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Avatar PM 2023 Update 143

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Product Requirements and Recommendations

Avatar PM required
RADplus required

Recommended Update Level

Avatar PM 2022 Update 67
Avatar PM 2023 Monthly Release 2023.02.02
RADplus 2023 Monthly Release 2023.02.02

Product Update Description

The system is prepared for future functionality. Additionally, the following issues in the 'Payment Acknowledgement' form are resolved: 1) Allowing negative amounts to be entered. 2) Updating the wrong row in the 'Post Payment Accounting Entry' grid when values are entered. 3) When "1" is selected in the 'Prevent Posting Payments Unless Payment has been Acknowledged' the '835 Health Care Claim Payment/Advice' form is modified to not flag a file as "Posted-Partial" unless something is actually posted. 4) The 'Comments' field in 'Payment Acknowledgement' is now enabled upon "Edit". 5) The 'Receipt Number' will now default in the 'Post Front Office and myHP Payments' section. 6) The 'Post Payment Accounting Entry' section is now enabled when a client is selected.

Required Updates

Avatar PM 2023 Update 115

Included Updates

10, 11, 17, 18, 21, 25, 35, 39, 44, 56, 57, 62, 63, 66, 67, 72, 73, 76, 77, 78, 79, 85, 88, 89, 93, 94, 96, 98, 101, 102, 109, 115, 125, 129, 135

Details
NEW7 CHANGED0 FIXED0
New (7)
Payment Acknowledgement - Post Payment Accounting Entry
Functionality has been modified to allow users to access the Post Payment Accounting Entry section of the form when the transaction includes a 'Client'.
Value Added: Allows the users to proceed to the Post Payment Accounting Entry section for every transaction.
Topics
• NX • Payment Acknowledgement
 
Future Functionality
The system is prepared for future functionality.
Value Added: Future Functionality
Topics
• NX • Remittance Processing
 
Payment Acknowledgement -
Functionality has been modified to prevent the entry of negative numbers in the amount field in the 'Payment Acknowledgement' and 'Post Payment Accounting Entry' sections of the form.
Value Added: Users cannot enter negative values to the 'Amount' fields.
Topics
• NX • Payment Acknowledgement
 
Payment Acknowledgement - Post Payment Accounting Entry
In the Post Payment Accounting Entry form/grid edit a row, or delete a row and only the selected row is affected.
Value Added: Only selected rows are updated or deleted.
Topics
• NX • Payment Acknowledgement
 
Payment Acknowledgement - Post Front Office and myHP Payments
Functionality has been modified to display the system generated receipt number in the 'Post Front Office and myHP Payments' grid.
Value Added: The receipt number defaults to the System Receipt # to reduce data entry
Topics
• NX • Payment Acknowledgement
 
Payment Acknowledgement - Comments
Functionality has been modified to allow the comment field in the 'Payment Acknowledgement' section to be edited or deleted.
Value Added: Use can edit or delete the comment.
Topics
• NX • Payment Acknowledgement
 
835 Health Care Claim Payment/Advice
Functionality has been modified to indicate that an 835 has been partially posted when selecting a file. The file will now contain 'Status: [Posted-Partial]'.
Value Added: The file is updated to alert that user that it has been partially posted.
Topics
• 835 Health Care Claim Payment/Advice • NX
 
