Improved Form Designer Save Performance
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Test Designer
- NX Test Setup Answers (RD) Subform
- NX Test Setup Answers Subform
- NX Test Setup Answers (NR) Subform
- Interface Design Form Set
- Form Families - Client Mode
- FormDesigner
- NX FIELD [EDIT]
- All Look-up Tables Listing (filtered)
- NX Sub Report [EDIT]
- Sub Reports for Users - All
- NX Test [EDIT]
- Client Search
- Client Service Entry
- NX Event Based Sub Form [EDIT]
- Forms
- NX Event Log Field [EDIT]
- NX Test Setup Header [ADD]
- Sub Reports - for Test Design
- Multi Answer Delete [VIEW]
Scenario 1: Validate NX Form Designer Performance
Specific Setup:
- Requires a form that can be modified.
- Scenario uses a form that contains a "Look-up Table" field and "SubReport".
Steps
- Navigate to "Setup > User Tools > Interface Design > Form Designer".
- Click "Form Family" button.
- Select desired form family.
- Click "P1" button on the desired form to edit.
- Click on desired field with look-up table.
- Edit the "Caption".
- Click the "Look-Up Table" field.
- Select a different look up table.
- Click "SubReport" row.
- Edit the "Caption".
- Click "SubReport" field.
- Select a different "SubReport".
- Save.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Click "Add Event".
- Select desired event.
- Validate "Captions" have been updated.
- Validate the "Look-up Table" field contains the new look-up table.
- Validate the "SubReport" displays the new "SubReport".
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Topics
• Assessments • Forms • SubForm • Setup
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Calculate Rate and Resubmit to Same
Scenario 1: Calculate Rate and Resubmit to Same
Specific Setup:
- Test client exists in the test system with a Sequence 1/Primary Benefit Assignment as well as a Sequence 2/Secondary Benefit Assignment.
- Test Claim exists for the test Client for the Sequence 1/Primary Benefit Assignment.
- Remittances exists for Sequence 1 Primary Payer and Sequence 2 Payer 2.
Steps
- Navigate to "Apply Receipts to Claims" and select "Remittance" from preconditions.
- Set filters to search on "Claim" from preconditions.
- Apply a "partial payment" to the "Claim" to Sequence 1/Primary Benefit Assignment.
- Select "Resubmit to Other" selecting the "Sequence 2/Secondary Benefit Assignment".
- Click on "Amount Type" and select "Calculate Rate", save.
- Upon completion of "Billing Execution Interval", confirm "Submission" is created.
- Mark the "Batch" that captures this "Submission" as sent.
- Select "Remittance 2" and search for the same "Claim".
- Apply a "Denial" to the second submission.
- Then do "Resubmit to Same" to send back to the "Secondary Payer", click "Amount Type" and select "Calculate Rate", save.
- Upon completion of "Billing Execution Interval", confirm the expected "Submission" is created and captured in a "Batch".
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Topics
• Finance
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E-Signature Form Alignment
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- SignatureCapture
- Form Fields Test [ADD]
- Form Fields Test [EDIT]
Scenario 1: Capture Signature Using Topaz Signature Pad
Specific Setup:
- Requires an Event with an e-signature type form field.
- Requires a compatible Topaz Signature Device.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired "Client".
- Add a new "Service Event" from preconditions.
- Set any required fields.
- Click the "Click to Upload Image" and select "Capture Signature".
- Using the "Topaz Signature Pad", create desired signature, confirming that the "Signature" aligns with user's signing on the device.
- Click "Save" on the Signature panel.
- Click "Save" on the Event panel.
- Open the "Event" and validate the "Signature" was saved successfully.
Scenario 2: Capturing E-Signature Using Computer Mouse
Specific Setup:
Requires an Event with an e-signature type form field.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired "Client".
- Add a new "Service Event" from preconditions.
- Set any required fields.
- Click the "Click to Upload Image" and select "Capture Signature".
- Using a mouse, create desired signature, confirming that the "Signature" being created aligns with user's mouse.
- Click "Save" on the Signature panel.
