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| 1 | eBilling_Bld22_IB_2_608.zip | TAS eBilling RTM IB_ 2.0_592.xlsx | Wed Dec 20 20:53:54 2017 UTC |
| 2 | eBilling_Bld22_IB_2_608.zip | TAS eBilling RTM IB_ 2.0_592.xlsx | Thu Feb 15 18:20:36 2018 UTC |
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| 1 | SHEET: Cov er | |
| 2 | Department of Vetera ns Affairs , | |
| 3 | ||
| 4 | ||
| 5 | Medical Ca re Collect ion Fund ( MCCF) | |
| 6 | Electronic Data Inte rchange (E DI) | |
| 7 | Transacti on Applica tions Suit e (TAS) | |
| 8 | eBilling B uild 3 and Build 4 | |
| 9 | IB*3.0&4.0 *592 | |
| 10 | ||
| 11 | Requiremen ts Traceab ility Matr ix | |
| 12 | ||
| 13 | ||
| 14 | , | |
| 15 | ||
| 16 | ||
| 17 | ||
| 18 | ||
| 19 | ||
| 20 | ||
| 21 | ||
| 22 | ||
| 23 | ||
| 24 | ||
| 25 | ||
| 26 | ||
| 27 | ||
| 28 | ||
| 29 | December 2 017, | |
| 30 | ||
| 31 | ||
| 32 | Version 3. 0 , | |
| 33 | ||
| 34 | ||
| 35 | ||
| 36 | ||
| 37 | ||
| 38 | ||
| 39 | ||
| 40 | ||
| 41 | SHEET: Rev ision Hist ory | |
| 42 | ||
| 43 | Revision H istory, | |
| 44 | Date,Versi on,Descrip tion,Autho r, | |
| 45 | November 2 017,1.0,In itial Draf t Version for review ,Jane Balc hunas, | |
| 46 | November 2 017,2.0,De leted Sect ion 8 for US2503 and Sections 5.5 throug h 5.9 for US2487, pe r eBiz cha nging the functional ity of Bld s. 3&4 to only send the NPI fo r Dental t ransaction s.,Jane Ba lchunas, | |
| 47 | December 2 017,3.0,Up dated with results o f final bu ild testin g.,Jane Ba lchunas, | |
| 48 | ||
| 49 | ||
| 50 | ||
| 51 | ||
| 52 | ||
| 53 | ||
| 54 | ||
| 55 | ||
| 56 | ||
| 57 | ||
| 58 | ||
| 59 | ||
| 60 | ||
| 61 | ||
| 62 | ||
| 63 | ||
| 64 | ||
| 65 | ||
| 66 | SHEET: RTM | |
| 67 | Bus Req | |
| 68 | Doc,Epic I D,Epic | |
| 69 | Summary,Re q Doc,User | |
| 70 | Story ID,U ser Story Summary,Te stable,Acc ptance Cri teria (for Not Testa ble US),Re lease to b e Implemen ted,Build( s),Test Ca se ID (for Testable US0,Pass/F ail/Not Te sted,Build Last Test ed,Comment s Failed U S- Defect ID Not Tes table Comm ent, Not T ested Comm ent, | |
| 71 | US 14 - TP JI Indicat or (USEB-1 4), | |
| 72 | N/A,US1187 ,Epic - Up date eBill ing functi onality,N/ A,US14 - T PJI Indica tor (USEB- 14),As a s taff membe r at a VA Medical Ce nter (VAMC ) or Conso lidated Pa tient Acco unt Center (CPAC), I want to b e able see a dental claim indi cator with in Third P arty Joint Inquiry ( TPJI) when I view th e Active a nd/or Inac tive list of claim e ntries.,Ye s,N/A,IB*2 .0*592,3&4 ,TC1221 - CIT eBill ing TS9 Va lidate the new ‘Dent al’ claim indicator displays o n the TPJI screen wh en there i s an Activ e Outpatie nt Dental Claim (O/D ). US14,Pa ss,IB*2.0* 592_T10,N/ A, | |
| 73 | N/A,US1187 ,Epic - Up date eBill ing functi onality,N/ A,US14 - T PJI Indica tor (USEB- 14),As a s taff membe r at a VA Medical Ce nter (VAMC ) or Conso lidated Pa tient Acco unt Center (CPAC), I want to b e able see a dental claim indi cator with in Third P arty Joint Inquiry ( TPJI) when I view th e Active a nd/or Inac tive list of claim e ntries.,Ye s,N/A,IB*2 .0*592,3&4 ,TC1222 - CIT eBill ing TS9 TP JI_Dental Indicator US14,Pass, IB*2.0*592 _T10,N/A, | |
| 74 | US 1108/US 131 - Ente r/Edit Den tal Claims , | |
| 75 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC - crea ted for 20 17 eBillin g Maintain Complianc e stories and activi ties,N/A,U S 1108 - E nter/Edit Dental Cla ims US 131 - Create 83 7D Transac tion,US110 8 - As a b illing cle rk at a VA Medical C enter (VAM C) or Cons olidated P atient Acc ount Cente r (CPAC), I need to be able to electroni cally tran smit the d ata for a dental cl aim to the Financial Services Center (FS C) so they can then submit a d ental clai m transact ion compli ant with t he X12n 00 501-X224 H ealth Care claim: De ntal (837) standard to the HCC H for subm ission to third part y payers. | |
