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Guarantor/Program Billing Defaults - PM

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Define the default billing information for electronic and paper billing files.

Avatar PM > System Maintenance > System Definition > Guarantor/Program Billing Defaults

  • Customize the default information by guarantor and treatment program.
  • The information in this form populates associated fields in other myAvatar forms. The default information can be edited once the forms have been populated.

Guarantor/Program Billing Defaults Basics

  • This form stores default billing information.
  • If there are multiple entries filed in this form, the most current information is used in billing files.
  • When selecting a guarantor and program combination that has been previously filed, the most current information will populate the associated fields for the guarantor and program combination.

Different entries for the same guarantor and program

  • Only one field value can be entered for a combination of: guarantor, program, financial class, and treatment setting.
  • If a field has different values for a guarantor and program a message displays.
  • If multiple guarantors or programs are selected, and if a field has different entries for the guarantors and programs, a message displays.
  • The user can update fields that have conflicting entries with multiple guarantors or programs at one time.
  • Select Yes to display the Fields left blank screen. This screen displays fields with conflicting entries for guarantor and program combinations. Only one value can be submitted for these fields. Use this screen to review any existing conflicts.
  1. In the Financial Class Selection field, select all financial classes to include in the default form values. The selections made here determine the available guarantors in the Guarantor ID field. The Guarantor ID field will only display guarantors assigned to the selected financial classes.
  2. In the Guarantor ID field, select all guarantors to include in the default form values.
  3. The File Empty Fields As Blank Values In Table field controls how empty fields are filed in the application. This field applies to conflicting entries and does not affect fields that have been edited to be blank. Conflicting entries are displayed in the Fields left blank screen.
    • The field is enabled when either multiple guarantor IDs or multiple programs are selected.
    • This field is disabled (and defaults to Yes) when a single guarantor and program are chosen.
      • Select Yes to file empty fields as blank.
      • Select No to file blank fields that have been edited to be blank
  4. In the Treatment Setting Selection field, select all treatment settings to include in the default form values. These selections determine the programs available in the Program field. The Program field will only display programs assigned to the selected treatment settings.
  5. In the Program field, select all programs to include in the default form values.
  6. Select Submit.

► Additional Sections

The remaining sections of this form contain fields maintained in the Dictionary Update form (RADplus Utilities).
Note: Default values in these fields represent the most recent filing of the guarantors. These recently filed default values will be replaced with the current values upon filing. To keep the existing values for a guarantor, uncheck the guarantor in the Guarantor ID list box before filing.

► Registry Settings
► See Also
► SQL Tables
  • SYSTEM.table_837_i_facility_prov_num
  • SYSTEM.table_837_p_facility_prov_num
  • SYSTEM.table_837_d_fac_prov_num