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