- Click "Save" on the Event panel.
- Open the "Event" and validate the "Signature" was saved.
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Topics
• Client • Service Entry
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"Calculate Rate" Efficiency Improvement
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Finance Header
- Finance > Remittance Processing > Remittance Application > Apply Receipt to Claims
- Cash Receipts for Remittance
- Claim Remittance Remarks
- Apply Receipt to Claims
- Claim Remittance Advice Remarks Codes
- Claim Service Lines NX Subform
- Claim Action Reasons
- Claim 2.0 [EDIT]
Scenario 1: Apply Receipt To Claims - Resubmission Of Single And Multiservice Line Claims
Specific Setup:
- Multi-service line claim has been submitted.
- Single service line claim has been submitted.
- Services are billable to Payer 1 and Payer 2.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > Apply Receipt to Claims".
- Select "Check" and set "Filters" to search for "Multi-Service Line Claim" from preconditions.
- Add a "Partial Payment", click "Save".
- Click "Add Action" and select "Resubmit".
- Click "Amount Type" and select "Calculate Rate", save.
- Click new "Submission", validate each "Service Line" displays expected data.
- Delete "Resubmission" action.
- Click "Add Action" and select "Resubmit to Other".
- Click "Amount Type" and select "Calculate Rate", save.
- Click new "Submission", validate each "Service Line" displays expected data.
- Delete "Resubmission" action.
- Click "Add Action" and select "Adjustment".
- Click "Amount Type" and select "Calculate Rate", save.
- Click "Resulting Claim", validate each "Service Line" displays expected data.
- Delete "Adjustment".
- Set "Filters" to search for "Single Service Line Claim" from preconditions.
- Repeat above steps, validating that "Resubmission" created by "Calculate Rate" displays expected data.
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Topics
• Finance • Finance Setup
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Deselected Fields on Check Layout will be Excluded
Scenario 1: Check Output Will Exclude Fields Not Selected In Layout
Specific Setup:
Test system has Check Layout that contains a deselected field setup at: Finance Setup > General Setup > Miscellaneous Setup Tables > Check Library.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Create Checks (A/P) > Processing".
- Create a "Check" using "Check Layout" from preconditions.
- Validate the deselected field is not present in the results.
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Topics
• Finance
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Calculate Rate Will Account for Partial Balance Write-offs
Scenario 1: Calculate Rate Will Account for Partial Balance Write-Offs
Specific Setup:
Test system contains a submitted claim.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > Apply Receipt to Claims".
- Select "Check" and set "Filters" to search on "Claim" from preconditions.
- Apply a "Remittance" from "Payer" with a "CO-45" code for a smaller amount, with write-off adjustment amount.
- Select "Add Action" and choose "Resubmit to Other", selecting "Self Pay".
- Click "Amount Type" and select "Calculate Rate".
- Confirm the amounts subtract the "Write-off amount".
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Topics
• Finance
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Direct Deposit File and Check Runs
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- ChecksCreationLog
- NACHA File
Scenario 1: Validate Create Direct Deposit File For All Batches
Specific Setup:
- Requires at least two "Vendors" set up with "Direct Deposit".
- Each "Vendor" should have Invoices ready to be paid, each under different "Managing Offices".
Steps
- Navigate to "Finance > Claim/Invoice Processing > Create Checks (A/P) > Processing".
- Create "Check" for "Invoices" from preconditions, within their respective "Managing Offices".
- Click "Actions" and select "Create DD File For All Batches".
- Validate "NACHA File" opens and contains desired information from all batches where Vendors are flagged as "Direct Deposit".
Scenario 2: Create Direct Deposit File (NACHA)
Specific Setup:
Vendor has a Check for Invoices to be paid.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Create Checks (A/P) > Processing".
- Select desired "Check".
- Click "Actions".
- Select "Create Direct Deposit File".
- Open the file.
- Validate the text file contents are formatted following the "NACHA" file structure and match the input data.
- Close the file.
