (834)' Coverage Date Information
The 'Benefit Enrollment and Maintenance (834)' Coverage Date handling is updated for additional Effective Date and Expiration Date conditions.
Value Added: Updates 'Benefit Enrollment and Maintenance (834)' Coverage Date handling for additional Effective Date and Expiration Date conditions
Avatar PM 'Use 2300-DTP with 303 Qualifier as Effective Date' Registry Setting
The 'Use 2300-DTP with 303 Qualifier as Effective Date' Registry Setting is added to Avatar PM.
Value Added: Adds 'Use 2300-DTP with 303 Qualifier as Effective Date' Registry Setting to Avatar PM
'Default Benefit Effective Date (2300-DTP-03)' Function For 834 Processing
The 'Default Benefit Effective Date (2300-DTP-03)' field is added to the Avatar PM 'Guarantors/Payors' form ('270 / 271 / 834' section).
Value Added: Adds 'Default Benefit Effective Date (2300-DTP-03)' field/function for 834 processing
Avatar PM 'Plan Coverage Description (2300-HD-04)' Registry Setting
The Avatar PM 'Plan Coverage Description (2300-HD-04)' Registry Setting is updated.
Value Added: Adds 'Plan Coverage Description (2300-HD-04)' Registry Setting to Avatar PM and updates SQL tables for 834 information
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Topics
• Benefit Enrollment and Maintenance (834)
• Registry Settings
• NX
• Guarantor/Payors
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Registry Setting - Avatar PM - Billing - End Date California Billing
The registry setting allows entry of a date after the current date. Services with a 'Date of Service' after the date will not be subject to California billing functionality, if enabled.
Value Added: Provides additional functionality when billing services.
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Topics
• 837 Professional
• 837 Institutional
• NX
• Print Bill
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Accounts Receivable Console - AR Console Configuration
A new field, 'Maximum Number of Claims to Return in Search' is added to the form. The field will accept values between 50 and 999,999,999.
Value Added: The ability to display more or less than 100 claims in the widget is added.
Accounts Receivable Console - AR Console User Defaults Setup
A new field, 'Allow 'Copy Note' from one client to another' field is added to the form. When this new field is set to "Yes" for a given user, they will be able to copy a 'Claim Follow-Up Note' to claims for other clients.
Value Added: Additional functionality for copying notes.
Accounts Receivable Console - AR Console Configuration
The 'Allow 'Claim Follow-Up Record Exists' filter to include system-generated 'AR Console Follow-Up Created' notes in search results' and 'Allow 'Claim Follow-Up Record Exists' filter to include system-generated '835 Remittance' notes in search results' fields are added to the 'AR Console Configuration' form. Setting either to "No" causes system-generated follow-up notes of the respective type to not be recognized as an existing follow-up for the purposes of the 'Claim Follow-Up Record Exists' filter.
Value Added: Additional functionality is added for Claim Follow Up records.
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Topics
• Accounts Receivable Management
• NX
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Client Demographic forms - Preferred Appointment Site
myAvatar NX is enhanced to include a field labeled 'Preferred Appointment Site' on the demographic sections of the following forms - 'Update Client Data', 'Admission', 'Admission (Outpatient)', 'Call Intake', 'Pre Admit', 'Pre Admit Discharge', and 'Discharge'. Additionally, the Web Services associated with the forms are updated. The value of the 'Preferred Appointment Site' field is used to specify a default Site value when scheduling appointments for a client.
Value Added: Preferred Appointment Site enhancement
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Topics
• Admission
• Update Client Data
• Web Services
• Pre Admit
• Call Intake
• Pre Admit Discharge
• Discharge
• Demographics
• Admission (Outpatient)
• NX
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Compile/Edit/Post/Unpost Roll-Up Services Worklist
A new registry setting, 'Use Compile Date as Posting Date for Roll-Up Component Services', is added which allows the user to determine the 'Posting Date' value.
Value Added: Compile/Edit/Post/Unpost Roll-Up Services Worklist has improved functionality for the posting date field.
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Topics
• Compile/Edit/Post/Unpost Roll-up Services Worklist
• Roll-Up Services Definition
• NX
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'Service Codes' Form - 'Always Allow Overbooking' field
The 'Always Allow Overbooking' field is added to the 'Service Codes' form. The 'Service Code Upload Process' form is updated accordingly.
Value Added: Support for Clinic Hours and Waiting Room functionalities.
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Topics
• Service Codes
• Service Code Upload Process
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Accounts Receivable Console
The 'AR Console Export' form is added to the system.
Value Added: Data from the 'ar_auto_batch' table can be exported in CSV format.
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Topics
• Accounts Receivable Management
• NX
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Remittance Functionality
Avatar PM is updated for future Remittance functionality
Value Added: The system is updated for future functionality.
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Topics
• Remittance Processing
• NX
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Remittance Processing widget
Avatar PM is updated for future Remittance functionality.
Value Added: The system is updated for future functionality.
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Topics
• Remittance Processing
• NX
• Widgets
• Spreadsheet Batch Remittance Posting
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Changed (1)
'ClientDischarge' and 'ClientPreAdmitDischarge' web services
The 'ClientDischarge' and 'ClientPreAdmitDischarge' web services are updated for future functionality.
Value Added: Support for future functionality
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Topics
• Discharge
• Web Services
• Pre Admit Discharge
• CareFabric
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Fixed (2)
Client Ledger - Post Contractual Adjustments
Resolves an issue to ensure that the batch contractual adjustments are applied correctly after the claim is created while running quick billing task through system task scheduler.
Functional Or Implementation Acknowledgement (997/999) - Compiling the 999 file created from the 270 file
Resolves an issue to ensure that the 999 files created from 270 files compile successfully when the registry setting 'Maintain Unique Functional Group Control Numbers by Root System Code' is set to Y.
Eligibility Inquiry 270 Request - Delete inquiry
Resolves an issue to ensure that the eligibility inquiry deleted successfully.
Service/Fee Cross Reference - CPT-4 / HCPCS Modifier If Not First Instance For Service Date
Resolves an issue to ensure that the 837 professional bill does not include the modifier from the 'CPT-4 / HCPCS Modifier If Not First Instance For Service Date' field for the first instance of the service If the service is transferred to the secondary guarantor and then transferred back to the original guarantor.
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Topics
• Quick Billing
• System Task Scheduler
• NX
• Contractual Allowance (Outpatient)
• Contractual Allowance (Inpatient)
• Functional or Implementation Acknowledgement (997/999)
• Eligibility Inquiry (270) Request
• 837 Professional
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837 Billing - K3 segment
The functionality of the K3 segments of 837 bills has been updated to output date in the following order: 'Ethnicity' code, 'Race' code, Social Security number (when the relationship to insured is not self).
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Topics
• 837 Institutional
• 837 Professional
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Avatar_PM_2023_Monthly_Release_2023.02.02_Details.csv
