Summary

Release Announcement

This release of eRAD RIS 4.2024.044 updates Insurance Eligibility to provide more accurate eligibility response calculations.

New Features

This release introduces the following features and enhancements:

Category

Redmine #

Subject

Description

Insurance Eligibility

35124

Include Out Of Network values in JSON

This enhancement to Insurance Eligibility updates JSON encoding to include financials for out-of-network values, necessary for calculating the patient financial responsibility amount.

Refer to the Feature Details section below for configuration and usage information.

Resolved Issues

This release resolves the following issues:

Category

Redmine #

Subject

Insurance Eligibility

34972

Resolved Insurance Eligibility issue that caused the 271 eligibility response to return a parsing error.

Insurance Eligibility

35080

Resolved Insurance Eligibility issue where the 271 eligibility response returned the premium end date rather than the plan end date as expected.

Insurance Eligibility

35179

Resolved Insurance Eligibility issue where the 271 eligibility response for expired plans returned an error rather than an inactive message alert.

Insurance Eligibility

35233

Resolved Insurance Eligibility issue where the transformation from 271 to JSON format was not correctly parsed for some carriers.

Sorted by Category and Redmine