The following ClaimSource changes were moved to production on 06.26.2014.
Enhancements:
- Work Queue – Additional filtering on Revenue Codes, Diagnoses, and HCPCs/CPTs
- Claim Maintenance – DCN/ICN for Insurance Being Billed is now on the Insurance Screen (usually for change/void claims)
- Claim Maintenance – Diagnosis pointers have been broken up into individual fields on the 1500
- Claim Maintenance – Ambulance Drop-Off Location field now available on 1500 screen
- Claim Maintenance – The Force-to-Paper flag is now available on the form
- Claim Maintenance – Individual errors involving multiple fields can now highlight more than one field per error
- Claim Maintenance – Context menu is now scrollable
- General – Introducing new submission status of P for claims that have been transmitted but are awaiting further intervention from user (such as Jopari attachments)
- Rules – Optional Code Validation now includes Revenue Codes
- Rules – Electronic claims must have a payer paid amount for each prior insurance (even if it’s zero)
- Reports – New report: Medicare Claim Status Detail
- Reports – New report: Claims Sent by User Detail
- Reports – New report: Claim Totals by Insurance Level
- Reports – Replaced Payer ID filter with Payer Code filter on Claim Totals Report
- Reports – Added claim tag filter and display to Claim Inbound Detail Report
- Reports – Added claim tags and Transmission Status to Error and Hold Detail Report
- Reports – Error and Hold Detail Report can now sort by Total Charges (ascending and descending)
- Reports – Error and Hold Detail Report now splits out site results into separate worksheets when exporting to Excel
- Reports – Claim count column split to show sent claims and unsent claims separately in Errors Closed by User Summary Report
- Reports – Errors Closed by User Detail report can now be sorted by User Name and Date\Time Closed – Time closed now shown on report
- Reports – New Productivity Reports category containing reports based on user activity
- Forms – New form: WPS Redetermination Form
- Forms – Tertiary claims can now print EOBs on separate pages (Requires update of Print Service)
- Status Group Setup – Days before statusing must now be larger than maximum claim age
- Site Setup – Slight redesign with more consistent look and feel
Fixes:
- Work Queue – Fixed issue where horizontal scrolling would not take you all the way to filter in some cases
- Claim Maintenance – Fixed issue where some legacy numbers could not be completely removed
- Claim Maintenance – Fixed issue where ambulance info could not be removed
- Reports – Fixed “#Error” message at the end of Claim inbound Detail Report for total charges on hold
- Reports – Fixed issue where scheduled reports were reverting to Excel after hitting save
- Forms – Billing Provider Zip Code was cut short on UBs
- Forms – Modifications to CHC Reconsideration form