Release 12.11.3 (11/13/2023)

1500 changes

We made improvements on section 31 and 32 on the 1500 form.

Section 31 date change

The problem: The Section 31 - Signature box needed more options. Before 12.11.3, the signature options included the following:

The solution: In 12.11.3, we added "Date of service", "Printed date", and an option to enter a custom date.

Date of service: Prints the date of service.

Printed date: Prints the date the invoice is being printed.

All options will persist each time you come back to this page except the Custom option. If the Custom option is selected, the page will revert back to the previous setting when the page is displayed again.

Section 32 address change

The problem: Facility name and address displayed too small in box 32 of the 1500 form which was causing issues for some payers.

Before release 12.11.3, the options for section 32 included print origin, print destination, and print both.

The solution: We added a print two and three line option. Both options display with the words "From" and "To" and are as large as possible for easier viewing. Only option three contains the facility's first address. If you don't remember the difference between the print two and print three line option, just click the tool tip next to the option for a reminder.

Print both (two lines): This option prints the facility name, followed by the facility's city, state, and zip code.

Print both (three lines): This option prints the facility name, followed by the facility's first address line, city, state, and zip code.

New Aging by Current Payer report (Beta)

For each current benefit policy in your system, the Aging by Current Payer report will give you the following information:

  • Current payer name

  • 121-150 days

  • Revenue adjustments

  • Profit center

  • Over 180 days

  • Revenue adjustment reversal

  • DOS

  • Charges

  • Charge adjustment

  • Billed date

  • Charge reversal

  • Interest

  • Balance

  • Payment

  • Write off

  • 0-30 days

  • Payment reversal

  • Write off reversal

  • 31-60 days

  • Take back

  • Provider level adjustment

  • 61-120 days

  • Refund

  • Payment

  • 91-120 days

  • Refund reversal

  

Start by selecting the accounting period end date and then select either the billed or service date:

The report results will look something like this:

As with all reports, the Aging by Current Payer report can be saved in an XML, CSV, PDF, MHTML, Excel, TIFF, or Word format. In addition, it can also be printed.

The following issues were fixed in release 12.11.3:

  • Prior authorizations that were added to claims before merging the patient's account were not displaying after the merge.

  • An error was displaying when a user posted a partial payment and then posted a full payment to a facility.

  • Users found the facility balance was incorrect if they used the "Add a line item" functionality in payment posting to post a payment to a claim that was not on an invoice.

  • The facility type was not displaying when a user added a facility in the COB tab on both the Claim Creation and View Claim pages.

  • The Credit Posting report was not showing the correct credits when the move to primary or secondary functionality was used on a credit after it was posted.