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Topics
• Finance
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Check Listing Allows Unmark All as Printed
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- ChecksCreationLog
- Create Checks [ADD]
- GL Accounts Payable Accounts
- GL Cash Accounts
- Check Printout PDF
Scenario 1: Validate Unmark Batches As Printed Is Available On Check Runs
Specific Setup:
Requires at least one Invoice that is ready to paid.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Create Checks (A/P) > Processing".
- Click "Create Checks" to generate a check run.
- Fill in required fields and save.
- Click on "Actions" button and select "Print Checks".
- Close the check window.
- Expand the check run and validate "Checks Printed" is displayed.
- Click "Actions" button.
- Validate "Delete Check Run" and "Edit Check Run" actions are no longer visible.
- Validate "Unmark Batches As Printed" is visible.
- Select "Unmark Batches As Printed".
- Expand the check run and validate "Checks Printed" is no longer displayed.
- Click "Actions" button.
- Validate "Delete Check Run" and "Edit Check Run" are visible.
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Topics
• Finance
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A/P Checks Print in Numerical Order
Scenario 1: A/P Checks Print in Numerical Order
Specific Setup:
Test system has A/P Rates set up and Invoices ready to be captured in a check run.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Create Checks (A/P) > Processing".
- Click "Create Checks" and complete the process to create a "Check batch" that contains multiple "Checks".
- Click "Actions" and "Print Checks", and confirm that the "Checks" are printed in the order of their "Check Number".
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Topics
• Finance
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"Workflow Scheduler" Can Create Client Tasks Triggered By "Program Enrollment Modifiers"
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Workflow Rules Manager
- Rule Designer [ADD]
- Qualifiers Subform
- Workflow Qualifiers
- Program Listing - All
- Workflow Triggers [ADD]
- Triggering Events
- Trigger Dates
- Workflow Tasks [ADD]
- Tasks to be Scheduled
- Staff - All (by Staff ID)
- Workflow Programs Responsible B2 Subform
- Program listing by Agency
- Critical Information
- Program Enrollment Modifier [ADD]
- Program Enrollment Modifier Look Up Table
- Schedules [ADD]
- Type of Initial Scheduling
- Date Intervals
- Client Search
- Client Service Entry
- Select Family Case
- Program Enrollment Modifier - Case [ADD]
- WorkFlow Header/Grouping
- Scheduler Worker Assignment Types
- Message from webpage - By activating this rule the system will launch a process that will schedule tasks. You will receive an alert when this process is complete.
Scenario 1: "Workflow Scheduler" Triggers Based on "Program Modifier"
Specific Setup:
- Access to "Agency Setup > Workflow Scheduler Setup > Workflow Scheduler Setup > Workflow Scheduler Setup".
- Use "Client" Workflow "Rule Type".
- A Client is enrolled in a Program that has 2 "Program Modifiers" available.
- The "Workflow Rule" contains an "Initial" and "Ongoing" trigger of "Program Modifier" and is linked to the Program associated with the Qualifier.
- A "Task" event is available to be scheduled by the Program containing the both the "Initial" and the "Ongoing" "Program Modifier".
Steps
- Navigate to "Client > Client Information > Critical Information > Enrollment Information".
- Select the "Client" from preconditions.
- Click on the Program "Actions".
- Add a new "Program Modifier1" with an "Effective Date" and "Expiration Date" in the past.
- Add a new "Program Modifier2" with an "Effective Date" after the "Expiration Date" from step 4.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Validate the "Workflow Scheduler" created the Event task according to the "Initial" schedule configured in the "Workflow Rule".
- Validate the "Workflow Scheduler" created the Event task according to the "Ongoing" schedule configured in the "Workflow Rule".
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Topics
• Workflows • Family Cases
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Manual Reimbursable Claims
Scenario 1: Manual Reimbursable Claims
Specific Setup:
Manual-Reimbursable Claim that has no Remittances yet applied to it exists in test system.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > Apply Receipt to Claims".
- Select a "Remittance" and set "Filters" to search for "Claim" from preconditions.
- Apply a payment to "Manual-Reimbursable Claim" from preconditions.
