VBA Software March 2017 Release Notes

AUTH SERVICES

  • Added the Auth Type Places section to the Auth Types configuration area.  This allows Auths to be determined by Place of Service (Image 1).

BENEFIT SERVICES

  • Copying a plan will properly copy annual and lifetime max amounts.

CLAIM SERVICES

  • Added new fields to the CLAIMPROCESSDATEUSER table under criteria options for Claim Audits.  The new fields available for selection will allow audits to be performed based on the activity within the VBA Workflow Services area (Image 4).

GROUP SERVICES

  • Added a new message when reenrolling a group asking the user if they wish to only reenroll members that were disenrolled with the group.

PROVIDER SERVICES

  • Modified the functionality of the Alternate Provider list to not ask the user if he would like to synchronize in the situation where nothing has been modified.
  • When the user unchecks Apply Ex Code under Network Configuration, if an Ex Code was selected prior, it will no longer be used.

REINSURANCE SERVICES

  • Deleting a Reinsurance Contract will no longer behave abnormally in some instances.

SECURITY SERVICES

  • Modified User Restrictions to allow for exclusions.  The Restriction – Group, Restriction – Fee Schedule, Restriction – Provider, and Restriction – Network tabs on the User Restriction screen have an option to Exclude (Image 3).

PROCESS AUTOMATION

  • Modified the appearance of Process Automation Template Arguments.  This gives more clarity to the arguments assigned to each Process Automation trigger (Image 2).
  • Added a new Process Automation Trigger – Check Process by Check.  This new trigger will fire for each check within a Claim check run.  This trigger has the following parameters:
    • ach_account_name – For “payment_method” = FWT, this is the account name for who is being paid.
    • ach_account_number – For “payment_method” = FWT, this is the account number for who is being paid.
    • ach_bank_name – For “payment_method” = FWT, this is the bank name for who is being paid.
    • ach_routing_number – For “payment_method” = FWT, this is the routing number for who is being paid.
    • check_account_key – The Account Key on this Check.  This is the internal Account Key value for the source of funds.
    • check_batch – The Check Batch identifier for this Check Run.
    • check_batch_date – The Paid Date for this Check Run.
    • check_batch_description – The Description assigned to the Check Batch for this Check Run.
    • check_claim_count – The total number of claims paid on this Check.
    • check_date – The Check Date value for this check.
    • check_id – The Check ID value for this check.  Check ID is the internal ID used to identify a unique check.
    • check_number – The Check Number value for this check.  This is the number you see on checks, EOBs and reports.
    • check_paid – The Amount Paid on this Check.
    • check_payor_id – The Payor ID on this Check.  This is the internal Payor ID value for the source of funds.
    • check_run_check_count – The total number of checks paid in this Check Run.
    • check_run_claim_count – The total number of claims paid in this Check Run (includes denied claims and $0.00 payable claims).
    • check_run_paid – The total amount paid on all checks in this Check Run.
    • payment_method – This identifies how the Check was paid.  CHK = Check Cut, FWT = Wire Transfer
    • payto_address – The Pay To Address for this Check.  Based on the “send_check_to”, this value holds different names.  G = Group Address, B = Beneficiary Address, S = Subscriber Address, V = Provider Address, P = Payee Address
    • payto_address2 – The Pay To Address2 for this Check.  Based on the “send_check_to”, this value holds different names.  G = Group Address2, B = Beneficiary Address2, S = Subscriber Address2, V = Provider Address2, P = Payee Address2
    • payto_city – The Pay To City for this Check.  Based on the “send_check_to”, this value holds different names.  G = Group City, B = Beneficiary City, S = Subscriber City, V = Provider City, P = Payee City
    • payto_email – The Pay To Email for this Check.  Based on the “send_check_to”, this value holds different names.  G = Group Email, B = Beneficiary Email, S = Subscriber Email, V = Provider Email, P = Payee Email
    • payto_id – The Pay To ID for this Check.  Based on the “send_check_to”, this value holds different IDs.  G = Group_ID, B = Beneficiary_ID, S = Subscriber_ID, V = Provider_ID, P = Payee_ID
    • payto_name – The Pay To Name for this Check.  Based on the “send_check_to”, this value holds different names.  G = Group Name, B = Beneficiary Name, S = Subscriber Name, V = Provider Name, P = Payee Name
    • payto_state – The Pay To State for this Check.  Based on the “send_check_to”, this value holds different names.  G = Group State, B = Beneficiary State, S = Subscriber State, V = Provider State, P = Payee State
    • payto_state_name – The Pay To State Name for this Check.  Based on the “send_check_to”, this value holds different names.  G = Group State Name, B = Beneficiary State Name, S = Subscriber State Name, V = Provider State Name, P = Payee State Name
    • payto_zip – The Pay To Zip Code for this Check.  Based on the “send_check_to”, this value holds different names.  G = Group Zip Code, B = Beneficiary Zip Code, S = Subscriber Zip Code, V = Provider Zip Code, P = Payee Zip Code
    • send_check_to – This is who the check is being sent to.  G = Group, B = Beneficiary, S = Subscriber, V = Provider, P = Payee
    • ReportArg_AccountKey – Account Key for reports in this series.
    • ReportArg_CheckBatch – Check Batch for reports in this series.
    • ReportArg_CheckID – Check ID for reports in this series.
    • ReportArg_PayorID – Payor ID for reports in this series.
    • ReportArg_PayToID – Pay To ID for reports in this series.

    Image 1

    Image 2

    Image 3

    Image 4

Ready to schedule your free demo? Call us now at 1-866-731-1571.

Subscribe to our newsletter