Do Not Bill Utility
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All Clients With Security for Reports
- DoNotBillUtility
- Plans/Contracts for Reports
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- BillingProcessHistory
Scenario 1: Do Not Bill Utility – Validate Enabling “Include Payable Services” Changes “Do Not Bill” to “Do Not Pay”
Specific Setup:
Available service's available to bill.
Steps
- Navigate to "Finance > Utilities > Do Not Bill Utility > Do Not Bill Utility"
- Select desired parameters.
- Check "Include Payable Services" checkbox.
- Click "Search".
- Validate "Mark as" column contains "Do Not Pay".
- Uncheck "Include Payable Services" checkbox.
- Click "Search".
- Validate "Mark as" column contains "Do Not Bill".
Scenario 2: Validate Marking Service As “Do Not Pay” Does Not Generate Invoice
Specific Setup:
Available batch to reprocess. Batch contains invoice for service event.
Steps
- Navigate to "Finance > Utilities > Do Not Bill Utility > Do Not Bill Utility".
- Filter for desired payable Service Event.
- Check the "Mark as "Do Not Pay"" checkbox and Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for desired Batch.
- Reprocess the Batch.
- Run Billing.
- Validate Batch does not contain Invoice for desired Service Event.
- Navigate to "Finance > Utilities > Do Not Bill Utility > Do Not Bill Utility".
- Filter for same desired payable Service Event.
- Uncheck the "Mark as "Do Not Pay"" checkbox and Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for same desired Batch.
- Reprocess the Batch.
- Run Billing.
- Validate Batch does contain Invoice for desired Service Event.
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Topics
• Finance
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Mirrored Billing Jobs
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Plan Setup NX [EDIT]
- Billing Rate - Placement Based NX [EDIT]
- Billing Run Request Limit People Subform
- BillingProcessHistory
- ContractsRatesSetup
- Critical Information
- Enrollment Transfer Type Look-up Table
- Facility Transfer [ADD]
- FinanceClaims
- Immediate Billing Run Request [ADD]
- Payers/Contracts Setup 2.0 Form Set
- Placement NX Form Set
- Provider Sites by Program (Vacancy)
- Submitter Information
- Unit Table
- Claim 2.0 [EDIT]
- Client Search
- Payers Setup Table
- Placement Disruption Rules Form Set
- Placement Disruptions Rule Setup-Client [EDIT]
- Placement Disruptions: Unknown Location [ADD]
Scenario 1: Billing Placement Services Using "Allow Billing Non-Overnight Stay" And Transfer Is Within The Same Facility
Specific Setup:
- Rate History is checked for " Allow to bill non overnight stay".
- Client has transferred beds within the same Facility.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create "Billing Run" to capture "Placement Services".
- Upon completion, open "Batch".
- Validate "Claim" contains expected number of "Units".
- Click "Claim".
- Validate "Billed Services" contains one record for "Date of Transfer".
Scenario 2: Billing Placement Services Using "Allow Billing Non-Overnight Stay" And Transfer Is To A New Facility
Specific Setup:
- Rate History is checked for " Allow to bill non overnight stay".
- Client has transferred to a different Facility.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create "Billing Run" to capture "Placement Services".
- Upon completion, open "Batch".
- Validate "Claim" contains expected services.
Scenario 3: Placement Billing With Non-Billable Placement Disruption Occurring At Beginning And Ending Of Day
Specific Setup:
- Placement Disruption is not billable.
- Rate History is checked for " Allow to bill non overnight stay".
- Placement disruption begins on day 1 midday and ends on day 3 midday.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create "Billing Run" to capture "Placement Services".
- Upon completion, open "Batch".
- Validate "Claim" contains expected number of "Units".
- Click "Claim".
- Validate the "Billed Services" contain the expected number of "Units".
Scenario 4: Placement Billing With Billable Placement Disruption Occurring At Beginning And Ending Of Day
Specific Setup:
- Placement Disruption is billable.
- Rate History is checked for " Allow to bill non overnight stay".
- Placement disruption begins on day 1 midday and ends on day 3 midday.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create "Billing Run" to capture "Placement Services".
- Upon completion, open "Batch".
- Validate "Claim" contains expected number of "Units".
- Click "Claim".
- Validate the "Billed Services" contain the expected number of "Units".
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Topics
• Client
• Finance
• Finance Setup
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Placement Services - Multiple Programs
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Claim 2.0 [EDIT]
- Claim/Invoice Batch [VIEW]
- Client Search
- Critical Information
- FinanceClaims
- Immediate Billing Run Request [ADD]
- Program Setup - No Care Day/Respite [EDIT]
- Report: Service Details
- Submitter Information
- All Clients With Security for Reports
- Date Range (Required) With Parms [ADD]
- Report Parameters PickList
- Report: Enrollments for a Period
Scenario 1: Outpatient Type Programs - "Services Created for Days of Placement"
Specific Setup:
- The "Services Created for Days of Placement" is checked off in breadcrumb "Agency Setup > Agency > Program Setups > Outpatient & Other" for desired programs.
- Rates are setup to bill for placement.
- Client is enrolled in multiple outpatient programs during the same time.
- User has access to Finance module.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click on "New Run" and select "Immediate Run".
- Set the desired "Submitter", "Run Description", "Through Date" and any other desired fields.
- Click the "Save" button.
- Select the "Billing Processing History" tab.
- Click the "Start Billing Now" button.
- Click "OK" on the "Billing job started" message.
- Once the billing run is completed, review claims.
- Validate claims were created for desired programs within the same time.
- Click the "X" to close.
- On the batch, click the "Actions" button and select "Open Batch".
- Click the "Create Output" button and close.
- Click the "Actions" button and select "Mark as Sent".
- Click "OK" on the "Are you sure you want to mark sent?" message.
- Navigate to "Client > Client Information > Critical Information > Enrollment Information" and set to desired client.
- Within the first program, click the "Actions" cell and select the "Services Generated Report" link.
- Validate the desired dates are indicated as "Billed".
- Click the "Close" button.
- Within the second program, click the "Actions" cell and select the "Services Generated Report" link.
- Validate the desired dates are indicated as "Billed".
- Click the "Close" button.
Scenario 2: Enrollments for a Period Report - "Program: Are Services Created for Placement?"
Specific Setup:
- The "Services Created for Days of Placement" is checked off in breadcrumb "Agency Setup > Agency > Program Setups > Outpatient & Other" for desired program(s).
- Client is enrolled in program(s).
- User has access to Reports module.
Steps
- Navigate to "Reports > Clients > General > Enrollments for a Period".
- Set the desired "From Date" and "Through Date".
- Check off the "Program: Is Enrollment Required for Services?" field.
- Set the "Parameter" to "Client" and set the "Value" to the desired client.
- Click the "Preview" button.
- Validate the output contains the desired data.
- Click the "Close" button.
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Topics
• Agency Setup
• Client
• Finance
• Reports
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Supervisor Taskbar Functionality
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- EvolvCS Client [EDIT]
- SupervisorModule
- Client Search
- Client Service Entry
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Staff with Security [EDIT]
- All Clients With Security Listing by PeopleID
Scenario 1: Supervisor - Supervises Self
Specific Setup:
- Submitted events requiring approval.
- Staff has access to Supervisor module.
- Setup > System > EvolvCS System Setup > System Settings/Preferences.
- "Supervisor Approval - Show All Subordinates" is checked off.
Steps
- Navigate to "Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval".
- Click the "View Filters" link and set the desired filters.
- Click "Apply Filters".
- On desired service event, click on the "Actions" link.
- Select "Approve & Add Note".
- Set the desired "Notes" area and click the "Save" button.
- Validate the "Pending Action" column contains "Approve".
- Click the "Save" button.
Scenario 2: Supervisor - Supervises Subordinates
Specific Setup:
- The "Supervisor Approval - Show All Subordinates" is checked off within "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Two staff records.
- Staff 1
- Has staff 2 indicated as their supervisor within "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Has access to client.
- Staff 2
- Is set as the supervisor of staff 1 within "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Has access Supervisor module.
Steps
Staff 1 - Navigate to "Client > Case Management > Service Management > Service Entry" and set the desired client.
- On event that is "Pending Submission", click on the "Actions" button.
- Select "Submit Service".
- Click "OK" on the " Are you sure you wish to proceed with submitting this event(s)?" alert text.
- Validate the status is "Signed/Submitted".
Staff 2 - Navigate to "Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval" and set the desired filters.
- Validate the status contains "Pending Approval".
- Click the "Actions" link and select "Approve & Add Note".
- Enter desired note and click the "Save" button.
- Navigate to "Client > Case Management > Service Management > Service Entry" and set the desired client.
- Validate the "Status" for the event is "Approved".
Scenario 3: Supervisor Module - "Approve & Add Note"
Specific Setup:
- Event is pending approval from supervisor.
- User has access to Supervisor module.
Steps
- Navigate to "Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval" and set the desired filters.
- Validate the event displays and contains status of "Pending Approval".
- Click on the "Actions" button and select "Approve & Add Note" from the list box.
- Set the desired notes.
- Click the "Save" button.
- Click the Look Up Table button to search for the same client.
- Click the "Apply Filters" link.
- Validate message displays "You have unsaved actions, all pending action swill be lost Continue?" and click the "OK" button.
- Validate the client previously searched displays with the same event containing a status of "Pending Approval".
- Click the "Actions" link and select "Approve & Add Note".
- Enter desired note and click the "Save" button.
- Validate the "Cancel Approval" button is displays.
- Validate the "Pending Action" cell contains "Approve".
- Click the "Save" button.
- Set desired filters and validate the approved event does not display.