Acceptance Tests
AV-91592 Summary | Details
Payment Acknowledgement - Post Payment Accounting Entry
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Dictionary Update (PM)
  • Payment Acknowledgement
  • Posting/Adjustment Codes Definition
  • Registry Settings (PM)
  • Service Codes
  • Remittance Processing Widget
Scenario 1: Payment Acknowledgement - Post Payment Accounting Entry / Reverse Payment Accounting Entry
Specific Setup:
  • Registry Setting:
  • ‘Avatar PM->Billing->Remittance Processing->->->Enable Payment Acknowledgement’ has a ‘Registry Setting Value’ of ‘Y’.
  • "Avatar PM->Billing->Remittance Processing->->->Prevent Posting Payments Unless Payment has been Acknowledged" has a 'Registry Setting Value that contains '7'
  • Dictionary Update:
  • Other Table Files: (5521) Program - contains dictionary codes and dictionary values.
  • Other Table Files: (5522) Account - contains dictionary codes, dictionary values and extended dictionary values.
  • Other Table Files: (9712) Payment Acknowledgement Type – extended dictionary values have been added to the locked dictionary.
  • Posting/Adjustment Codes Definitions: Definitions exist for ‘Payment’.
  • The definitions may have a value in the ‘Payment Acknowledgement Type’ field.
  • All ‘Payment’ definitions will be available in the ‘Payment Acknowledgement’ form.
  • Clients:
  • Identify clients with and without a self-pay balance due. Note the balance due amounts.
  • Note the 'Treatment Setting' of the client's program.
Steps
  1. Open the ‘Payment Acknowledgement’ form.
  2. Verify that ‘Action’ defaults to ‘New’.
  3. Verify that ‘Transaction Number’ is read-only.
  4. Verify that ‘Entered By’ is read-only and defaults to the signed-in user.
  5. Enter the desired value in ‘Batch Number’.
  6. Select the desired ‘Posting Code’. All payment posting codes will be displayed.
  7. Enter the desired value in ‘Check/EFT Number’.
  8. Enter the desired value in ‘Amount’.
  9. Select the desired ‘Guarantor’. If a ‘Self-Pay' guarantor is selected, the ‘Client’ field will be enabled.
  10. Enter the desired value in ‘Name/Source’.
  11. Enter the desired value in ‘Client’, if enabled. The field is only available for ‘Self-Pay' guarantors.
  12. Enter the desired value in ‘Check/EFT Date’. Note the date cannot be a future date.
  13. Enter the desired value in ‘Receipt Date’. Note the date cannot be before the ‘Check/EFT Date’,
  14. Enter the desired value in ‘Deposit Date’. Note the date cannot be before the ‘Check/EFT Date’ or the ‘Receipt Date’.
  15. Select the desired ‘Treatment Service’.
  16. Select the desired ‘Category’. Inactive dictionary codes will not display in this field.
  17. Enter the desired value in ‘Bank Ref #’.
  18. Enter the desired value in ‘Comments’.
  19. Click [File].
  20. Verify that the ‘Payment Acknowledgement’ message is received and states the following: Filed successfully. The Transaction Number is 6. Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing.
  21. Click [Yes] to continue to the Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  22. If [Yes] was clicked, go to step 30.
  23. If [No] was clicked, select ‘Edit or View’ in ‘Action, which will enable the ‘Payment Acknowledgement Search’ section.
  24. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  25. Click [Search].
  26. Select the desired item in the ‘Payment Acknowledgement’ grid.
  27. Click [OK] to continue or [Cancel] to end the search. Click [OK].
  28. The following ‘Payment Acknowledgement’ displays: Do you need to continue to Post Payment Accounting Entry?
  29. Click [Yes].
  30. Validate that the grid is not enabled.
  31. Click [New Row] in ‘Post Payment Accounting Entry’.
  32. Validate that the grid becomes enabled.
  33. Select the desired ‘Treatment Service’. It will default if filed in the ‘Payment Acknowledgement’.
  34. Select the desired ‘Program’. This is from ‘Other Table Files: (5521) Program’, not a program in ‘Program Maintenance’.
  35. Select the desired ‘Account’.
  36. Select the desired ‘Amount’. If the amount is an even dollar amount such as $500.00, enter '500' and validate that the field displays as '500.00'.
  37. Validate that the ‘Posting Code; defaulted from the ‘Payment Acknowledgment’.
  38. Select the desired ‘Posting Date’. Note the date cannot be before the ‘Check/EFT Date’, the ‘Receipt Date’, or the ‘Deposit Date’.
  39. If desired, enter a ‘Comment’.
  40. Validate that the ‘Posting Summary’ is correct.
  41. If desired, click [New Row] and repeat the steps.
  42. If desired, click [Delete Row]. A ‘Confirm Delete’ message will be displayed. Select the desired value.
  43. Click [File].
  44. The following ‘Payment Acknowledgement’ displays: Filed successfully. Do you need to continue with Post Payment Accounting Entry?
  45. Click [Yes].
  46. Click the ‘Reverse’ checkbox in one row of the ‘Post Payment Accounting Entry’.
  47. Enter desired ‘Reversal Reason’.
  48. Click [Reverse].
  49. Validate that a message is received stating: Reversal Posting Date is required.
  50. Enter a ‘Reversal Posting Date’ that is on or after the ‘Posting Date’.
  51. Click [Reverse].
  52. Validate that a new row was added to the ‘Post Payment Accounting Entry’ grid and that it mirrors the row that was selected to reverse, except for ‘Amount’ displays in parentheses, indicating a negative amount. The ‘Comment’ for the new row will contain the ‘Reversal Reason’.
  53. Attempt to reverse the row that was previously reversed. Validate that a message is received that states: Rows selected to reverse that are already reversed: xx – where xx is the row number.
  54. If desired, add a new row to post an additional payment.
  55. Close the form.
Scenario 2: Payment Acknowledgement - Post Payment Accounting Entry - Transaction included a Client
Specific Setup:
  • Registry Setting:
  • ‘Avatar PM->Billing->Remittance Processing->->->Enable Payment Acknowledgement’ has a ‘Registry Setting Value’ of ‘Y’.
  • "Avatar PM->Billing->Remittance Processing->->->Prevent Posting Payments Unless Payment has been Acknowledged" has a 'Registry Setting Value that contains '7'
  • Dictionary Update:
  • Other Table Files: (5521) Program - contains dictionary codes and dictionary values.
  • Other Table Files: (5522) Account - contains dictionary codes, dictionary values and extended dictionary values.
  • Other Table Files: (9712) Payment Acknowledgement Type – extended dictionary values have been added to the locked dictionary.
  • Posting/Adjustment Codes Definitions: Definitions exist for ‘Payment’.
  • The definitions may have a value in the ‘Payment Acknowledgement Type’ field.
  • All ‘Payment’ definitions will be available in the ‘Payment Acknowledgement’ form.
  • Clients:
  • Identify one or more clients that a balance due to a self-pay guarantor. Note the balance due amounts.
  • Note the 'Treatment Setting' of the client's program.
Steps
  1. Open ‘Payment Acknowledgement’ form.
  2. Verify that ‘Action’ defaults to ‘New’.
  3. Verify that ‘Transaction Number’ is read only.
  4. Verify that ‘Entered By’ is read only and defaults to the signed in user.
  5. Enter desired value in ‘Batch Number’.
  6. Select desired ‘Posting Code’. All payment posting codes will display.
  7. Enter desired value in ‘Check/EFT Number’.
  8. Enter desired value in ‘Amount’.
  9. Select desired ‘Guarantor’. If a ‘Self-Pay' guarantor is selected, the ‘Client’ field will be enabled.
  10. Enter desired value in ‘Name/Source’.
  11. Enter desired value in ‘Client’, if enabled. The field is only available for ‘Self-Pay' guarantors.
  12. Enter desired value in ‘Check/EFT Date’. Note the date cannot be a future date.
  13. Enter desired value in ‘Receipt Date’. Note the date cannot be before the ‘Check/EFT Date’,
  14. Enter desired value in ‘Deposit Date’. Note the date cannot be before the ‘Check/EFT Date’ or the ‘Receipt Date’.
  15. Select desired ‘Treatment Service’.
  16. Select desired ‘Category’. Inactive dictionary codes will not display in this filed.
  17. Enter desired value in ‘Bank Ref #’.
  18. Enter desired value in ‘Comments’.
  19. Click [File].
  20. Verify that the ‘Payment Acknowledgement’ message is received and states the following: Filed successfully. The Transaction Number is 6. Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing.
  21. Click [Yes] to continue to Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  22. Select [Yes] was clicked, go to step 30.
