Claim Listing Lookup Table
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Finance
- Finance > Claim Maintenance > Automatic > Claim Information
- Select a Claim
- Claim Maintenance
- Finance > Claim Maintenance > Manual - Adjustment > Claim
- Select Claim
- Claim Listing - Submitted
- Finance > Claim Maintenance > SSPS Roster Type D > Claim
Scenario 1: Validate Status Column On Select A Claim Lookup Table
Specific Setup:
Requires various claims with different statuses (paid, partially paid, denied).
Steps
- Navigate to "Finance > Claim Maintenance > Automatic > Claim Information".
- Click "Select Claim" button.
- Search for the desired claim.
- Validate it contains desired status.
- Repeat for a different claim with a different status.
- Repeat tests for Manual - Adjustment Claims.
- Repeat tests for SSPS Roster Type D Claims.
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Topics
• Finance
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ECS-58792
Summary
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Details
11.0.0100.05, 11.0.0125.02, 11.0.0075.07, 11.0.0150
API Import Templates
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency Setup >Other Setups >Import File Template >Fields Layout
- Select Template
- Agency Setup > Other Setups > Import File Template > Import File Template
- Select Template -- Webpage Dialog
- Agency Setup > Other Setups > Import File Template > Fields Layout
Scenario 1: Import Template "API Create a Person"
Specific Setup:
- User has access to Agency Setup module.
- Import template of "API Create Person" is present.
Steps
- Navigate to "Agency Setup >Other Setups >Import File Template".
- Click on the "Select" template.
- Set the "Description" to "API Create".
- Click the "Search" button.
- Validate the "API Create a Person" template is present within results.
- Click on the "API Create a Person".
- Validate form opens.
- Click on the "Fields Layout" tab and validate desired fields.
Scenario 2: Validate API Import Templates
Specific Setup:
- User has access to Agency Setup module.
- Import template of "API Create Person" is present.
- Import template of "API Create Client" is present.
- Import template of "API Update Person" is present.
Steps
- Navigate to "Agency Setup > Other Setups > Import File Template > Fields Layout".
- Click "Select Template".
- Search and select "API Create a Client".
- Click "Generate JSON Layout".
- Verify the "JSON Layout" window exists.
- Click "Close".
- Repeat step 1 for the following templates:
- "API Create a Person".
- "API Update a Person".
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Topics
• Agency Setup
• Imports
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ECS-60632
Summary
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Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02, 11.0.0075.05, 11.0.0050.08, 11.0.0100.03
Manual Self Pay Claims
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Finance
- Finance >Claim Maintenance >Manual - Self Pay >Claim
- Select Claim
- Claim - Manual Self-Pay
- Self-Pay Clients With Security
- Rate Details
- Finance >Claim Maintenance >Manual - Self Pay >Submission Information
Scenario 1: Creation of Manual Self Pay Claims
Specific Setup:
- Access to Finance Module.
- Client has an active Self Pay Benefit Assignment.
Steps
- Navigate to "Finance >Claim Maintenance >Manual - Self Pay >Claim".
- Click "Select Claim".
- Set "Claim #" to "%".
- Click "Search".
- Click "New".
- Click "Client" button and select desired client.
- Fill in remain required fields.
- Save.
- Click on the "Submission" tab.
- Validate the submission contains desired "Payer" from "Self Pay Benefit Assignment".
- Click on the "Claims" tab.
- Edit the claim such as different rate details.
- Save.
- Click on "Submission" tab.
- Click "Refresh" button.
- Validate the "Submission" contains desired "Payer" from "Self Pay Benefit Assignment".
- Validate the submission contains updated information.
Scenario 2: Creation of Manual Self Pay Claims
Specific Setup:
- Access to Finance Module.
- Client has an active Self Pay Benefit Assignment.
Steps
- Navigate to "Finance >Claim Maintenance >Manual - Self Pay >Claim".
- Click "Select Claim".
- Set "Claim #" to "%".
- Click "Search".
- Click "New".
- Click "Client" button and select desired client.
- Fill in remain required fields.
- Save.
- Click on the "Submission" tab.
- Validate the submission contains desired "Payer" from "Self Pay Benefit Assignment".
- Click on the "Claims" tab.
- Edit the claim such as different rate details.
- Save.
- Click on "Submission" tab.
- Click "Refresh" button.
- Validate the "Submission" contains desired "Payer" from "Self Pay Benefit Assignment".
- Validate the submission contains updated information.
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Topics
• Finance
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