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Topics
• Client
• Supervisor
|
Agency Re-Admission
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency Discharge [EDIT]
- Agency Program Placement Service by Prog Subform
- Agency Re-Admission [EDIT]
- Closing Reasons - Service Track Table
- Critical Information
- Event Definitions (Plain)
- New Referral to the Agency [ADD]
- Open/Closed Status - Referrals Made
- Outcome/Results - Service Track Table
- Person Information [ADD]
- Placement Events by Agency/Program - People
- Program Listing by Agency and Service Event
- Provider Sites by Accepting Placements Program
- Referral Made Status Subform
- Referral Reason Table
- Referral Search
- Referral Source - Referral In
- Referral to Agency [EDIT]
- Referral to Program from Outside Source [Edit]
- Referral to Programs from Outside - People Edit Subform
- Schedules
- Unit Table
- Wizard
- WizardMPISearch
Scenario 1: My Pending Referrals Widget - Attendance Enrollments
Specific Setup:
- Client is discharged from the agency.
- User has access to client.
- User has access to My Pending Referrals Widget.
Steps
- Enter a new Referral for the previously discharged client into an Attendance based program.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Utilizing the "My Pending Referrals" widget, click on the icon for desired referral for the re-admission for the previously discharged client.
- Validate the "Placement Type" does not default and click the search.
- Validate "Attendance Enrollment" is available within the search and select.
- Enter desired "Re-Admit To Facility" and "Unit".
- Validate "Schedule of Sessions" is enabled and enter desired data.
- Enter any other desired/required information on the form and click the "Save" button.
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Topics
• Program Referrals
• Widgets
|
Routing NX and Treatment Plans
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- ServicePlanForm
- ServicePlanList
Scenario 1: Validate NX Treatment Plan Routing With Audit Snapshot
Specific Setup:
- NX Routing should be enabled.
- Audit Snapshot should be enabled.
- Requires a treatment plan that is set up for routing.
- Scenario uses "NYC Treatment Plan" route.
Steps
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired "Treatment Plan".
- Click "Routing" button and begin the route.
- Assign the route to desired staff.
- Enter a note and route.
- Re-open the treatment plan.
- Validate message appears "You are viewing a snapshot of this form from {today's date/time}".
- Validate the treatment plan is locked and contains "Initial Signature" of the submitter.
- Log in as staff who the plan was submitted to.
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired "Treatment Plan".
- Click "Routing" button and "Approve" the plan.
- Log in as staff who is in the "Medical Doctors" workgroup.
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired "Treatment Plan".
- Click "Routing" button and "Approve" the plan.
- Validate the plan contains "Final Approval Date".
- Validate the plan contains all three staff signatures.
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Topics
• Client
• Routing
• Service Entry
• Treatment Plans
|
Routing NX - Routes With Validate Treatment Plan
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Print Preview
- UpdateHistory
- ServicePlanForm
- ServicePlanList
Scenario 1: Validate NX Routing And Notes To Complete Widget
Specific Setup:
- Requires an event that is linked to "Basic Approval Route".
- Scenario assumes Routing Conversion has been completed.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Click "Add Event".
- Select desired event.
- Fill in required fields.
- Save.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Open the "Notes To Complete" widget.
- Validate the event is listed.
- Open the event and click "Routing" button to start the route.
- Validate the "Current Assignee" contains desired staff.
- Validate "Routing Timeline" exists with current date/time.
- Set "Route For Approval" input box to desired staff.
- Enter a note into the "Notes" field.
- Click "Route".
- Validate the event is no longer listed in the widget.
Scenario 2: NX Routing - NYC Treatment Plan Route
Specific Setup:
- Scenario assumes Routing Conversion has been completed.
- Requires a treatment plan that is completed and ready to be routed.
- Requires a treatment plan that is linked to "NYC Treatment Plan Route".
- Requires at least one staff listed in "Medical Doctors" workgroup to be set up under "Treatment Planning Workgroups".
Steps
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired treatment plan.
- Click "Routing" button.
- Validate the "Current Assignee" contains desired staff.
- Validate "Routing Timeline" exists with current date/time.
- Set "Supervisor" input box to desired staff.
- Enter a note into the "Notes" field.
- Click "Route".
- Log off and log in as staff the event was routed to.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Click "Widgets" button and select "My Routed Task NX" widget.
- Validate the event is listed.
- Open the event.
- Click the "Routing" button.
- Validate the "Current Assignee" contains desired staff name.
- Validate "Routing Timeline" contains the current history with date/time.
- Validate "Approve and Route for MD Approval" tab exists.
- Fill in a note and click "Route" button to approve the event.
- Validate the event is no longer listed in the widget.
- Log off and log in as a staff that is in "Medical Doctors" workgroup.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Click "Widgets" button and select "My Routed Task NX" widget.
- Validate the event is listed.
- Open the event.
- Click the "Routing" button.
- Validate the "Current Assignee" contains "Medical Doctors".
