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Avatar ProviderConnect MSO 2024 Update 2

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System Requirements

Windows 7 or Higher / Microsoft Internet Explorer v9 or higher / Mozilla Firefox v32 or higher / Google Chrome v37 or higher

Product Requirements and Recommendations

Avatar MSO required
Avatar PM required
Avatar ProviderConnect MSO required
RADplus required
Avatar Cal-PM

Additional Requirements

Avatar MSO 2024 Update 3
Netsmart ProviderConnect version 2023.2.1 or higher

Recommended Update Level

Avatar Cal-PM 2024 Monthly Release 2024.00.00
Avatar PM 2024 Monthly Release 2024.00.00
RADplus 2024 Monthly Release 2024.00.00

Product Update Description

The issue is resolved where claims are not updated in ProviderConnect after 837s are posted.

Required Updates

None

Included Updates

None

Details
NEW0 CHANGED0 FIXED1
Fixed (1)
Avatar MSO to ProviderConnect Claim/Service Filing
An issue is resolved to ensure that claims/services correctly filed to Netsmart ProviderConnect on posting of 837 Professional/Institutional files in Avatar MSO.
Topics
• 837 Institutional • 837 Professional • Claims Processing
 
Acceptance Tests
AV-94978 Summary | Details
Avatar MSO to ProviderConnect Claim/Service Filing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • 837 Health Care Claim Institutional
  • 837 Health Care Claim Professional
  • Look Up Client
  • Treatment pre-display
Scenario 1: Avatar ProviderConnect - Verification of Claim/Service filing to ProviderConnect - Avatar MSO 837 Origin
Specific Setup:
  • Existing client record available to one or more ProviderConnect Contracting Provider agency/users and eligible for claim/service entry via Avatar MSO
  • One or more 837 Professional and/or 837 Institutional format files for compile/posting via Avatar MSO
Steps
  1. Open Avatar MSO '837 Health Care Claim Professional' and/or '837 Health Care Claim Institutional' form.
  2. Load, compile and post one or more 837 Professional and/or 837 Institutional format files including one or more valid claims/services. (Note, this can also be done via Avatar MSO automated 837 processing/'Import/Export File Configuration' functionality.)
  3. Log in to ProviderConnect system.
  4. In ProviderConnect Main Menu, open 'Lookup Client' form.
  5. Enter lookup criteria for desired client and click 'Search by Criteria' button.
  6. In 'Client Lookup' results, open client record for view.
  7. Navigate to 'Treatment' pre-display tab.
  8. Ensure claims/services filed via Avatar MSO are present in ProviderConnect 'Treatment' pre-display.
  9. Click 'Tx Date' link to open service detail record for view.
  10. In service detail record/data, ensure that values filed via Avatar MSO are present in ProviderConnect system.
Topics
• 837 Institutional • 837 Professional • Claims Processing