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Financial Class - Dictionary Value

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Financial Class is set up in the Dictionary Update form (Payor file - data element 1000) of myAvatar Cal-PM.

Selections can be added to the dictionary.

Note: The dictionary selections that are delivered with myAvatar Cal-PM should not be changed or removed.

This dictionary has extended data elements:

  • 1001 - Guarantor Nature
    Choose from a contract or non-contract guarantor.
  • 1005 - Cost Report Class
    Select the cost report class.
  • 1500 - System Financial Class
    Select the financial class.
    • When selecting Medi-Cal (4), logic is added for the following processes:
      • 835 Healthcare Claim Payment/Advice
        • Payment Posting Code 2 in Guarantor/Payors is enabled with the Registry Setting Enable Service Supplemental Amount Logic set to 'Y'
          • This field is used for the AMT*ZL amount within an 835 file.
        • Payment Posting Code 3 in Guarantor/Payors is enabled with the Registry Setting Enable Service Supplemental Amount Logic set to 'Y'
          • This field is used for the AMT*ZM amount within an 835 file.
      • Electronic Billing > 837 Professional
        • Yes/No Condition or Response Code (2400-SV1-11) - Electronic Billing 837P
          • The 837 Professional will populate the Yes/No condition in the 837 Response Code (2400-SV1-11) for guarantors when the Financial Class extended dictionary of System Financial Class is set to Medi-Cal.  This field is registry enabled via the setting 'Enable EPSDT Indicator (2400-SV1-11)'.
  • 160 - UB-92 Source Of Payment (Record 30-4)
    Select the payment source.
  • 1600 - Utilize Billing Duration Override
    Select Yes to use only the Face to Face time when billing (e.g. Medicare). Select No to use all durations when billing (e.g. Medi-Cal).
  • 161 - HCFA-1500 Form Locator 1
    Select the payor to populate the HCFA-1500 form locator.
  • 162 - Require Patient Signature Source Code
    Select Yes to require that the patient signature source code be included in the file.
    Note: This dictionary is enabled when the Avatar Signature module is installed.
  • 163 - Payer Source
  • 270006 - Require Policy # For This Financial Class?
    Select Yes to require the Subscriber Policy # field in all financial eligibility forms for guarantors of this financial class.
  • 1700 - CCBHC Billing - Exclude from check for remittance from private insurance
    If the value is set to 'Y' for a financial class, and claims grouping is being used, the CCBHC billing process will skip the check for remittance received from private insurance for guarantors in the financial class. Note: The registry setting Enable CCBHC Functionality must be set to 'E' in order to process CCBHC billing.