- Validate "Routing Timeline" contains the current history with date/time.
- Validate "Approved By MD" tab exists.
- Fill in a note and click "Route" button to approve the event.
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired treatment plan.
- Click "Signatures" button.
- Validate "Route for Supervisor Review" signature is listed.
- Validate "Approve and Route for MD Approval" signature is listed.
- Validate "Approved by MD" signature is listed.
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Topics
• Client
• Routing
• Treatment Plans
• Widgets
|
Workflow Scheduler Setup, Rule Type Foster Home
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency/Programs Table
- Qualifiers Subform
- Resource Family Search
- Scheduler Worker Assignment Types
- Schedules [ADD]
- Tasks to be Scheduled
- Trigger Dates
- Triggering Events
- WorkFlow Header/Grouping
- Workflow Qualifiers
- Workflow Rules Manager
- Workflow Tasks [ADD]
- Workflow Triggers [ADD]
Scenario 1: NX Workflow Scheduler - Create and Edit New Foster Home Grouping/Header and Rule
Steps
- Navigate to "Agency Setup > Workflow Scheduler Setup > Workflow Scheduler Setup > Workflow Scheduler Setup".
- Select the "Foster Home" Rule Type.
- Click "Create New Rule".
- Select desired "Header/Grouping".
- Set desired "Description".
- Select Qualifier "Home/Applicant Type".
- Select desired value.
- Click "Create New Trigger".
- Select desired trigger.
- Set desired "Task to be Scheduled and a "Schedule".
- Save.
- Re-open the workflow rule.
- Validate "Qualifier" field contains desired qualifier.
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Topics
• Resource Families
• Workflows
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Uploaded Image Resizing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Select File for Upload
Scenario 1: Validate Large Uploaded Images are Resized
Specific Setup:
- Available assortment of image files larger than 1024×576 to upload.
- Available service event with image upload.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select Desired Client.
- Add Desired Image Upload Event.
- Upload Desired Image from setup.
- Click the Image File Link.
- Click Open.
- Validate Image is resized to 1024×576.
- Save the event.
- Open the event.
- Click the Image File Link.
- Click Open.
- Validate Image is resized to 1024×576.
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Topics
• Service Entry
|
Resource Family Portal Login Page
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- EvolvCS Client [EDIT]
- RFP Mobile - Home
- RFP Mobile - Login Screen
- RFP Mobile - Tasks
- RFPDefault
Scenario 1: Resource Family Portal - Validate Timeout Landing Page
Specific Setup:
User has access to Resource Family Portal page.
Steps
- Access "Resource Family Portal".
- Wait until homepage refreshes due to timeout inactivity.
- Validate the homepage refreshes to the login screen.
- Validate user can login.
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Set the "Inactivity Timeout (hh:mm)" field to 2 minutes.
- Click "Save".
- Navigate back to "Resource Family Portal".
- Verify the timeout message exists.
- Wait until homepage refreshes due to timeout inactivity.
- Verify the login page exists.
- Validate the message contains "You've been signed out of your account to help protect your information. Any action(such as filling out a form) that wasn’t saved has been lost. Please sign back in to resume your activity".
- Navigate back to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Set the "Inactivity Timeout (hh:mm)" field back to the original timing.
- Click "Save".
- Log back into "Resource Family Portal"
- Verify the timeout message no longer exists.
- Wait until homepage refreshes due to timeout inactivity.
- Verify the login page exists.
- Validate the message contains "You've been signed out of your account to help protect your information. Any action (such as filling out a form) that wasn’t saved has been lost. Please sign back in to resume your activity".
- Navigate back to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Set the "Inactivity Timeout (hh:mm)" field back to the original timing.
- Click "Save".
- Log back into "Resource Family Portal"
- Verify the timeout message no longer exists.
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Topics
• Resource Family Portal
|
Look-Up Tables in Resource Family Portal
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Related Task - New [ADD]
- Foster Home Milestone [EDIT]
- Home Assignments Subform
- Member Assignments Subform
- Provider Sites by Program
- Requirement With Expiration [ADD]
- Resource Family Group Events
- Resource Family Member Events
- Resource Family Member Information Form Set
- Resource Family Members
- Resource Family Search
- RFP Mobile - Home
- RFP Mobile - Login Screen
- RFP Mobile - Tasks
- RFP Mobile - Tasks Listing View - User
- Staff - Service Providers (by Staff_id)
Scenario 1: Resource Family Portal - Validate Navigating Look-Up Table
Specific Setup:
- User has access to "Resource Family Portal".
- User needs a mobile device available.
- Events are added in the "Milestones Setup" in Agency Setup.
Steps
- Navigate to "Resource Families > Foster/Adoptive Home > Information > Member Information".
- Search and select desired family.
- Expand the member row.
- Click the "Requirements" tab.
- Click "Add New".
- Select "Add Task" from the dropdown list.