  23. Validate that the grid is not enabled.
  24. Click [New Row] in ‘Post Payment Accounting Entry’.
  25. Validate that the grid becomes enabled.
  26. Select desired ‘Treatment Service’. It will default if filed in the ‘Payment Acknowledgement’.
  27. Select desired ‘Program’. This is from ‘Other Table Files: (5521) Program’, not a program in ‘Program Maintenance’.
  28. Select desired ‘Account’.
  29. Select desired ‘Amount’. If the amount is an even dollar amount such as $500.00, enter '500' and validate that the field displays as '500.00'.
  30. Validate that the ‘Posting Code; defaulted from the ‘Payment Acknowledgement’.
  31. Select desired ‘Posting Date’. Note the date cannot be before the ‘Check/EFT Date’, the ‘Receipt Date’ or the ‘Deposit Date’.
  32. If desired, enter a ‘Comment’.
  33. Validate that the ‘Posting Summary’ is correct.
  34. If desired, click [New Row] and repeat the steps.
  35. If desired, click [Delete Row]. A ‘Confirm Delete’ message will be displayed. Select desired value.
  36. Click [File].
  37. The following ‘Payment Acknowledgement’ displays: Filed successfully. Do you need to continue with Post Payment Accounting Entry?
  38. Click [No].
  39. Close the form.
Topics
• NX • Payment Acknowledgement
AV-91954 Summary | Details
Future Functionality
Internal Test Only
Topics
n/a
AV-92187 Summary | Details
Payment Acknowledgement -
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Dictionary Update (PM)
  • Payment Acknowledgement
  • Posting/Adjustment Codes Definition
  • Registry Settings (PM)
  • Service Codes
Scenario 1: Payment Acknowledgement - Post Payment Accounting Entry / Reverse Payment Accounting Entry
Specific Setup:
  • Registry Setting:
  • ‘Avatar PM->Billing->Remittance Processing->->->Enable Payment Acknowledgement’ has a ‘Registry Setting Value’ of ‘Y’.
  • "Avatar PM->Billing->Remittance Processing->->->Prevent Posting Payments Unless Payment has been Acknowledged" has a 'Registry Setting Value that contains '7'
  • Dictionary Update:
  • Other Table Files: (5521) Program - contains dictionary codes and dictionary values.
  • Other Table Files: (5522) Account - contains dictionary codes, dictionary values and extended dictionary values.
  • Other Table Files: (9712) Payment Acknowledgement Type – extended dictionary values have been added to the locked dictionary.
  • Posting/Adjustment Codes Definitions: Definitions exist for ‘Payment’.
  • The definitions may have a value in the ‘Payment Acknowledgement Type’ field.
  • All ‘Payment’ definitions will be available in the ‘Payment Acknowledgement’ form.
  • Clients:
  • Identify clients with and without a self-pay balance due. Note the balance due amounts.
  • Note the 'Treatment Setting' of the client's program.
Steps
  1. Open the ‘Payment Acknowledgement’ form.
  2. Verify that ‘Action’ defaults to ‘New’.
  3. Verify that ‘Transaction Number’ is read-only.
  4. Verify that ‘Entered By’ is read-only and defaults to the signed-in user.
  5. Enter the desired value in ‘Batch Number’.
  6. Select the desired ‘Posting Code’. All payment posting codes will be displayed.
  7. Enter the desired value in ‘Check/EFT Number’.
  8. Enter the desired value in ‘Amount’.
  9. Select the desired ‘Guarantor’. If a ‘Self-Pay' guarantor is selected, the ‘Client’ field will be enabled.
  10. Enter the desired value in ‘Name/Source’.
  11. Enter the desired value in ‘Client’, if enabled. The field is only available for ‘Self-Pay' guarantors.
  12. Enter the desired value in ‘Check/EFT Date’. Note the date cannot be a future date.
  13. Enter the desired value in ‘Receipt Date’. Note the date cannot be before the ‘Check/EFT Date’,
  14. Enter the desired value in ‘Deposit Date’. Note the date cannot be before the ‘Check/EFT Date’ or the ‘Receipt Date’.
  15. Select the desired ‘Treatment Service’.
  16. Select the desired ‘Category’. Inactive dictionary codes will not display in this field.
  17. Enter the desired value in ‘Bank Ref #’.
  18. Enter the desired value in ‘Comments’.
  19. Click [File].
  20. Verify that the ‘Payment Acknowledgement’ message is received and states the following: Filed successfully. The Transaction Number is 6. Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing.
  21. Click [Yes] to continue to the Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  22. If [Yes] was clicked, go to step 30.
  23. If [No] was clicked, select ‘Edit or View’ in ‘Action, which will enable the ‘Payment Acknowledgement Search’ section.
  24. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  25. Click [Search].
  26. Select the desired item in the ‘Payment Acknowledgement’ grid.
  27. Click [OK] to continue or [Cancel] to end the search. Click [OK].
  28. The following ‘Payment Acknowledgement’ displays: Do you need to continue to Post Payment Accounting Entry?
  29. Click [Yes].
  30. Validate that the grid is not enabled.
  31. Click [New Row] in ‘Post Payment Accounting Entry’.
  32. Validate that the grid becomes enabled.
  33. Select the desired ‘Treatment Service’. It will default if filed in the ‘Payment Acknowledgement’.
  34. Select the desired ‘Program’. This is from ‘Other Table Files: (5521) Program’, not a program in ‘Program Maintenance’.
  35. Select the desired ‘Account’.
  36. Select the desired ‘Amount’. If the amount is an even dollar amount such as $500.00, enter '500' and validate that the field displays as '500.00'.
  37. Validate that the ‘Posting Code; defaulted from the ‘Payment Acknowledgment’.
  38. Select the desired ‘Posting Date’. Note the date cannot be before the ‘Check/EFT Date’, the ‘Receipt Date’, or the ‘Deposit Date’.
  39. If desired, enter a ‘Comment’.
  40. Validate that the ‘Posting Summary’ is correct.
  41. If desired, click [New Row] and repeat the steps.
  42. If desired, click [Delete Row]. A ‘Confirm Delete’ message will be displayed. Select the desired value.
  43. Click [File].
  44. The following ‘Payment Acknowledgement’ displays: Filed successfully. Do you need to continue with Post Payment Accounting Entry?
  45. Click [Yes].
  46. Click the ‘Reverse’ checkbox in one row of the ‘Post Payment Accounting Entry’.
  47. Enter desired ‘Reversal Reason’.
  48. Click [Reverse].
  49. Validate that a message is received stating: Reversal Posting Date is required.
  50. Enter a ‘Reversal Posting Date’ that is on or after the ‘Posting Date’.
  51. Click [Reverse].
  52. Validate that a new row was added to the ‘Post Payment Accounting Entry’ grid and that it mirrors the row that was selected to reverse, except for ‘Amount’ displays in parentheses, indicating a negative amount. The ‘Comment’ for the new row will contain the ‘Reversal Reason’.
  53. Attempt to reverse the row that was previously reversed. Validate that a message is received that states: Rows selected to reverse that are already reversed: xx – where xx is the row number.
  54. If desired, add a new row to post an additional payment.
  55. Close the form.
Scenario 2: Payment Acknowledgement_Restricting Negative value the Amount fields
Specific Setup:
  • Registry Setting:
  • ‘Avatar PM->Billing->Remittance Processing->->->Enable Payment Acknowledgement’ has a ‘Registry Setting Value’ of ‘Y’.
  • "Avatar PM->Billing->Remittance Processing->->->Prevent Posting Payments Unless Payment has been Acknowledged" has a 'Registry Setting Value that contains '7'
  • Dictionary Update:
  • Other Table Files: (5521) Program - contains dictionary codes and dictionary values.
  • Other Table Files: (5522) Account - contains dictionary codes, dictionary values and extended dictionary values.
  • Other Table Files: (9712) Payment Acknowledgement Type – extended dictionary values have been added to the locked dictionary.
  • Posting/Adjustment Codes Definitions: Definitions exist for ‘Payment’.
  • The definitions may have a value in the ‘Payment Acknowledgement Type’ field.
  • All ‘Payment’ definitions will be available in the ‘Payment Acknowledgement’ form.
  • Clients:
  • Identify clients with and without a self-pay balance. Note the balance due amounts.
  • Note the 'Treatment Setting' of the client's program.
Steps
  1. Open the ‘Payment Acknowledgement’ form.
  2. Verify that ‘Action’ defaults to ‘New’.
  3. Verify that ‘Transaction Number’ is read-only.
  4. Verify that ‘Entered By’ is read-only and defaults to the signed-in user.
  5. Enter the desired value in ‘Batch Number’.
  6. Select the REVERSAL type of ‘Posting Code’. All payment posting codes will be displayed.
