Release 13.1.2 (01/22/2024)

Facility matching improvements

We improved the algorithm for matching facilities on the Transport Details tab during claim creation. Now, for both the Origin and Destination locations, we will match facilities using the following criteria (in order of importance):

  1. State ID: If there are multiple state IDs or if there is no exact state ID match, then we look at the NPI.

  2. NPI: If there are multiple NPI matches or there is no exact NPI match, then we look at address line 1.

  3. Address line 1 - state and city: If there are multiple matches on the state and city on address line 1 or there is no exact address match, then we look at the facility name.

  4. Facility name: If there are multiple facility name matches, then we will prompt you to select the facility using the Select button.

Note Activity report improvements

We improved the time needed to pull up the list of authors of the notes from which you can select to run the Note Activity report.

Ignored PLB amounts no longer displaying in Profit Center output

The Ignored PLB amounts are no longer being displayed in the .csv file of the Profit Center report.

The following issues were fixed in release 13.1.2:

  • Payground: We were incorrectly sending an apostrophe instead of a single quote for air ambulance.

  • Users with the correct permission were getting a system error when trying to adjust the claim's balance.

  • The "Assigned to" drop-down list on the claim header was showing deleted or disabled users.

  • A claim with a facility as the primary payer was invoiced at the full amount. The claim's status changed to "Closed - Balance resolved." The user then posted an additional payment from the secondary payer which resulted in the claim's status changing to "Follow-up - Credit balance." The user wanted the claim to be at the primary facility payer so they used the "Moved to previous payer" button. The resulting claim status incorrectly showed " Queued for submission - Clearinghouse" and was submitted to Waystar. This issue was resolved, now in the same scenario, the claim's status will correctly state "Follow-up - Credit balance."

  • There was an issue with the Review Required > Resolve process when the 835 had a crossover payer loop/segment and the primary payer was the same as the tertiary (different policy/benefit plan) on the claim. This caused the designation on the claim to show incorrectly.

  • Incomplete claims were getting stuck in the Charges tab and could not progress to completion.