- Confirm that "Amount" paid is propagated to the "Submissions" and service line remaining balance fields.
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Topics
• Finance
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Remittance Report and Deposit Date Parameter
Scenario 1: Remittance Report and Deposit Date Parameter
Specific Setup:
- Test system contains Claims for two different Months (i.e. September and October).
- Remittance with date in a different Month has touched these claims (i.e. November).
- The Remittance is associated with a Deposit Slip with a Deposit Date in a different Month (i.e. December).
Steps
- Navigate to "Finance > Reports > Accounts Receivable > Remittance".
- Enter "From" and "Through" dates for the Month the "Deposit Slip" is associated with.
- Check parameter "From and To Dates Apply to Deposit Date only".
- Enter desired "Report Selection".
- Confirm that Report returns with expected Claims.
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Topics
• Finance
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Location ID and Void Claims
Scenario 1: Location ID and Void Claims
Specific Setup:
- Test system must have a test Claim that was billed where Location ID was linked to the claim.
- Location ID setups must then have been altered.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > Apply Receipt to Claims".
- Select "Remittance" and set "Filters" to search for "Claim" from preconditions.
- Click "Add Action" and select "Void", save.
- Confirm the "Void Claim" uses the original "Location ID" associated with the original submitted "Claim".
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Topics
• Finance
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Copay Claims Created When Primary Benefit Assignment Has Authorization with Service Bundle
Scenario 1: Copay Claims Created When Primary Benefit Assignment Has Authorization with Service Bundle
Specific Setup:
- Client that has a primary Benefit Assignment (BA) that is flagged for Co-Pay.
- This primary Benefit Assignment also has a Billing Authorization that uses a Service Bundle containing two or more Services.
- Client also has a self-pay Benefit Assignment.
- A Service Event in the Billing Authorization Service Bundle has been created.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create a "Billing Run" that will capture "Client/Services/Primary Benefit Assignment" from preconditions.
- Confirm the "Claim" and the expected "Co-Pay" submissions are created.
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Topics
• Finance
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835 Asynchronous Import
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- FinanceImportListing
- Finance File Import
- Claims Maintenance Form Set
- Claim Adjustment Reasons [ADD]
- Report: Claim Remittance Report
- Alerts - View [VIEW]
Scenario 1: Validate Asynchronous 835 Uploads
Specific Setup:
- Requires access to "Finance > Imports/Exports > Imports > Remittance Imports".
- Requires at least five valid 835 Remittance files for upload.
- Requires one 835 Remittance file that contains a Claim Adjustment Reason Code (CAS), which is not present in the system.
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File" and select "Upload 835".
- Upload the five valid 835 files. This will enable the system to complete them in a background process.
- Upload file that is missing the Claim Adjustment Reason Code (CAS).
- Enter a value for "Deposit Date".
- Click "Upload".
- A message will appear indicating that no errors occurred for the five files, and that the last file had problems processing.
- Close the "Finance File Import" window.
- Open the Alert pane in the top right corner of the page.
- This will display messages for each file that was successfully processed.
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Topics
• Finance
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Claim Resubmissions
Scenario 1: Resubmit Partially Paid Claims Using Calculate Rate
Specific Setup:
Test system contains partially paid multiple service line claims where no action has been taken.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > Apply Receipt to Claims".
- Select "Claim" from preconditions.
- Click "Add Action" and select "Resubmit to Same".
- Click "Amount Type" and select "Calculate Rate".
- Validate that each "Service Line" displays the expected amount and that "Total" is correct.