  7. Enter the desired value in ‘Check/EFT Number’.
  8. Try Entering a negative value for the 'Amount' field.
  9. Validate that the user is not allowed to enter a negative value and see the appropriate error popup message.
  10. Enter the desired value in ‘Amount’.
  11. Select the desired ‘Guarantor’. If a ‘Self-Pay' guarantor is selected, the ‘Client’ field will be enabled.
  12. Enter the desired value in ‘Name/Source’.
  13. Enter the desired value in ‘Client’, if enabled. The field is only available for ‘Self-Pay' guarantors.
  14. Enter the desired value in ‘Check/EFT Date’. Note the date cannot be a future date.
  15. Enter the desired value in ‘Receipt Date’. Note the date cannot be before the ‘Check/EFT Date’,
  16. Enter the desired value in ‘Deposit Date’. Note the date cannot be before the ‘Check/EFT Date’ or the ‘Receipt Date’.
  17. Select the desired ‘Treatment Service’.
  18. Select the desired ‘Category’. Inactive dictionary codes will not display in this filed.
  19. Enter the desired value in ‘Bank Ref #’.
  20. Enter the desired value in ‘Comments’.
  21. Click [File].
  22. Verify that the ‘Payment Acknowledgement’ message is received and states the following: Filed successfully. The Transaction Number is 6. Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing.
  23. Click [Yes] to continue to the Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  24. Select [No].
  25. Verify that the user remains on the form with all the filed data cleared out.
  26. Select ‘Action’ as ‘Edit or View’.
  27. Validate that the 'Payment Acknowledgement Search' section is enabled.
  28. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  29. Click [Search].
  30. Verify the 'Payment Acknowledgement' Grid shows up for user selection.
  31. Validate that the amount column is showing the value as negative even though the user entered it as a positive value. (Here the system decides this based on the Posting Code type.)
  32. Select the desired row and select 'OK'.
  33. Validate that all the appropriate entries filed for that Transaction are being loaded into the form.
  34. Validate that the grid under 'Post Payment Accounting Entry' is not enabled.
  35. Click [New Row] in ‘Post Payment Accounting Entry’.
  36. Validate that the grid becomes enabled.
  37. Select the desired ‘Treatment Service’. It will default if filed in the ‘Payment Acknowledgement’.
  38. Select the desired ‘Program’. This is from ‘Other Table Files: (5521) Program’, not a program in ‘Program Maintenance’.
  39. Select the desired ‘Account’.
  40. Try Entering a negative value for the 'Amount' field.
  41. Validate that the user is not allowed to enter a negative value and see the appropriate error popup message.
  42. Select the desired ‘Amount’. If the amount is an even dollar amount such as $500.00, enter '500' and validate that the field displays as '500.00'.
  43. Validate that the ‘Posting Code; defaulted from the ‘Payment Acknowledgment’.
  44. Select the desired ‘Posting Date’. Note the date cannot be before the ‘Check/EFT Date’, the ‘Receipt Date’, or the ‘Deposit Date’.
  45. If desired, enter a ‘Comment’.
  46. Validate that the ‘Posting Summary’ is correct. (Even though the entered/shown amount is a positive value, based on the Posting code type the amount value should be shown as a negative one in the 'Posting Summary')
  47. If desired, click [New Row] and repeat the steps.
  48. If desired, click [Delete Row]. A ‘Confirm Delete’ message will be displayed. Select the desired value.
  49. Click [File].
  50. The following ‘Payment Acknowledgement’ displays: Filed successfully. Do you need to continue with Post Payment Accounting Entry?
  51. Click [No].
  52. Close the form.
Topics
• NX • Payment Acknowledgement
AV-92188 Summary | Details
Payment Acknowledgement - Post Payment Accounting Entry
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Dictionary Update (PM)
  • Payment Acknowledgement
  • Posting/Adjustment Codes Definition
  • Registry Settings (PM)
  • Service Codes
Scenario 1: Payment Acknowledgement - Post Payment Accounting Entry / Reverse Payment Accounting Entry
Specific Setup:
  • Registry Setting:
  • ‘Avatar PM->Billing->Remittance Processing->->->Enable Payment Acknowledgement’ has a ‘Registry Setting Value’ of ‘Y’.
  • "Avatar PM->Billing->Remittance Processing->->->Prevent Posting Payments Unless Payment has been Acknowledged" has a 'Registry Setting Value that contains '7'
  • Dictionary Update:
  • Other Table Files: (5521) Program - contains dictionary codes and dictionary values.
  • Other Table Files: (5522) Account - contains dictionary codes, dictionary values and extended dictionary values.
  • Other Table Files: (9712) Payment Acknowledgement Type – extended dictionary values have been added to the locked dictionary.
  • Posting/Adjustment Codes Definitions: Definitions exist for ‘Payment’.
  • The definitions may have a value in the ‘Payment Acknowledgement Type’ field.
  • All ‘Payment’ definitions will be available in the ‘Payment Acknowledgement’ form.
  • Clients:
  • Identify clients with and without a self-pay balance due. Note the balance due amounts.
  • Note the 'Treatment Setting' of the client's program.
Steps
  1. Open the ‘Payment Acknowledgement’ form.
  2. Verify that ‘Action’ defaults to ‘New’.
  3. Verify that ‘Transaction Number’ is read-only.
  4. Verify that ‘Entered By’ is read-only and defaults to the signed-in user.
  5. Enter the desired value in ‘Batch Number’.
  6. Select the desired ‘Posting Code’. All payment posting codes will be displayed.
  7. Enter the desired value in ‘Check/EFT Number’.
  8. Enter the desired value in ‘Amount’.
  9. Select the desired ‘Guarantor’. If a ‘Self-Pay' guarantor is selected, the ‘Client’ field will be enabled.
  10. Enter the desired value in ‘Name/Source’.
  11. Enter the desired value in ‘Client’, if enabled. The field is only available for ‘Self-Pay' guarantors.
  12. Enter the desired value in ‘Check/EFT Date’. Note the date cannot be a future date.
  13. Enter the desired value in ‘Receipt Date’. Note the date cannot be before the ‘Check/EFT Date’,
  14. Enter the desired value in ‘Deposit Date’. Note the date cannot be before the ‘Check/EFT Date’ or the ‘Receipt Date’.
  15. Select the desired ‘Treatment Service’.
  16. Select the desired ‘Category’. Inactive dictionary codes will not display in this field.
  17. Enter the desired value in ‘Bank Ref #’.
  18. Enter the desired value in ‘Comments’.
  19. Click [File].
  20. Verify that the ‘Payment Acknowledgement’ message is received and states the following: Filed successfully. The Transaction Number is 6. Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing.
  21. Click [Yes] to continue to the Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  22. If [Yes] was clicked, go to step 30.
  23. If [No] was clicked, select ‘Edit or View’ in ‘Action, which will enable the ‘Payment Acknowledgement Search’ section.
  24. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  25. Click [Search].
  26. Select the desired item in the ‘Payment Acknowledgement’ grid.
  27. Click [OK] to continue or [Cancel] to end the search. Click [OK].
  28. The following ‘Payment Acknowledgement’ displays: Do you need to continue to Post Payment Accounting Entry?
  29. Click [Yes].
  30. Validate that the grid is not enabled.
  31. Click [New Row] in ‘Post Payment Accounting Entry’.
  32. Validate that the grid becomes enabled.
  33. Select the desired ‘Treatment Service’. It will default if filed in the ‘Payment Acknowledgement’.
  34. Select the desired ‘Program’. This is from ‘Other Table Files: (5521) Program’, not a program in ‘Program Maintenance’.
  35. Select the desired ‘Account’.
  36. Select the desired ‘Amount’. If the amount is an even dollar amount such as $500.00, enter '500' and validate that the field displays as '500.00'.
  37. Validate that the ‘Posting Code; defaulted from the ‘Payment Acknowledgment’.
  38. Select the desired ‘Posting Date’. Note the date cannot be before the ‘Check/EFT Date’, the ‘Receipt Date’, or the ‘Deposit Date’.
  39. If desired, enter a ‘Comment’.
  40. Validate that the ‘Posting Summary’ is correct.
  41. If desired, click [New Row] and repeat the steps.
  42. If desired, click [Delete Row]. A ‘Confirm Delete’ message will be displayed. Select the desired value.
  43. Click [File].
  44. The following ‘Payment Acknowledgement’ displays: Filed successfully. Do you need to continue with Post Payment Accounting Entry?
