Version: 2.0.120
Release Date: 12/02/25
Highlights
- As part of ongoing efforts to optimize the platform and improve the user experience, significant enhancements have been implemented across multiple areas of the system. These updates include the reconciliation area, reports, among others.
- Note: It is recommended to regularly clear your browser cache to improve the overall performance of the system. This action also helps ensure that files from recent or pending versions are downloaded correctly, making sure that implemented changes are properly reflected in the application.
Improvements
Column CH Status Exception – Private Claims
- For claims that have not been transmitted and are created or edited for a Private Plan or Private Procedures, the CH Status field will not be populated in the column of the table in Claims Tracking, since these claims will not be sent electronically.
- Possible scenarios:
- Editing the Plan Deductible tab to Private
- Editing or adding a procedure configured as Private
- Claims with capitated services
- In these cases, the system will remove the Ready to Send status (if it previously existed) from the CH Status column and leave the field blank. However, in the claim history, you will still be able to view any previous status it may have had.
Negative Net Balance – Reconciliation (Rules)
- An enhancement was implemented in the Reconciliation area, specifically in Reconciliation Rules, to allow handling cases where a payment received exceeds the billed amount, resulting in a negative Net Balance on the claim. This functionality applies when the rule is configured with:
- Conditions: CAS Group and CAS CodeAction: Modify Fees
- Selected option: Subtract the amount on CAS*CO of 835 from Service Charges (Allow increasing the service charge)
- When this option is selected, the checkbox Allow increasing the service charge becomes available and can be marked. This checkbox only appears if the option Subtract the amount on CAS*CO of 835 from Service Charges is selected.
- Behavior:
- If Allow increasing the service charge is checked, the system will adjust the claim balance to compensate for the negative Net Balance.
- If it is not checked, negative balances will not be adjusted during reconciliation.
- When the rule is executed with the option checked, the system will increase the service charge to balance the Net Balance.
Fixes
Issue with Usual Charge Field – Production vs Payments Summary Report
- A situation was identified in the Production vs Payments Summary report. Previously, when an encounter was automatically converted and the procedures had a configured usual charge, the Usual Charge field was not generated in the converted claim. As a result, the report did not display this information.
- Now, the system correctly generates the Usual Charge field in the claim, and the report includes the corresponding information.
Column Adjustment – Reconciliation
- When a payment is completed, the columns in the Reconciliation area maintain their spacing in the table, preventing information from overlapping and causing confusion. Additionally, the layout of the information and icons has been reorganized to improve visualization.
For assistance or additional information, please contact us through our chat service on;
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