PH Tech CIM changelog
PH Tech CIM changelog
cim.phtech.com

Analytics: Quality Metrics Updates

 

New

  

Several Quality Metrics updates have been implemented:

  • All 2023 metrics have been added.
  • All 2020 metrics have been removed since we only support 3 measure years.
  • Race and Ethnicity stratification measures for 2022 have been removed. Enhancements will be released in the future to add REALD analytics for all measures.

Claim Email: Empty Confirmation Screen

 

Update

  

After sending a claim email, a confirmation screen would appear with only a title indicating “Email Sent”. Now, after successfully sending an email, the window will close and a notification will appear at the bottom of screen indicating that the email was sent successfully and that the email will attach as a claim note for future reference.

Referral Manager: Referral Mailings

 

Update

  

Referral Mailings opened from the menu in Referral Manager now have the ability to be configured by Carrier and Care Type. If this is not configured, then nothing will be different and all mailings will display as the same as they do now.

Demographic Manager: Added Change Log Entries for Additional Information Changes

 

New

  

In Demographic Manager, adding, editing or deleting additional information for a member now requires entering a change note. That change note will be a part of the change log.

Referral Manager: Add DMAP Lookup Support

 

New

  

Referrals that are for eligibilities on an Oregon Medicaid benefit plan now have the ability to go straight to the Prioritized Line Lookup tool with the diagnosis codes pre-filled.

MMC Notes: Ability to Add Attachments

 

New

  

Attachments are able to be added to MMC notes now.

Member Mailings: Ability to Configure CCs

 

Update

  

Member Mailings now supports the ability to configure additional copies of a referral letter to be generated.

Contacts: Address Field Changes

 

New

  

A new Address form field has been added. The form has City, State, and Zip that can be populated from the Address field. Validation of the City, State, and Zip happens while saving.

Demographic Manager: Add Alternate ID

 

New

  

Alternate ID has been added to the following locations in demographic manager: search results, eligibility list, additional data.

Analytics: Appeals & Grievances Dashboard Updates

 

New

  

The Appeals & Grievances dashboard has been update with the following changes:

  1. Cases by Care Type has been updated to Cases by Category
  2. Cases by Category separates out care types by status category.
  3. Cases by Urgency has been added to the Overview and to Open Cases.
  4. Added a Providers tab that provides insight into referring and delivering provider appeals & grievance information.
  5. Added a REALD tab that provides insight into cases received and time to resolve based on race, ethnicity, language and disability (REALD) data.