  45. Click [Yes].
  46. Click the ‘Reverse’ checkbox in one row of the ‘Post Payment Accounting Entry’.
  47. Enter desired ‘Reversal Reason’.
  48. Click [Reverse].
  49. Validate that a message is received stating: Reversal Posting Date is required.
  50. Enter a ‘Reversal Posting Date’ that is on or after the ‘Posting Date’.
  51. Click [Reverse].
  52. Validate that a new row was added to the ‘Post Payment Accounting Entry’ grid and that it mirrors the row that was selected to reverse, except for ‘Amount’ displays in parentheses, indicating a negative amount. The ‘Comment’ for the new row will contain the ‘Reversal Reason’.
  53. Attempt to reverse the row that was previously reversed. Validate that a message is received that states: Rows selected to reverse that are already reversed: xx – where xx is the row number.
  54. If desired, add a new row to post an additional payment.
  55. Close the form.
Scenario 2: Payment Acknowledgement - Adding and Editing rows.
Specific Setup:
  • Registry Setting:
  • ‘Avatar PM->Billing->Remittance Processing->->->Enable Payment Acknowledgement’ has a ‘Registry Setting Value’ of ‘Y’.
  • "Avatar PM->Billing->Remittance Processing->->->Prevent Posting Payments Unless Payment has been Acknowledged" has a 'Registry Setting Value that contains '7' at a minimum.
  • Dictionary Update:
  • Other Table Files: (5521) Program - contains dictionary codes and dictionary values.
  • Other Table Files: (5522) Account - contains dictionary codes, dictionary values, and extended dictionary values.
  • Other Table Files: (9712) Payment Acknowledgement Type – extended dictionary values have been added to the locked dictionary.
  • Posting/Adjustment Codes Definitions: Definitions exist for ‘Payment’.
  • The definitions may have a value in the ‘Payment Acknowledgement Type’ field.
  • All ‘Payment’ definitions will be available in the ‘Payment Acknowledgement’ form.
  • Clients:
  • Identify clients with and without a self-pay balance due. Note the balance due amounts.
  • Note the 'Treatment Setting' of the client's program.
Steps
  1. Open the ‘Payment Acknowledgement’ form.
  2. Verify that ‘Action’ defaults to ‘New’.
  3. Verify that ‘Transaction Number’ is read-only.
  4. Verify that ‘Entered By’ is read-only and defaults to the signed-in user.
  5. Enter the desired value in ‘Batch Number’.
  6. Select the desired ‘Posting Code’. All payment posting codes will be displayed.
  7. Enter the desired value in ‘Check/EFT Number’.
  8. Enter the desired value in ‘Amount’.
  9. Select the desired ‘Guarantor’. If a ‘Self-Pay' guarantor is selected, the ‘Client’ field will be enabled.
  10. Enter the desired value in ‘Name/Source’.
  11. Enter the desired value in ‘Client’, if enabled. The field is only available for ‘Self-Pay' guarantors.
  12. Enter the desired value in ‘Check/EFT Date’. Note the date cannot be a future date.
  13. Enter the desired value in ‘Receipt Date’. Note the date cannot be before the ‘Check/EFT Date’,
  14. Enter the desired value in ‘Deposit Date’. Note the date cannot be before the ‘Check/EFT Date’ or the ‘Receipt Date’.
  15. Select the desired ‘Treatment Service’.
  16. Select the desired ‘Category’. Inactive dictionary codes will not display in this field.
  17. Enter the desired value in ‘Bank Ref #’.
  18. Enter the desired value in ‘Comments’.
  19. Click [File].
  20. Verify that the ‘Payment Acknowledgement’ message is received and states the following: Filed successfully. The Transaction Number is xx. Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing.
  21. Click [Yes] to continue to the Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  22. If [Yes] was clicked, go to step 30.
  23. If [No] was clicked, select ‘Edit or View’ in ‘Action, which will enable the ‘Payment Acknowledgement Search’ section.
  24. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  25. Click [Search].
  26. Select the desired item in the ‘Payment Acknowledgement’ grid.
  27. Click [OK] to continue or [Cancel] to end the search. Click [OK].
  28. The following ‘Payment Acknowledgement’ displays: Do you need to continue to Post Payment Accounting Entry?
  29. Click [Yes].
  30. Validate that the grid is not enabled.
  31. Click [New Row] in ‘Post Payment Accounting Entry’.
  32. Validate that the grid becomes enabled.
  33. Select the desired ‘Treatment Service’. It will default if filed in the ‘Payment Acknowledgement’.
  34. Select the desired ‘Program’. This is from ‘Other Table Files: (5521) Program’, not a program in ‘Program Maintenance’.
  35. Select the desired ‘Account’.
  36. Select the desired ‘Amount’. If the amount is an even dollar amount such as $500.00, enter '500' and validate that the field displays as '500.00'.
  37. Validate that the ‘Posting Code' defaulted from the ‘Payment Acknowledgment’.
  38. Select the desired ‘Posting Date’. Note the date cannot be before the ‘Check/EFT Date’, the ‘Receipt Date’, or the ‘Deposit Date’.
  39. If desired, enter a ‘Comment’.
  40. Validate that the ‘Posting Summary’ is correct.
  41. Click [New Row] and repeat the steps.
  42. Click [New Row] multiple times, which will create multiple empty rows on the grid.
  43. Click [Delete Row]. A ‘Confirm Delete’ message will be displayed. Select the desired value. (Perform this for all the empty rows created)
  44. Select a row with values and edit one or more values.
  45. Validate the edits are being applied only to the selected row.
  46. Select a different row with values in it.
  47. Validate that when a row is selected that the values display correctly in the respective fields.
  48. Click [File].
  49. The following ‘Payment Acknowledgement’ displays: Filed successfully. Do you need to continue with Post Payment Accounting Entry?
  50. Click [No].
  51. Verify that the user remains on the form with all the filed data cleared out.
  52. Select ‘Action’ as ‘Edit or View’.
  53. Validate that the 'Payment Acknowledgement Search' section is getting enabled.
  54. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  55. Click [Search].
  56. Verify the 'Payment Acknowledgement' Grid shows up for user selection.
  57. Select the desired row and click 'OK'.
  58. Validate that all the appropriate entries filed for that Transaction are being loaded into the form.
  59. Select the rows with values in them.
  60. Validate that when a row is selected that the values are showing correctly in the respective fields.
  61. Click the ‘Reverse’ checkbox in one row of the ‘Post Payment Accounting Entry’.
  62. Enter desired ‘Reversal Reason’.
  63. Click [Reverse].
  64. Validate that a message is received stating: Reversal Posting Date is required.
  65. Enter a ‘Reversal Posting Date’ that is on or after the ‘Posting Date’.
  66. Click [Reverse].
  67. Validate that a new row was added to the ‘Post Payment Accounting Entry’ grid and that it mirrors the row that was selected to reverse, except for ‘Amount’ displays in parentheses, indicating a negative amount. The ‘Comment’ for the new row will contain the ‘Reversal Reason’.
  68. Attempt to reverse the row that was previously reversed. Validate that a message is received that states: Rows selected to reverse that are already reversed: xx – where xx is the row number.
  69. If desired, add a new row to post an additional payment.
  70. Close the form.
Topics
• NX • Payment Acknowledgement
AV-92215 Summary | Details
Payment Acknowledgement - Post Front Office and myHP Payments
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Deposit Entry
  • Payment Acknowledgement
Scenario 1: Payment Acknowledgement - Post Front Office Payments - Deposit Entry / Scheduling Calendar Check In
Specific Setup:
  • Registry Setting:
  • The 'Enable Payment Acknowledgement' registry setting is enabled.
  • The 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting includes value '1'.
  • Client A has a payment collected in Scheduling Calendar Check In. Note the payment date. Note the receipt number in the generated receipt. There is no data in 'Name on Card'.
  • Client B has a payment collected in 'Deposit Entry’. Add a value to 'Name on Card'. Note the payment date. Note the receipt number in the generated receipt.
Steps
  1. Open the ‘Payment Acknowledgment’ form.
  2. Select the ‘Post Front Office and myHP Payments’ section.
  3. Enter the desired ‘Payment Collection Date’.
  4. If desired, select a ‘Treatment Service’.
  5. Select the desired ‘Type’.
  6. Click [Review].
