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Schedule EOB Creation Section

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These fields allow you to schedule automated EOB creation for a classification of providers, or all providers.

Menu path

Avatar MSO > System Maintenance > Claim Processing Automation

Steps 

  1. In the Provider Classification field, select a classification for which to schedule an EOB Creation. Only classifications that have already been added to a contracting provider will be displayed.
     Schedules are saved as soon as any button in this section is clicked, not when Submit is clicked.
  2. In the Schedule EOB Creation field, select an existing scheduled EOB by classification item, or Create New.
  3. In the Scheduled Date and Time fields, enter when the creation should occur.
  4. In the Readjudicate Services Previously Pended Due to Depleted Monthly Max field, select Yes to have the system look for services that were previously pended with a reason of "Provider monthly dollar max has insufficient remaining funds for service." If any services are found, and any dollars have been left undistributed in the intervening months, those dollars can be distributed against these previously pended services and the services approved for claiming.
  5. Click the Add to Schedule, Edit Schedule, or Delete Schedule buttons to manage existing schedules.
  6. In the Email Address for Scheduled EOB Creation Notification field, enter the email where notifications for scheduled EOB creations should be sent. Separate multiple addresses with commas.
     Email server information in the Error Reporting Defaults portion of the Import/Export File Configuration form (Automated 837 Status section) must be filled out in order for this functionality to work.