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Topics
• Finance
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The Program Enrollment Updates Will Not Be Sent to CareFabric for "Assigned to All" Workgroup
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- WorkGroups Auto Assigned to All Form Set
- Workgroups for auto assignment on intake
- Workgroup Enrollment [ADD]
- Staff - All (by Staff ID)
- Worker Roles by Programs and Staff
- Workgroup Setup Auto Assign on Intake [EDIT]
- Client Search
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Staff with Security [EDIT]
- Manually Assigned Workgroups Form Set
- Workgroups for manually assignment
- Workgroups for Manual Assignments [EDIT]
- Direct Care Workgroup Assignment [ADD]
- Workgroups by Program
- Program Enrollments by Service Track
- Direct Care Workgroup Assignment [EDIT]
- Direct Care Workgroup Assignment [DELETE]
- Client Critical Information Form Set
- Worker Assignments [ADD]
- Worker Role (to a client or in a workgroup) Table
- Worker Assignments [EDIT]
- Worker Assignments [DELETE]
- Critical Information
- Program Enrollment [Edit]
Scenario 1: Add a User to Assigned To All Workgroup
Scenario 2: Update Workgroup Assignment for Closed Program Enrollment
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Topics
• Workgroup
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Allow 100 Character Pharmacy Names
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Medication Order [ADD]
- Dispensation Programs by Client
- Staff Service Providers - Program/Site/Workgroup
- Inventory Drug by Program
- Medication Dispensing Schedule Type
- Micromedex Medication Complete Form [ADD]
- Truven Medication Lookup, Powered by Truven
- OrderConnect Medication Form [ADD]
- Manual Medication Order [ADD]
- Manual Dose Schedule Subform
- Type of Dose For Dispensing
- Flexible Medication Order [ADD]
- Medication Order Exception [Add]
- NX FIELD [EDIT]
- Medication Administration
- Medication All Clients Secure
- Medication Simple Form Fast Track [ADD]
- All Clients (secured)
- Drug Library Table
- Method Drug/Substances taken
- Drug Dosage Availability
- Drug Frequency
- Medication History Time of Day Band Range Link Subform
- Medication TOD Band Range Link
- Drug Dose Form
- Medication Complete Form [ADD]
- Client > Case Management > Health Information > Medications
- Select Client
- Current Medication Profile
- Rx Libraries
- Custom Orders
- Order Confirmation
- Pharmacy Search
- OrderConnect Medication Form [EDIT]
Scenario 1: Forms Using Pharmacy Name Allow Up to 100 Characters
Specific Setup:
Client enrolled into an active Program.
Steps
- Navigate to "Client > Case Management > Health Information > Medications".
- Search and select a client.
- Click Add New > Add Event > Medications.
- Complete Medication Details information.
- Add a "Pharmacy Name" under "Prescription Information" that is greater than 100 characters.
- Validate that the "Pharmacy Name" is truncated to 100 characters.
- Click Save.
- Validate the "Pharmacy Name" displays.
Scenario 2: Launch OrderConnect to Add Medication
Specific Setup:
- OrderConnect-enabled myEvolv environment.
- Client enrolled into an active Program.
- Client has active Diagnosis.
Steps
- Navigate to "Client > Case Management > Health Information > Medications".
- Search and select a Client name.
- Click "Actions" button and select "OC-Prescription".
- Add a "Medication" and select a "Diagnosis".
- Search for a "Pharmacy name" greater than 50 characters.
- Click "Accept" and "OK" to return to the "Medications" screen.
- Validate the medication now displays with "Pharmacy name" listed.
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Topics
• Forms • OrderConnect
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Direct Deposit NACHA File Format Truncates Vendor Name to Specification
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- ChecksCreationLog
- NACHA File
Scenario 1: Create Direct Deposit File (NACHA)
Specific Setup:
Vendor has a Check for Invoices to be paid.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Create Checks (A/P) > Processing".
- Select desired "Check".
- Click "Actions".
- Select "Create Direct Deposit File".
- Open the file.
- Validate the text file contents are formatted following the "NACHA" file structure and match the input data.
- Close the file.
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Topics
• Finance
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Qualifying Services and Claim Generation
Scenario 1: Qualifying Services and Claim Generation
Specific Setup:
- Test system must have a Rate that has Consolidation Category of "Week".
- Sufficient Qualifying Services must exist within the Qualifying Services period for Claim to generate.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create a new "Billing Run" to capture a "Claim" for the period where "Qualifying Services" exist.
- Confirm that the "Claim" generates.
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Topics
• Finance
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