- Select desired task, that is included in the milestones, from the dropdown list.
- Fill out required fields.
- Click "Save".
- Access "Resource Family Portal".
- Click the "Tasks" tab.
- Click the "Requirements (Member)" cell.
- Select recently scheduled Task from the "To Do" column.
- Validate the look-up tables are filtered to the selected field.
- Fill out other required fields.
- Click "Save".
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Topics
• Resource Family Portal
|
Period Break Rules for Consolidated Services and Calculate Rate
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- ActionsView
- All Clients With Security Listing by PeopleID
- AR Management
- Cash Receipts for Remittance
- Claim Service Lines NX Subform
- Claim Submission 2.0 [EDIT]
- Claims Maintenance NX Form Set
Scenario 1: Validate Calculate Rate Honors Break By Staff
Specific Setup:
- Scenario works a client that has billed 2 services that were provided by different staff (staff A and B) on same day.
- Client also has a third service that was provided by staff A on same day, but not yet billed.
- Rate is set up to consolidate by day.
- Rate is set up to "Break by Staff".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance check.
- Set search parameters to search for desired claim.
- On the first claim provided by Staff A select "Add Action" and select "Resubmit".
- Select "Calculate Rate".
- Validate the "Submission" contains desired event and it includes the second service not yet billed.
- On the second claim provided by Staff B select "Add Action" and select "Resubmit".
- Select "Calculate Rate".
- Validate the "Submission" contains desired event and it does not include the second service not yet billed.
Scenario 2: Validate Calculate Rate Honors Break By Place Of Service
Specific Setup:
- Scenario works a client that has billed 2 services that were provided two different place of services.
- Client also has a third service that was provided in a place of service as one of the claims already billed.
- Rate is set up to consolidate by day.
- Rate is set up to "Break by Place of Service".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance check.
- Set search parameters to search for desired claim.
- On the first claim provided in "Place of Service A" select "Add Action" and select "Resubmit".
- Select "Calculate Rate".
- Validate the "Submission" contains desired event and it includes the second service not yet billed.
- On the second claim provided in "Place of Service B" select "Add Action" and select "Resubmit".
- Select "Calculate Rate".
- Validate the "Submission" contains desired event and it does not include the second service not yet billed.
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Topics
• Finance
|
Multiple Qualifying Services That Have the “Use Distinct Events” Set
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Plan Setup NX [EDIT]
- Billing Qualifying Services Link to Rate Subform
- Billing Rate - Placement Based NX [EDIT]
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Claim 2.0 [EDIT]
- Client Service Entry
- ContractsRatesSetup
- FinanceClaims
- Immediate Billing Run Request [ADD]
- Payers/Contracts Setup 2.0 Form Set
- Placement NX Form Set
- Submitter Information
Scenario 1: Validate "Use Distinct" with Multiple "Qualifying Service Lists"
Specific Setup:
- Requires a rate that is set up to require "Qualifying Services".
- The "Qualifying Service" list contains three different services.
- One of the "Qualifying Service List" contains a "Min Number" of 2, "Max Number" of 3 and has the "Use Distinct Events" checked off.
- Rate that bills "Facility Placement" services.
- "Qualifying Service Required" and "Qualifying Service same program as billed" is checked off.
- Enter 2 service events for the item within the "Qualifying Service List" that contains the "Min Number and "Max Number.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" to generate a billing run for the desired client.
- Once billing has completed, validate claims generated for the "Qualifying Event".
- Open desired claim and validate the "Qualifying Services Used".
Scenario 2: Validate "Use Distinct" with "Multiple Qualifying Service Lists" and Multiple Service Entries
Specific Setup:
- Requires a rate that is set up to require "Qualifying Services".
- The "Qualifying Service" list contains three different services.
- One of the "Qualifying Service List" contains a "Min Number" of 2, "Max Number" of 3 and has the "Use Distinct Events" checked off.
- Rate that bills "Facility Placement" services.
- "Qualifying Service Required" and "Qualifying Service same program as billed" is checked off.
- Enter events within service entry that are listed within the "Qualifying Service List" as below:
- 2 service events for the event containing the "Min Number" and "Max Number".
- 1 service event for one of the qualifying service.
- 1 service event for the other qualifying service.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" to generate a billing run for the desired client.
- Once billing has completed, validate claims generated for the "Qualifying Event".
- Open desired claim and validate the "Qualifying Services Used".
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Topics
• Finance
• Finance Setup
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Alerts from Non-Event Based Forms
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AlertListing
- Alerts
- Alerts - Recipients B2 Subform
- Alerts - Send [ADD]
- Alerts - View [VIEW]
- Billing Batch Claims Review
- Billing Plan Output [EDIT]
- Claim 2.0 [EDIT]
- Claim 2.0 [VIEW]
- Claims Maintenance NX Form Set
- Client Finance Related Information Form Set
- Client Personal Information [EDIT]
- Client Personal Information [VIEW]
- Client Search
- Staff (All)
Scenario 1: Validate Alerts Page
Specific Setup:
User has access to Alerts.