  7. Validate that the grid contains a row for each client and the correct data for the appropriate columns.
  8. Add data to 'Name on Card' for Client A.
  9. Click the checkbox for both rows.
  10. Click [Save].
  11. Click [Yes].
  12. Enter desired ‘Batch Number’.
  13. Enter desired ‘Deposit Date’.
  14. Select desired ‘Category’.
  15. Enter desired ‘Bank Ref #’.
  16. If desired, enter ‘Comments’.
  17. Click [Post].
  18. Validate that a ‘Conform’ message is received stating ‘Filed successfully’.
  19. Click [OK].
  20. Click [Discard].
  21. Click [Yes] on the ‘Confirm Close’ message.
Topics
• NX • Payment Acknowledgement
AV-92218 Summary | Details
Payment Acknowledgement - Comments
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Dictionary Update (PM)
  • Payment Acknowledgement
  • Posting/Adjustment Codes Definition
  • Registry Settings (PM)
  • Service Codes
Scenario 1: Payment Acknowledgement - Post Payment Accounting Entry / Reverse Payment Accounting Entry
Specific Setup:
  • Registry Setting:
  • ‘Avatar PM->Billing->Remittance Processing->->->Enable Payment Acknowledgement’ has a ‘Registry Setting Value’ of ‘Y’.
  • "Avatar PM->Billing->Remittance Processing->->->Prevent Posting Payments Unless Payment has been Acknowledged" has a 'Registry Setting Value that contains '7'
  • Dictionary Update:
  • Other Table Files: (5521) Program - contains dictionary codes and dictionary values.
  • Other Table Files: (5522) Account - contains dictionary codes, dictionary values and extended dictionary values.
  • Other Table Files: (9712) Payment Acknowledgement Type – extended dictionary values have been added to the locked dictionary.
  • Posting/Adjustment Codes Definitions: Definitions exist for ‘Payment’.
  • The definitions may have a value in the ‘Payment Acknowledgement Type’ field.
  • All ‘Payment’ definitions will be available in the ‘Payment Acknowledgement’ form.
  • Clients:
  • Identify clients with and without a self-pay balance due. Note the balance due amounts.
  • Note the 'Treatment Setting' of the client's program.
Steps
  1. Open the ‘Payment Acknowledgement’ form.
  2. Verify that ‘Action’ defaults to ‘New’.
  3. Verify that ‘Transaction Number’ is read-only.
  4. Verify that ‘Entered By’ is read-only and defaults to the signed-in user.
  5. Enter the desired value in ‘Batch Number’.
  6. Select the desired ‘Posting Code’. All payment posting codes will be displayed.
  7. Enter the desired value in ‘Check/EFT Number’.
  8. Enter the desired value in ‘Amount’.
  9. Select the desired ‘Guarantor’. If a ‘Self-Pay' guarantor is selected, the ‘Client’ field will be enabled.
  10. Enter the desired value in ‘Name/Source’.
  11. Enter the desired value in ‘Client’, if enabled. The field is only available for ‘Self-Pay' guarantors.
  12. Enter the desired value in ‘Check/EFT Date’. Note the date cannot be a future date.
  13. Enter the desired value in ‘Receipt Date’. Note the date cannot be before the ‘Check/EFT Date’,
  14. Enter the desired value in ‘Deposit Date’. Note the date cannot be before the ‘Check/EFT Date’ or the ‘Receipt Date’.
  15. Select the desired ‘Treatment Service’.
  16. Select the desired ‘Category’. Inactive dictionary codes will not display in this field.
  17. Enter the desired value in ‘Bank Ref #’.
  18. Enter the desired value in ‘Comments’.
  19. Click [File].
  20. Verify that the ‘Payment Acknowledgement’ message is received and states the following: Filed successfully. The Transaction Number is 6. Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing.
  21. Click [Yes] to continue to the Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  22. If [Yes] was clicked, go to step 30.
  23. If [No] was clicked, select ‘Edit or View’ in ‘Action, which will enable the ‘Payment Acknowledgement Search’ section.
  24. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  25. Click [Search].
  26. Select the desired item in the ‘Payment Acknowledgement’ grid.
  27. Click [OK] to continue or [Cancel] to end the search. Click [OK].
  28. The following ‘Payment Acknowledgement’ displays: Do you need to continue to Post Payment Accounting Entry?
  29. Click [Yes].
  30. Validate that the grid is not enabled.
  31. Click [New Row] in ‘Post Payment Accounting Entry’.
  32. Validate that the grid becomes enabled.
  33. Select the desired ‘Treatment Service’. It will default if filed in the ‘Payment Acknowledgement’.
  34. Select the desired ‘Program’. This is from ‘Other Table Files: (5521) Program’, not a program in ‘Program Maintenance’.
  35. Select the desired ‘Account’.
  36. Select the desired ‘Amount’. If the amount is an even dollar amount such as $500.00, enter '500' and validate that the field displays as '500.00'.
  37. Validate that the ‘Posting Code; defaulted from the ‘Payment Acknowledgment’.
  38. Select the desired ‘Posting Date’. Note the date cannot be before the ‘Check/EFT Date’, the ‘Receipt Date’, or the ‘Deposit Date’.
  39. If desired, enter a ‘Comment’.
  40. Validate that the ‘Posting Summary’ is correct.
  41. If desired, click [New Row] and repeat the steps.
  42. If desired, click [Delete Row]. A ‘Confirm Delete’ message will be displayed. Select the desired value.
  43. Click [File].
  44. The following ‘Payment Acknowledgement’ displays: Filed successfully. Do you need to continue with Post Payment Accounting Entry?
  45. Click [Yes].
  46. Click the ‘Reverse’ checkbox in one row of the ‘Post Payment Accounting Entry’.
  47. Enter desired ‘Reversal Reason’.
  48. Click [Reverse].
  49. Validate that a message is received stating: Reversal Posting Date is required.
  50. Enter a ‘Reversal Posting Date’ that is on or after the ‘Posting Date’.
  51. Click [Reverse].
  52. Validate that a new row was added to the ‘Post Payment Accounting Entry’ grid and that it mirrors the row that was selected to reverse, except for ‘Amount’ displays in parentheses, indicating a negative amount. The ‘Comment’ for the new row will contain the ‘Reversal Reason’.
  53. Attempt to reverse the row that was previously reversed. Validate that a message is received that states: Rows selected to reverse that are already reversed: xx – where xx is the row number.
  54. If desired, add a new row to post an additional payment.
  55. Close the form.
Scenario 2: Payment Acknowledgement - Editing Comments
Specific Setup:
  • Registry Setting:
  • ‘Avatar PM->Billing->Remittance Processing->->->Enable Payment Acknowledgement’ has a ‘Registry Setting Value’ of ‘Y’.
  • "Avatar PM->Billing->Remittance Processing->->->Prevent Posting Payments Unless Payment has been Acknowledged" has a 'Registry Setting Value that contains '7'
  • Dictionary Update:
  • Other Table Files: (5521) Program - contains dictionary codes and dictionary values.
  • Other Table Files: (5522) Account - contains dictionary codes, dictionary values, and extended dictionary values.
  • Other Table Files: (9712) Payment Acknowledgement Type – extended dictionary values have been added to the locked dictionary.
  • Posting/Adjustment Codes Definitions: Definitions exist for ‘Payment’.
  • The definitions may have a value in the ‘Payment Acknowledgement Type’ field.
  • All ‘Payment’ definitions will be available in the ‘Payment Acknowledgement’ form.
  • Clients:
  • Identify clients with and without a self pat balance. Note the balance due amounts.
  • Note the 'Treatment Setting' of the client's program.
Steps
  1. Open the ‘Payment Acknowledgement’ form.
  2. Verify that ‘Action’ defaults to ‘New’.
  3. Verify that ‘Transaction Number’ is read-only.
  4. Verify that ‘Entered By’ is read-only and defaults to the signed-in user.
  5. Enter the desired value in ‘Batch Number’.
  6. Select the desired ‘Posting Code’. All payment posting codes will be displayed.
  7. Enter the desired value in ‘Check/EFT Number’.
  8. Enter the desired value in ‘Amount’.
  9. Select the desired ‘Guarantor’. If a ‘Self-Pay' guarantor is selected, the ‘Client’ field will be enabled.
  10. Enter the desired value in ‘Name/Source’.
  11. Enter the desired value in ‘Client’, if enabled. The field is only available for ‘Self-Pay' guarantors.
  12. Enter the desired value in ‘Check/EFT Date’. Note the date cannot be a future date.
  13. Enter the desired value in ‘Receipt Date’. Note the date cannot be before the ‘Check/EFT Date’,
  14. Enter the desired value in ‘Deposit Date’. Note the date cannot be before the ‘Check/EFT Date’ or the ‘Receipt Date’.
  15. Select the desired ‘Treatment Service’.
