myEvolv NX 10.1.0450.09 Details

ECS-45990 Summary | User Acceptance Tests

The "Void Accepted" on an 835 file will be uploaded as a positive amount.

Claims with "Void Accepted" will have a positive amount, which will not be deducted from the check balance.

ECS-46021 Summary | User Acceptance Tests

The SubReports on Service Events will reflect Authorizations consumed. Expired Authorization Alerts will identify which type of unit is expiring, Header or Detail. Please see KB0067318 on Netsmart Portal.

When a service event form has a SubReport using Billing Authorizations, the "Units Used" and "Units Left" will display and correspond to Billing Authorization Reports.
The "Authorization Expiration" Alerts will differentiate between units expiring by the "Type: Header" or the "Type" Detail".

ECS-46091 Summary | User Acceptance Tests

When executing a scheduled billing run, the step to create Mirror Services/Billing will identify, but not consume, Billing Authorization units as expected.

The Mirror Services/Billing step in Scheduled Billing Run will check for, but not decrease the number of authorized units for a Client.

ECS-46102 Summary | User Acceptance Tests

The Alerts for Expired Billing Authorizations will reflect the units based upon System Settings/Preferences. See KB0066904 on Netsmart Portal.

Users/Supervisors/Workgroups will receive notification for Billing Authorizations that have expired based upon the settings at "Setup > System > EvolvCS System Setup > System Settings/Preferences".

ECS-46166 Summary | User Acceptance Tests

The Billing Process will exclude creating copay batches for direct Self Pay Billing Requests.

Copay batches will be created exclusively for non-Self Pay Billing Requests.

ECS-46278 Summary | User Acceptance Tests

When the Deposit Slip created via an 835 import is deleted, the corresponding claim transactions and 835 file will also be deleted.

Deleting a Deposit Batch that is linked to an 835 Remittance import will also cascade delete the 835 file and claim transactions from that import.

ECS-46383 Summary | User Acceptance Tests

The "GL Adjust" is available for claims with a status of "Denied".

"GL Adjust" action is available to address remittance processing where a claim needs action "Resubmit to Other" and the resubmitted amount is greater than the current balance.
GL Adjust action is available in myAR Outstanding Balance and Apply Receipt to Claims.

ECS-46413 Summary | User Acceptance Tests

When a claim is linked to a "Billing Authorization" that has the "Override" amount defined, that amount will be used to write the "GL Transactions". Please see KB0066662 on Netsmart Portal.

The "GL Transactions" on a claim using "Billing Authorization" will be determined by the "Override Rate Information" when present.

ECS-46488 Summary | User Acceptance Tests

A 999 file import will limit to the Agency of the currently logged in user when finding the applicable Invoice Batch Log.

When importing a 999 Acknowledgement file into a multi-Agency system, the import will be filtered by the Agency of the currently logged in user in order to match to the Invoice Batch Log.

ECS-46527 Summary | User Acceptance Tests

When an 835 file import is attempted, and the file contains "CAS Codes" which are not in the system, the "Finance File Import" will advise on the reason codes not found.
When an 835 file import contains "CAS Codes" associated with "Default Remittance Actions" which will trigger a write-off and a resubmission, the resubmission action will validate against deletion while the 835 file import can be deleted.

The system will provide the user with information about which Claim Adjustment Reason Codes are not present, so that they may be entered into the system, and user can proceed with successful 835 file batch imports.
The system will validate against attempts to delete a resubmission action which is part of multiple "Default Remittance Actions", while the 835 remittance file allows deletion.

ECS-46751 Summary | User Acceptance Tests

When a held claim is released and written off, the GL Transactions created from the action will reflect the write off account selected.

Selecting "Release and Write Off" on a held claim will create corresponding GL Transactions to reflect the write off.

ECS-46771 Summary | User Acceptance Tests

Adding an Adjustment Action to a claim writes the reversing GL Transaction entries and reverses the AR balances on the original claim.

For claims that have been adjusted, GL transactions will be added to balance the AR against the newly created Adjustment claim. The GL Transaction entries will be entered using the next open Transaction Month.

ECS-46837 Summary | User Acceptance Tests

Claims that have the status of "Payment Withdrawn" can now be resubmitted using the "Calculate Rate" feature.

In Apply Receipt to Claims and myAR>Outstanding Balance, claims which have a status of "Payment Withdrawn" can be resubmitted via the "Calculate Rate" action in Submission Mode.

