Version: 2.0.97
Release Date: 4/16/24
Highlights
- SecureClaim now includes Hold Code functionality. These codes are customizable, user-generated, and tailored to meet specific workplace needs and preferences. This feature enables users to flag particular claims or payments requiring extra attention or specific processing, providing a more effective method for monitoring payment records.
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Improvements
Hold Codes
- SecureClaim now features functionality to identify claims with Hold Codes during the application of payer payments. These codes are designed to flag or identify payments within the system that require special handling. Hold Codes can be created in the Application Settings section and customized based on user preferences. Upon creation, a code can be applied to the Payer Payments > Claims > Service Details and Claim Information window during the reconciliation process. These Hold Codes will appear in the Adjustments section of the Reconciliation report.
- SecureClaim now allows users to add Hold Codes to claims during the manual or electronic payer payment process. To do so, navigate to the Edit Manual/Automatic Payer Payment and choose the desired claim from the list. Open the Service Details and Claim Information page, where a new Hold Code field has been added. Users can select Hold Codes for specific services by clicking the EOPAdj/Remarks lookup. Additionally, a Hold Code Tab has been added to the Service Adjustments / Remarks / Hold Codes window. Simply select the desired Hold Code and click Save to apply it to the claim.
- Hold codes can be configured by accessing System Settings > Application Settings > Others > Hold Codes. The user interface displays a section with previously generated Hold Codes, and a section featuring two fields to create or add new Hold Codes.
- Hold Codes have been incorporated into the Adjustments section of the Reconciliation report. During report generation, Hold Codes is now a mandatory dropdown list with multi-select options. In the report itself, it is presented as two columns—Hold Code (Claim) and Hold Code (Service)—to offer users valuable supplementary information.
Patient Record
- The PVAC3 2021 form has been incorporated into the Immunization Record. When you access the print functionality in Patient Record, you will now see three options: PV-3, PVAC-2020, and PVAC-2021.
Reports
- The Production by Provider – Detailed report has been updated with several improvements to enhance its utility and readability. An Include Provider checkbox has been added to the report generation screen, allowing users to choose whether to group the report data by Rendering Provider. A Policy Number column has been added to the detailed report, and the Excel export file has also been updated to include this information. Additionally, some data in the export file have been modified, such as renaming columns and removing suffixes (e.g., changing OfficeName to Office).
Components Optimization
- Several minor backend improvements have been completed to increase optimization for certain functionalities, making them run faster and more reliably.
Bug Fixes
Pre-Claim
- Fixed an issue causing an error when attempting to open/review a voided Dental Claim.
Claims
- Resolved an issue that led to a “Policy Number is Required” validation error when saving claims, as the auto-populate feature was not functioning as expected.
- Fixed an issue causing loading errors for certain claims in Rejected status when a user tried to edit or add notes. Claims should now load normally.
- Fixed an issue where the Duplicate and Bill to Secondary buttons became inactive when the Missing Info popup displayed on a claim in Edit Mode.
- Fixed some minor formatting issues on text in the Documents Tab and the Missing Info popup.
Claims Tracking
- Fixed an issue where the SV lines were not ordered correctly in the Audit Report as they are in the claim. This issue has been resolved.
Payer Payments
- Fixed an issue where Explanation of Payments (EOP) was printing blank in some scenarios. The issue has been resolved, and EOP should now be printed with all expected data.
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