  16. Select the desired ‘Category’. Inactive dictionary codes will not display in this field.
  17. Enter the desired value in ‘Bank Ref #’.
  18. Enter the desired value in ‘Comments’.
  19. Click [File].
  20. Verify that the ‘Payment Acknowledgement’ message is received and states the following: Filed successfully. The Transaction Number is 6. Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing.
  21. Click [Yes] to continue to the Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  22. If [Yes] was clicked, go to step 36.
  23. If [No] was clicked, select ‘Edit or View’ in ‘Action, which will enable the ‘Payment Acknowledgement Search’ section.
  24. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  25. Click [Search].
  26. Select the desired item in the ‘Payment Acknowledgement’ grid.
  27. Click [OK] to continue or [Cancel] to end the search. Click [OK].
  28. The following ‘Payment Acknowledgement’ displays: Do you need to continue to Post Payment Accounting Entry?
  29. Click [Yes].
  30. Validate that the 'Comments' field under the first section is enabled.
  31. Validate that the correct value is being populated for the 'Comments' box.
  32. Update the value in the 'Comments' box.
  33. Click [File].
  34. Click [Yes] to continue to the Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  35. Select [Yes]
  36. Validate that the grid is not enabled.
  37. Click [New Row] in ‘Post Payment Accounting Entry’.
  38. Validate that the grid becomes enabled.
  39. Select the desired ‘Treatment Service’. It will default if filed in the ‘Payment Acknowledgement’.
  40. Select the desired ‘Program’. This is from ‘Other Table Files: (5521) Program’, not a program in ‘Program Maintenance’.
  41. Select the desired ‘Account’.
  42. Select the desired ‘Amount’. If the amount is an even dollar amount such as $500.00, enter '500' and validate that the field displays as '500.00'.
  43. Validate that the ‘Posting Code; defaulted from the ‘Payment Acknowledgment’.
  44. Select the desired ‘Posting Date’. Note the date cannot be before the ‘Check/EFT Date’, the ‘Receipt Date’, or the ‘Deposit Date’.
  45. Enter a ‘Comment’.
  46. Validate that the ‘Posting Summary’ is correct.
  47. Click [New Row] in ‘Post Payment Accounting Entry’.
  48. Validate that the grid becomes enabled.
  49. Select the desired ‘Treatment Service’. It will default if filed in the ‘Payment Acknowledgement’.
  50. Select the desired ‘Program’. This is from ‘Other Table Files: (5521) Program’, not a program in ‘Program Maintenance’.
  51. Select the desired ‘Account’.
  52. Try Entering a negative value for the 'Amount' field.
  53. Validate that the user is not allowed to enter a negative value and see the appropriate error popup message.
  54. Select the desired ‘Amount’. If the amount is an even dollar amount such as $500.00, enter '500' and validate that the field displays as '500.00'.
  55. Validate that the ‘Posting Code; defaulted from the ‘Payment Acknowledgment’.
  56. Select the desired ‘Posting Date’. Note the date cannot be before the ‘Check/EFT Date’, the ‘Receipt Date’, or the ‘Deposit Date’.
  57. If desired, enter a ‘Comment’.
  58. Validate that the ‘Posting Summary’ is correct. (Even though the entered/shown amount is a positive value, based on the Posting code type the amount value should be shown as a negative one in the 'Posting Summary')
  59. If desired, click [New Row] and repeat the steps.
  60. If desired, click [Delete Row]. A ‘Confirm Delete’ message will be displayed. Select the desired value.
  61. Click [File].
  62. The following ‘Payment Acknowledgement’ displays: Filed successfully. Do you need to continue with Post Payment Accounting Entry?
  63. Click [No].
  64. Select ‘Edit or View’ in ‘Action, which will enable the ‘Payment Acknowledgement Search’ section.
  65. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  66. Click [Search].
  67. Select the desired item in the ‘Payment Acknowledgement’ grid.
  68. Click [OK] to continue or [Cancel] to end the search. Click [OK].
  69. Validate that the 'Comments' field under the first section is enabled.
  70. Validate that the correct value is being populated for the 'Comments' box.
  71. Delete the values in the 'Comments' box and make it empty.
  72. Click [File].
  73. Click [Yes] to continue to the Post Payment Accounting Entry section or [No] to remain in the ‘Payment Acknowledgement’ section.
  74. Select [No]
  75. Select ‘Edit or View’ in ‘Action, which will enable the ‘Payment Acknowledgement Search’ section.
  76. Enter data from the filed ‘Payment Acknowledgement’ into the desired search fields. The ’Transaction Number’ and ‘Batch Number’ are specific to only one ‘Payment Acknowledgement’. The following fields may return results for more than one ‘Payment Acknowledgement’ when applicable: ‘Client’, ‘Guarantor’, ‘Amount Type’, ‘Check/EFT #’, ‘Check/EFT From Date’, ‘Check/EFT To Date’, ‘Deposit From Date’, and ‘Deposit To Date’.
  77. Click [Search].
  78. Select the desired item in the ‘Payment Acknowledgement’ grid.
  79. Click [OK] to continue or [Cancel] to end the search. Click [OK].
  80. The following ‘Payment Acknowledgement’ displays: Do you need to continue to Post Payment Accounting Entry?
  81. Click [Yes].
  82. Validate that the 'Comments' field under the first section is enabled.
  83. Validate that the correct value is being populated for the 'Comments' box.
  84. Close the form.
  85. Select the PM namespace.
  86. Identify desired database and SQL table - SYSTEM.billing_pay_adj_history
  87. Query 'select * from SYSTEM.billing_pay_adj_historySELECT * FROM "SYSTEM".pay_ack_post_pay_acc_ent' for the desired transaction_number.
  88. Validate that all the instances filed for the Post Payment Accounting Entry are shown in the table.
  89. Validate that the ID cell contains the correct information.
  90. Validate that the account_value cell is equal to the PATID set up in the setup section.
  91. Validate that the comments column contains the correct respective value.
  92. Validate that the data_entry_by column contains the correct respective value.
  93. Validate that the data_entry_date column contains the correct respective value.
  94. Validate that the data_entry_time column contains the correct respective value.
  95. Validate that the data_entry_user_id column contains the correct respective value.
  96. Validate that the data_entry_user_name column contains the correct respective value.
  97. Validate that the option_desc column contains the correct respective value.
  98. Validate the option_id column equal to 'RemittanceProcWidget'.
  99. Validate that the payment_amount column contains the correct respective value.
  100. Validate that the payment_type_code column is equal to 'PAYMENT'.
  101. Validate that the payment_type_value column contains the correct respective value.
  102. Validate that the posting_date column contains the correct respective value.
  103. Validate that the program_code column contains the correct respective value.
  104. Validate that the program_value column contains the correct respective value.
  105. Validate that the transaction_number column contains the correct respective value.
  106. Close the SQL data viewer.
Topics
• NX • Payment Acknowledgement
AV-92505 Summary | Details
835 Health Care Claim Payment/Advice
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • 835 Health Care Claim Payment/Advice (PM)
  • Admission (Outpatient)
  • Claim Adjustment Group/Reason Code Definition
  • Client Ledger
  • Create Interim Billing Batch File
  • Crystal Report Viewer
  • Default Guarantor Assignment
  • Diagnosis
  • Dictionary Update (PM)
  • Dynamic Form - Payment Acknowledgement
  • Electronic Billing
  • Financial Eligibility
  • Guarantors/Payors
  • Payment Acknowledgement
  • Posting/Adjustment Codes Definition
  • Registry Settings (PM)
  • Client Charge Input
  • Dynamic Form - Form and Table Documentation / File Export - File Name
Scenario 1: 835 Health Care Claim Payment/Advice - Three checks per file - Posting Acknowledged, Unacknowledged and Zero dollar payments
Specific Setup:
  • Registry Setting:
  • The 'Enable Payment Acknowledgement' registry setting is enabled.
  • The 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting includes value '1'.
  • The 'Check Number' registry setting is set to '1'.
  • The 'Posting Date for Automated 835s' registry setting is set to '1'.
  • Claim Adjustment Group/ reason code Definition:
  • A group code is selected for the credit adjustment code and debit adjustment reversal code. Note the adjustment codes and group code setup.
  • Admission:
  • Admit a client into an outpatient episode. Note the Client id/name, Admission date/program.
  • Guarantor/Payors:
  • Two existing guarantors are identified who have a Financial Class that has the Extended Data Element for (1500) System Financial Class set to Self Pay.
  • Financial Eligibility:
  • The desired guarantors identified above are assigned to the client. Note the primary and secondary guarantor.
  • Client Charge Input:
  • A service is rendered to the client.
  • Client Ledger:
  • Make sure the service is distributed to one of the guarantors assigned to the client.
  • Close charges.
  • Electronic Billing:
  • Claim the service using the 837 Professional bill for the guarantor.
  • Create an 835 file based on the claim information found in the 837 professional bill.
Steps
  1. Open the '835 Health Care Claim Payment/Advice' form.
  2. Load and compile the 835 file created that includes the claim for the defined guarantor in the setup.
  3. Verify the 835 file loads/compiles successfully.
  4. Select 'Post File' option.
  5. Select the compiled file.
  6. Populate all the required fields with desired value.
  7. Verify the Check/EFT# is populated correctly with the status of acknowledged or unacknowledged in the 'Check/EFT#' checkbox.
  8. Check the Check/EFT# that is unacknowledged.
  9. Click [Process File].
  10. Verify the message: 'Selecting Unacknowledged Check/EFT numbers is not permitted.'
  11. Click [OK].
  12. Close the form.
  13. Open the ‘Payment Acknowledgment’ form.
  14. Enter desired value in ‘Batch Number’.
  15. Select desired ‘Posting Code’.
  16. Enter desired value in ‘Check/EFT Number’ from the TRN*02 segment of the 835 file created in the setup.
  17. Enter desired value in ‘Amount’ that matches the amount entered in the CLP*04 segment of the 835 file.
  18. Select desired ‘Guarantor’ set up in the setup section. Note: If a ‘Self-Pay guarantor is selected, the ‘Client’ field will be enabled.
  19. Enter desired value in ‘Name/Source’.
  20. Enter desired value in ‘Client’, if enabled.
  21. Enter desired value in ‘Check/EFT Date’ that matches the date entered in the BPR*16 segment of the 835 file.
  22. Enter desired value in ‘Receipt Date’.
  23. Enter desired value in ‘Deposit Date’.
  24. Select desired ‘Treatment Service’.
  25. Select desired ‘Category’.
  26. Enter desired value in ‘Bank Ref #’.
  27. Enter desired value in ‘Comments’.
  28. Click [File].
  29. Verify that the ‘Payment Acknowledgment’ message is received and states the following: Filed successfully. The Transaction Number is [number] Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing.
  30. Click [No].
  31. Close the form.
  32. Open the '835 Health Care Claim Payment/Advice' form.
  33. Select 'Post File' option.
  34. Select the compiled file.
  35. Populate all the required fields with desired value.
  36. Verify the Check/EFT# is populated correctly with the status of acknowledged or unacknowledged in the 'Check/EFT#' checkbox.
  37. Check the Check/EFT# that acknowledged in above steps.
  38. Click [Process File].
  39. Verify the file posts successfully.
  40. Open the 'Client Ledger' for the client.
  41. Verify the payments are posted correctly on the ledger.
  42. Open the 'Crystal Report' or any other SQL Data viewer.
  43. Create a query to retrieve data from the SYSTEM.billing_pay_adj_history table.
  44. Validate the check number field contains check number from the TRN-02 segment of the 835 file.
  45. Validate the 'pay_acknowledge_trans_num' column contains the transaction number from the 'Payment Acknowledgement' form for the Check/EFT.
Scenario 2: 835 Healthcare Claim Payment/Advice - One check per file - Posting acknowledged payments and adjustments
Specific Setup:
  • Registry Setting:
  • The 'Enable Payment Acknowledgement' registry setting is enabled.
  • The 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting includes value '1'.
  • The 'Check Number' registry setting is set to '1'.
  • The 'Posting Date for Automated 835s' registry setting is set to '1'.
  • Claim Adjustment Group/ reason code Definition:
  • A group code is selected for the credit adjustment code and debit adjustment reversal code. Note the adjustment codes and group code setup.
  • Admission:
  • Admit a client into an outpatient episode. Note the Client id/name, Admission date/program.
  • Guarantor/Payors:
  • Two existing guarantors are identified who have a Financial Class that has the Extended Data Element for (1500) System Financial Class set to Self Pay.
  • Financial Eligibility:
  • The desired guarantors identified above are assigned to the client. Note the primary and secondary guarantor.
  • Client Charge Input:
  • A service is rendered to the client.
  • Client Ledger:
  • Make sure the service is distributed to one of the guarantors assigned to the client.
  • Close charges.
  • Electronic Billing:
  • Claim the service using the 837 Professional bill for the guarantor.
  • Create an 835 file based on the claim information found in the 837 professional bill.
Steps
  1. Open the '835 Health Care Claim Payment/Advice' form.
  2. Load and compile the 835 file created that includes the claim for the defined guarantor in the setup.
  3. Verify the 835 file loads/compiles successfully.
  4. Select 'Post File' option.
  5. Select the file that is recently compiled successfully.
  6. Populate all the required fields with desired value.
  7. Verify the Check/EFT# is populated correctly with the status of acknowledged or unacknowledged in the 'Check/EFT#' checkbox.
  8. Check the Check/EFT# that is unacknowledged.
  9. Click [Process File].
  10. Verify the message: 'Selecting Unacknowledged Check/EFT numbers is not permitted.'
  11. Click [OK].
  12. Close the form.
  13. Open the ‘Payment Acknowledgment’ form.
  14. Enter desired value in ‘Batch Number’.
  15. Select desired ‘Posting Code’.
  16. Enter desired value in ‘Check/EFT Number’ from the TRN*02 segment of the 835 file created in the setup.
  17. Enter desired value in ‘Amount’ that matches the amount entered in the CLP*04 segment of the 835 file.
  18. Select desired ‘Guarantor’ set up in the setup section. Note: If a ‘Self-Pay guarantor is selected, the ‘Client’ field will be enabled.
  19. Enter desired value in ‘Name/Source’.
  20. Enter desired value in ‘Client’, if enabled.
  21. Enter desired value in ‘Check/EFT Date’ that matches the date entered in the BPR*16 segment of the 835 file.
  22. Enter desired value in ‘Receipt Date’.
  23. Enter desired value in ‘Deposit Date’.
  24. Select desired ‘Treatment Service’.
  25. Select desired ‘Category’.
  26. Enter desired value in ‘Bank Ref #’.
  27. Enter desired value in ‘Comments’.
  28. Click [File].
  29. Verify that the ‘Payment Acknowledgment’ message is received and states the following: Filed successfully. The Transaction Number is [number] Do you need to continue to Post Payment Accounting Entry? Note: The Transaction Number’ increments by one number with each filing. Note the transaction number.
  30. Click [No].
  31. Close the form.
  32. Open the '835 Health Care Claim Payment/Advice' form.
  33. Select 'Post File' option.
  34. Select the file that is recently compiled successfully.
  35. Populate all the required fields with desired value.
  36. Verify the Check/EFT# is populated correctly with the status of acknowledged or unacknowledged in the 'Check/EFT#' checkbox.
  37. Check the Check/EFT# that acknowledged in above steps.
  38. Click [Process File].
  39. Verify the file posts successfully.
  40. Open the 'Client Ledger' for the client.
  41. Verify the payments are posted correctly on the ledger.
  42. Open the 'Crystal Report' or any other SQL Data viewer.
  43. Create a query to retrieve data from the SYSTEM.billing_pay_adj_history table.
  44. Validate the check number field contains check number from the TRN-02 segment of the 835 file.
  45. Validate the date of payment column contains the posting date from the '835 Health Care Claim Payment/Advice' form.
  46. Validate the 'pay_acknowledge_trans_num' column contains the transaction number from the 'Payment Acknowledgement' form for the Check/EFT.
Topics
• 835 Health Care Claim Payment/Advice • NX
Table Changes
Table Column Change
PMUTIL.RemitProcessingUtils method change
SYSTEM.paymentacknowledgement method change