ECS-47060 Summary | User Acceptance Tests

When a claim is held and the held reason is resolved, the claim will be released in the original batch upon reprocess. Please see KB0064303 on Netsmart Portal.

When reprocessing a batch which includes held claims, the hold will be released upon reprocess, when the held reason has been resolved.

ECS-47098 Summary | User Acceptance Tests

The Billing Authorization Report "Order by Client Name Include Non-billed Services" report selection honors the "Include Expired Authorizations" and "# of Days Expired" set in System Settings/Preferences.

Launching the "Order by Client Name Include Non-billed Services" report selection when running the authorization report from Client module header will include expired Authorizations, as set at "Setup > System > EvolvCS System Setup > System Settings/Preferences".

ECS-47134 Summary | User Acceptance Tests

The "Calculate Rate" functionality will create the resubmission of a claim where the event duration has been modified.

When a service event has been modified (duration) after billing, resubmitting the claim in myAR using the "Calculate Rate" functionality will produce the resubmission with updated amount and units based upon the duration change.

ECS-47421 Summary | User Acceptance Tests

On the Invoice/Claim Batch Log form, a warning will be shown when a user is trying to mark a sent batch as 'unsent'.

On the Invoice/Claim Batch Log form, when marking a batch as "unsent", if only transactions have been applied, the system will show a warning and go ahead with marking as "unsent" if the user clicks OK. If actions have also been applied, then show a message and do not mark as "unsent".

ECS-47731 Summary | User Acceptance Tests

When a Billing Payment Plan Scheme Link (BPPSL) has been used in billing and is subsequently deleted, the system will honor the "Prevent Billed Services From Billing Again" setting at Agency Setup > Agency > Agency > Agency Information.

The system will honor "Prevent Billed Services From Billing Again" when checked, and when the Billing Payment Plan Scheme Link (BPPSL) previously used in billing has been deleted.
This includes new, unbilled services that would have billed to the deleted BPPSL, as well as services previously billed to the deleted BPPSL, when a new BPPSL is created for the same contract/service.

ECS-47737 Summary | User Acceptance Tests

The system will create claims for dispensation events based upon multiple inventory items linked to distinct Rate Details.

When a billable dispensation has multiple transactions (multiple inventory medications in a single dispensation), and these transactions have distinct Rate Details on the Rate History, the system will bill out each with their respective rate/procedure (J Code).

ECS-47755 Summary | User Acceptance Tests

The system will honor the "Overwrite Time Chart" on the Rate Details when the service event information has met the criteria for the overwrite.

When the Rate Detail record has an "Overwrite Time Chart" set which differs from the Time Chart set on the Rate Settings, the system will use the "Overwrite Time Chart" when the service billed meets the criteria of that Rate Detail. Resubmitting a claim using "Calculate Rate" process will honor the "Overwrite Time Chart".

ECS-48250 Summary | User Acceptance Tests

When a claim is not associated with a diagnosis and the Receiver/Procedure Code is configured to hold for no diagnosis, the claim will be held.
When there is an active diagnosis associate with the claim (primary, secondary, tertiary...) the claim will not be held. See KB0067114

When an active, non-Primary diagnosis is used on a service event, the claim will not be held for "No Primary Diagnosis". If no diagnosis is linked to the claim, it will be held for "No Primary Diagnosis".

ECS-48412 Summary | User Acceptance Tests

When performing a write-off action on a claim balance, the GL Journal Entries will be written as expected. See KB0067474 on Netsmart Portal.

When a claim balance is written off in "Apply Receipt to Claims", "myAR" or when using "Default Remittance Action", the GL Transactions for the write-off will be created as expected.

ECS-48490 Summary | User Acceptance Tests

Resubmitting a claim to the same or next Payer will create the service line(s) with Diagnosis Treated, Procedure Code and Modifier(s) from the previous submission.

When a single or multi service line claim is resubmitted to the same or other Payer, the system will write the Diagnosis Treated, Procedure Code and Modifier(s) to the new service lines, whether or not the resubmission is a result of a denial or a partial payment.

ECS-48497 Summary | User Acceptance Tests

Performing/saving remittance actions will generate pop up alerts to users of missing/incorrect information.

The system will alert users of required fields/incorrect actions in myAR and Apply Receipt to Claims, such as a missing Transaction Month or missing Action Reason.