Steps
- Navigate to "Client > Client Information > Personal Information > Demographics"
- Search and select desired client.
- Click the "Send Alert" button.
- Fill out required fields.
- Click the "Send" button.
- Navigate to "Taskbar > Alerts > Alerts > Alerts".
- Click the "Message" link.
- Validate the page contains selected client's personal information.
- Click "Close".
- Click the "Delete" button.
- Click "OK" in the message window.
- Close out the "Alerts" page.
- Navigate to "Finance > Claim Maintenance > Automatic > Claim Information".
- Click the "Select a Claim" button.
- Search and select desired claim.
- Click the "Send Alert" button.
- Fill out required fields.
- Click the "Send" button.
- Click the "View Alerts" button.
- Click the "Message" link.
- Validate the page contains claim information.
- Click the "Original Billing Batch" link.
- Validate the page contains the original billing batch information.
- Click "Close".
- Click "Plan" link.
- Validate the page contains billing plan information.
- Click the "Plan/Contract Rates" tab.
- Validate the page contains plan/contract rates information.
- Click "Close".
- Click the "Client" link.
- Validate the page contains finance related client information.
- Click "Close".
- Close out of the "Claim" page.
- Click the "Delete" button in the "Alert" page.
- Click "OK" in the message window.
- Close out the "Alerts" listbox.
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Topics
• Alerts
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Routing NX Activation
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency Program Services [EDIT]
- Agency Program Services/Program-User [EDIT]
- Agency Program Services/Program-User Subform
- Client Search
- Client Service Entry
- Routing Workflow Scheme
Scenario 1: Validate Routing NX Basic Approval Workflow
Specific Setup:
- Requires an event that is linked to "Basic Approval Route".
- Scenario assumes Routing Conversion has been completed.
Steps
- Navigate to "Agency Setup > Services Setup > By Program > Individual Services".
- Select desired "Program".
- Open the row for the desired event.
- Click "Routing Workflow Scheme".
- Validate desired routes are listed.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Click "Add Event".
- Select desired event.
- Fill in required fields.
- Save.
- Re-open the event.
- Validate "Routing" button is visible.
- Click "Routing" button.
- Validate new "Routing Window" is visible.
- Route the event to the desired staff.
- Login as staff event is "Routed To"
- Reopen the event and "Approve" the route.
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Topics
• Routing
• Setup
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Calculate Rate Performance
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- ActionsView
- AR Management
- Cash Receipts for Remittance
Scenario 1: Validate Calculate Rate Performance
Specific Setup:
Scenario works with at least 5 claims that can be waterfalled to secondary payer.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired check.
- Set search parameters to search for desired claims.
- Click "Add Action" and select "Resubmit to Other/Waterfall".
- Select "Calculate Rate".
- Validate the claim submission is returned.
- Repeat for the remaining the claims.
- Save.
- Validate the "Resubmit" saved and each claim has a new submission to the secondary payer.
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Topics
• Finance
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RFP Form Set Members Link to Event Group
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Related Task - New [ADD]
- Foster Home Milestone [EDIT]
- Foster/Adoptive Home Information Form Set
- Home Assignments Subform
- Member Assignments Subform
- Profile Scheduled Tasks [ADD]
- Resource Family Group Events
- Resource Family Member Events
- Resource Family Member Information Form Set
- Resource Family Members
- Resource Family Search
- RFP Mobile - Home
- RFP Mobile - Login Screen
- RFP Mobile - Tasks
- RFP Mobile - Tasks Listing View - Home
- RFP Mobile - Tasks Listing View - User
Scenario 1: Resource Family Portal - Validate Formset Member Events
Specific Setup:
User has access to Resource Family Portal.
Steps
- Navigate to "Agency Setup > Agency > Milestone Setup > Foster Home".
- Click the "Milestone Setup" cell.
- Add an event for both "Home Assignments" and "Member Assignments" tables.
- Click "Save".
- Navigate to "Resource Families > Foster/Adoptive Home > Information > Requirements".
- Search and select desired family.
- Click "Add New".
- Select "Add Task" from the drop down list.
- Select recently added event from the drop down list.
- Fill out required fields.
- Click "Save".
- Click the "Member Information" tab.
- Expand desired member cell.
- Select "Requirements" tab.
- Click "Add New".
- Select "Add Task" from the drop down list.
- Select recently added event from the drop down list.
- Fill out required fields.
- Click "Save".
- Access "Resource Family Portal".
- Click the "Tasks" tab.
- Validate the "Requirements" tabs contain number of tasks listed in the Milestone formset member.
- Click the "Requirements (Family)" cell.
- Validate the recently scheduled task is listed in the "To Do" column.
- Click the "Back" button.
- Click the "Requirements (Member)" cell.
- Validate the recently scheduled task is listed in the "To Do" column.
- Navigate back to "Agency Setup > Agency > Milestones Setup > Foster Home" in myEvolv.
- Click the "Milestone Setup" cell.
- Remove the recently added events in both the "Home Assignments" and "Member Assignments" cell.
- Click "Save".
- Navigate back to "Resource Family Portal".
- Click the "Tasks" tab.
- Click the "Requirements (Family)" cell.
- Validate the event remains in the "To Do" column.
- Click the "Requirements (Member)" cell.
- Validate the event remains in the "To Do" column.
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Topics
• Resource Family Portal
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Test Questions with Disable Rules and Effective Dates
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency Program Services/Program-User Subform
- Client Search
- Client Service Entry
- Event Category Tests People
- Event Definition User - People [EDIT]
- FormDesigner
- Interface Design Form Set
- NX Test [EDIT]
- NX Test Setup Answers (RD) Subform
- Test Events for People Form Set
Scenario 1: Tests With a Test Question With Both a Date Range and Disable Rule - Current Date
Specific Setup:
- In "Agency Setup > Services Setup > By Program > Individual Services" ensure the below fields are checked.
- "Can Submit?"
- "Electronically Signed"
- "Is Active"
- In "Setup > Treatment and Tests > Test Events for People > Test Events" select "Test Events for People".
- Select desired event.
- Set the "Allow Completing in the Future" checkbox.
- In "Setup > User Tools > Interface Design > Form Designer"
- Set the "Form Family" to "Tests and Assessments (People)".
- Set the desired form from the "Form List" which contains at least 3 questions.
- Question 1: This will be used in the disable condition.
- Ensure it has a Question Code "QUESTCODE" set
- Ensure this question has an Answer with an Output Code "OUTCODE"
- Set the "Effective From" on both the question and answer to be at least one day after the current.
- Set the "Effective To" on the answer.
- Question 2: This will contain the disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Question 3: This will contain a disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Ensure the "Effective To" field is not set.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select the desired client.
- Click "Add Event" and select the desired event.
- Set the "Actual Date" to today's date.
- Fill out all desired information and click the "Save" button.
- Click on the newly created event.
- Click on the "Submit" button.
- Click the "OK" button on alert message "Are you sure you wish to proceed with submitting this event(s)?".
- Validate the status contains "Signed/Submitted".
Scenario 2: Test With a Test Question With Both a Date Range and Disable Rule - Past Event
Specific Setup:
- In "Agency Setup > Services Setup > By Program > Individual Services" ensure the below fields are checked.
- "Can Submit?"
- "Electronically Signed"
- "Is Active"
- In "Setup > Treatment and Tests > Test Events for People > Test Events" select "Test Events for People".
- Select desired event.
- Set the "Allow Completing in the Future" checkbox.
- In "Setup > User Tools > Interface Design > Form Designer"
- Set the "Form Family" to "Tests and Assessments (People)".
- Set the desired form from the "Form List" which contains at least 3 questions.
- Question 1: This will be used in the disable condition.
- Ensure it has a Question Code "QUESTCODE" set
- Ensure this question has an Answer with an Output Code "OUTCODE"
- Set the "Effective From" on both the question and answer to be at least one day after the current.
- Set the "Effective To" on the answer.
- Question 2: This will contain the disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Question 3: This will contain a disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Ensure the "Effective To" field is not set.
- Event on client record containing a date within the past and within "Pending Submission" status.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select the desired client.
- Click "Actions" on the event that is "Pending Submission".
- Select "Submit Service".
- Click "Yes" on the alert message "Are you sure you wish to submit this event".
- Click the "OK" button.
- Validate the event contains a status of "Signed/Submitted".
Scenario 3: Tests With a Test Question With Both a Date Range and Disable Rule - Future Date
Specific Setup:
- In "Agency Setup > Services Setup > By Program > Individual Services" ensure the below fields are checked.
- "Can Submit?"
- "Electronically Signed"
- "Is Active"
- In "Setup > Treatment and Tests > Test Events for People > Test Events" select "Test Events for People".
- Select desired event.
- Set the "Allow Completing in the Future" checkbox.
- In "Setup > User Tools > Interface Design > Form Designer"
- Set the "Form Family" to "Tests and Assessments (People)".
- Set the desired form from the "Form List" which contains at least 3 questions.
- Question 1: This will be used in the disable condition.
- Ensure it has a Question Code "QUESTCODE" set
- Ensure this question has an Answer with an Output Code "OUTCODE"
- Set the "Effective From" on both the question and answer to be at least one day after the current.
- Set the "Effective To" on the answer.
- Question 2: This will contain the disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Question 3: This will contain a disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Ensure the "Effective To" field is not set.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select the desired client.
- Click "Add Event" and select the desired event.
- Set the "Actual Date" to a future date.
- Fill out all desired information and click the "Save" button.
