The details section of the Appeals & Grievances Analytics report has been updated to include the following information about related claims: Claim Number, Rendering Provider, Billing Provider, Procedure Codes, Diagnosis Codes, CARCs and RARCs.
Contacts can now be added to care types in Referral Manager. This continues the changes that began with the new Member Contacts feature. These change will be used for future system enhancements.
Contacts can now be associated with Members. This information will be used for future system enhancements.
The tracking data section of the Audit Trail report has had the following fields added to those fields that are tracked: “Referral Received Date”, “Supporting Statement Received Date” and “Auth Recorded in MedAccess Date”.
A Reason can now be selected for emails sent from Care Types. The reasons that can be selected are configurable.
The Details tab of the Appeals & Grievances dashboard has had Urgency added to the display and to the Additional Filters.
When a referral is opened, the cost to date and visits to date is checked to see if it needs to be updated. Previously, this would cause an audit trail entry that was incorrectly showing being modified by the adjudicator system. This has been change so that when a referral is opened, if the cost to date or visits to date is updated, then the referral audit history will show “CostVisitsAuto_Recalc” to better indicate why the referral/service record was updated.
The PCP Member Assignment Roster report has had coverage code added to it.
CIM Analytics dashboard has had several changes go live this morning:
In order to work with the minimization behavior of the right rail, the Add/Edit/Delete buttons have been moved to the top of the following sub-tabs within the Member area of Demographic Manager:
