SecureClaim version 2.0.33

Release Notes of SecureClaim version 2.0.33

Version Highlights

New improvements were included in this version of SecureClaim to enhance areas of the application. In addition, there are changes and other fixes to improve efficiency. Among these changes you will find:

• Now, can add to the Reports the inactive Business Lines.

• To agile the reconciliation process, a new functionality was implemented in the Payment by Payer module. Now, you can match services codes on the check, when the code for the 835 is different that the claim

• The Claim Tracking search was improve adding the Payer ICN option.

In the next section, we will provide more details regarding the changes included in this version.

Version Notes

Section 1: Front Office Correction and changes

I. Patients

1. The situation that was provoking loading creating a claim from the Patient Demographic when pressing double click, was fixed.

II. Eligibility

1. The date of birth (DOB) was included as a required field to request an Eligibility

for Plan de Salud Menonita GHP.

Section 2: Claim Center

Improvements and New Functionalities

I. Claims

1. The Payer ICN search option was implemented in the Claim Tracking module Advanced Search.

II. Payment by Payer

1. The option of matching a service code in the Electronic Payer Payment to the claim is implemented, when the code for the 835 is different that the claim.

For this purpose, a Claims Service Code column was added, on the Service Details and Claim Info screen, and the Service Code column was renamed by 835 Service Code.

• If the code matches, the field will be disabled.
  • If the code doesn’t match, you must select the corresponding code. This’s the information that you will see in the drop-down list, if available:
  • Service Code
  • Modifier
  • Tooth
  • Surface

NOTE: All the service codes in the claim that doesn’t have the match will show in the drop-down. Can’t choose the same code for more the one service line.

• Was added, the tooltips for the icons in the Additional info field on the Payment Details:

➢ Patient has a secondary plan

➢   Disputed

Correction and Changes

I. Claims

1. The situation was causing that can’t automatically complete the NDC Measure

information in the Claim, when the NDC information is configured, was fixed.

• To maintain consistency in the application, the columns where reorganized in the following modules:
  • Claim Center > Claims > Tracking
  • Claim Center > Payment > By Payer
  • Claim Center > Payment > By Patient

II. EMR Encounter

1. An issue was fixed, where the EMR Demographic Discrepancy Alert was showing even when wasn’t no discrepancy.

III. Payment by Payer

1. The validation was showing deleting a payment in the Payment by Payer module, was removed. This only happened for users connected through a Billler/Group account.

Section 3: Back Office Correction and Changes

I. Procedures Codes

1. The ordering functionality in the Procedure Code Management screen for Effective date, Expiration date and Usual Charge column, was fixed.

Section 4: Analytics

Improvements and New Functionalities

I. Reports

1. Was added the option to be able to select the inactive Business Line in all Reports where this information is present.

Correction and Changes

II. Reports

1. Change is made in the Production vs. Payment – Detailed report. Now, can also be filtered by creation date, without enter the date of service.

Section 5: Other Areas Correction and changes

I. Recent Patients

1. An issue was fixed that caused the daily inactive patients was showing in the

Recent Patients list.

II. Carrier

1. The Carrier field and the validations was removed across the application. The system doesn’t need any more this information to send text messages (SMS).

III. Tracking

1. The selection column from the following Tracking modules, was moved to the left side of the screen.
   1. Claim Center > Claims > Tracking
   1. Claim Center > Payment > By Payer
   1. Claim Center> Payment > By Patient