- Click on the newly created event.
- Click on the "Submit" button.
- Click the "OK" button on alert message "Are you sure you wish to proceed with submitting this event(s)?".
- Validate the status contains "Signed/Submitted".
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Topics
• Forms
|
Foster Home Milestones
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Foster Home [EDIT]
- Foster Home Milestone [ADD]
- Foster Home Milestone [EDIT]
- Foster Home Type look up table
- GenericBrowse
- Home Assignments Subform
- Look-up Tables Maintenance - Extended
- Member Assignments Subform
- Resource Family Group Events
- Resource Family Member Events
- Resource Family Search
- Tables Maintenance - Extended Form Set
Scenario 1: Resource Family Portal - Validate Type of Home LUT Options
Specific Setup:
User has access to Resource Families.
Steps
- Navigate to "Setup > System > Table Maintenance - Extended > Tables".
- Click the "Select Table" button.
- Search and select desired table. (Facility Type was used for this test).
- Edit or add a new row.
- Check the "Foster Home" checkbox.
- Click "Save".
- Navigate to "Agency Setup > Agency > Milestone Setup > Foster Home".
- Click "Add New".
- Select "Foster Home Milestone" from the drop down list.
- Fill out required fields.
- Validate the recently updated table description is listed in the "Type of Home" look-up table.
- Select the description.
- Click "Save".
- Navigate to "Resource Families > Foster/Adoptive Home > Information > General Information".
- Click the "Select Family" button.
- Search and select desired resource family.
- Click the "Type" look-up table button.
- Verify the recently added table description exists.
- Select the description.
- Click "Save".
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Topics
• Resource Family Portal
|
Resource Family Portal
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Alerts - Recipients RFP Staff Subform
- Alerts - Send To Resource Family Portal Staff [ADD]
- General requirements (Single Day) [ADD]
- General requirements (Single Day) [VIEW]
- Resource Family Portal
- Staff (RFP)
Scenario 1: Resource Family Portal - Parent Portal
Specific Setup:
- Applicant that is a member of the Resource Family, should have portal access through "Resource Families > Applicants > Information > Member Information".
- User has access to Family Parent portal.
- Event that can be submitted.
Steps
- Login into the Family portal.
- Click on the client name.
- Click the "Add New" button and select "Add Event".
- Select desired event and set the desired/required fields including the "Completed Date".
- Click the "Save" button.
- Validate the newly created event displays within the "Completed Events".
- Click "X" to close.
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Topics
• Resource Family Portal
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Resource Family Home Placements
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Related Task - New [ADD]
- Client Search
- Client Service Entry
- RFP Mobile - Home
- RFP Mobile - Login Screen
- RFP Mobile - My Family
- RFP Mobile - My Family - Fostering Family
- RFP Mobile - My Family - Placement Tasks
- Staff - Service Providers (by Staff_id)
Scenario 1: Resource Family Portal - Validate Due Tasks Showing In Placements and Fostering Family
Specific Setup:
- User has access to the Resource Family Portal.
- Resource Family has Placements.
- Placement must be an individual client enrolled in another program separate from the one tied to the Resource Family.
- Staff must have access to service events in event security.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Search and select desired client that is linked to a resource family.
- Click the "Schedule Task" button.
- Select desire task from the drop down list.
- Select a staff that is not linked to a resource family in the "Staff Responsible" field.
- Fill out required fields.
- Click "Save".
- Access "Resource Family Portal".
- Click the "My Family" tab.
- Validate the "Number of Task" cell remains the same number in the "Fostering Family" row.
- Select currently used client from the "Placements" row.
- Validate the recently scheduled task is not listed in the "To Do" column.
- Click the "Back" button.
- Navigate back to "myEvolv".
- Click the "Schedule Task" button.
- Select same task from the drop down list.
- Set the "Staff Responsible" field to staff member linked to resource family.
- Fill out required fields.
- Click "Save".
- Navigate back to "Resource Family Portal".
- Validate the "Number of Tasks" cell has increased by one in the "Fostering Family" row.
- Select previously used client in the "Fostering Family" row.
- Validate the recently scheduled task is listed.
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Topics
• Resource Family Portal
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Billing Execution Interval
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: "Billing Execution Interval" Value
Specific Setup:
User has access to Setup module.
Steps
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Select "Billing Preferences" from the form line listing.
- Set the "Billing Execution Interval" input box to 60.
- Click the "Save" button.
- Set the "Billing Execution Interval" input box to 61.
- Navigate off the field, and validate "Invalid entry. The value must be between 1 and 60." displays.
- Click the "OK" button.
- Set the "Billing Execution Interval" input box to desired minutes.
- Click the "Save" button.
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Topics
• Setup
|
CareFabric Receiver Revision Version
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Taskbar > System Maintenance > CareFabric > SDK Health Check
Scenario 1: CareFabric Receiver Revision Version
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Topics
• Taskbar
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