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#4052 Unable to Properly Settle Multi-Code 3rd Party Claims

RELEASE_12_1
open-accepted
Hagir
None
5
2015-08-24
2015-08-10
Sara Bond
No

OSCAR build date: Jun 17, 2015 11:48:39 AM
OSCAR build tag: 12.1.2.68general515

Client browser: Firefox 31 ESR
Client OS: Windows
Preconditions:

  1. System must have 3 or more "Private Codes" available for billing

Steps to reproduce:

  1. Click to create an invoice for a demographic
  2. Change the bill type drop-down to "3rd Party"
  3. Select 3 or more private codes to be billed
  4. Click "Next"
  5. On final summary screen, click to "Save and Print Invoice" as if the patient was not immediately paying
  6. Close the Invoice Window and go to the Master File of the demographic with outstanding claim
  7. Click "Billing History"
  8. Click "Edit"
  9. Change the Billing Status from "Bill Patient" to "Settled", and click "Submit"
  10. Click the "Admin" tab
  11. Click "Invoice Reports"
  12. Select "Bill Patient" only from the top-left checkboxes
  13. Select "From" today "To" today
  14. Select "All"
  15. Click "Create Report"
  16. Notice the full amount has been paid to the first code in the claim, with following codes showing unpaid.

Expected Result:

  1. Expected Result is that each item in the claim be paid in full if the user chose to settle the claim.

Observed:

  1. The total amount is shown in the "PAID" column of the first code only, with the extra amount showing in the "ADJ" column. Following codes are showing "$0" in the PAID column.

Other details:

  1. For physicians who bill a lot of private procedures (Plastic Surgeon, Dermatologist etc.), this causes a lot of confusion on their outstanding amounts and accounts receivable.
  2. Screen shot is attached to show the outcome of settling a 3-item private bill.
1 Attachments

Discussion

  • SBek

    SBek - 2015-08-24

    Replicated in R12_1.

    In Master/ Beta I can see more issues with this workflow.

    1. When change the status to "Settled" on billingONCorrection page, save and re-open billingONCorrection screen, received 500 error similar to bug [#3990].
    2. Paid amount displays '0.00' in Invoice Reports.
     

    Related

    Bugs: #3990


    Last edit: SBek 2015-08-24
  • SBek

    SBek - 2015-08-24
    • status: open --> open-accepted
     
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