| 76 | ||
| 77 | US131 - As a billing clerk at a VA Medic al Center (VAMC) or Consolidat ed Patient Account C enter (CPA C), I need to be abl e to elect ronically transmit t he data fo r a denta l claim to the Finan cial Servi ces Center (FSC) so they can t hen submit a dental claim comp liant with the X12n 00501-X224 Health Ca re claim: Dental (83 7D) standa rd to the HCCH for s ubmission to third p arty payer s.,Yes,N/A ,IB*2.0*59 2,3&4 ,TC1 249 - CIT eBilling T S1 Manual Dental Cla im – Line Level US11 08 and US1 31,Pass,IB *2.0*592_T 10,DE269, DE292, DE2 93, DE336, DE338, DE 350, DE351 , DE359, D E365, DE37 4, DE379, DE381, | |
| 78 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC - crea ted for 20 17 eBillin g Maintain Complianc e stories and activi ties,N/A,U S 1108 - E nter/Edit Dental Cla ims US 131 - Crea te 837D Tr ansaction, US1108 - A s a billin g clerk at a VA Medi cal Center (VAMC) or Consolida ted Patien t Account Center (CP AC), I nee d to be ab le to elec tronically transmit the data f or a dent al claim t o the Fina ncial Serv ices Cente r (FSC) so they can then submi t a dental claim tra nsaction c ompliant w ith the X1 2n 00501-X 224 Health Care clai m: Dental (837) stan dard to th e HCCH for submissio n to third party pay ers. | |
| 79 | ||
| 80 | US131 - As a billing clerk at a VA Medic al Center (VAMC) or Consolidat ed Patient Account C enter (CPA C), I need to be abl e to elect ronically transmit t he data fo r a denta l claim to the Finan cial Servi ces Center (FSC) so they can t hen submit a dental claim comp liant with the X12n 00501-X224 Health Ca re claim: Dental (83 7D) standa rd to the HCCH for s ubmission to third p arty payer s.,Yes,N/A ,IB*2.0*59 2,3&4 ,TC1 250 - CIT eBilling TS2 Manual Dental Cl aim – Clai m Level(1) US1108 an d US131,Pa ss,IB*2.0* 592_T10,DE 295, DE296 , DE357, | |
| 81 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC - crea ted for 20 17 eBillin g Maintain Complianc e stories and activi ties,N/A,U S 1108 - E nter/Edit Dental Cla ims US 131 - Cre ate 837D T ransaction ,US1108 - As a billi ng clerk a t a VA Med ical Cente r (VAMC) o r Consolid ated Patie nt Account Center (C PAC), I ne ed to be a ble to ele ctronicall y transmit the data for a den tal claim to the Fin ancial Ser vices Cent er (FSC) s o they can then subm it a denta l claim tr ansaction compliant with the X 12n 00501- X224 Healt h Care cla im: Dental (837) sta ndard to t he HCCH fo r submissi on to thir d party pa yers. | |
| 82 | ||
| 83 | US131 - As a billing clerk at a VA Medic al Center (VAMC) or Consolidat ed Patient Account C enter (CPA C), I need to be abl e to elect ronically transmit t he data fo r a denta l claim to the Finan cial Servi ces Center (FSC) so they can t hen submit a dental claim comp liant with the X12n 00501-X224 Health Ca re claim: Dental (83 7D) standa rd to the HCCH for s ubmission to third p arty payer s.,Yes,N/A ,IB*2.0*59 2,3&4 ,TC1 251 - CIT eBilling T S4 Fatal E rror Rend/ AsstSurg - US1108 an d US131,Pa ss,IB*2.0* 592_T10,DE 294, | |
| 84 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC - crea ted for 20 17 eBillin g Maintain Complianc e stories and activi ties,N/A,U S 1108 - E nter/Edit Dental Cla ims US 131 - Create 837 D Transact ion,US1108 - As a bi lling cler k at a VA Medical Ce nter (VAMC ) or Conso lidated Pa tient Acco unt Center (CPAC), I need to b e able to electronic ally trans mit the da ta for a dental cla im to the Financial Services C enter (FSC ) so they can then s ubmit a de ntal claim transacti on complia nt with th e X12n 005 01-X224 He alth Care claim: Den tal (837) standard t o the HCCH for submi ssion to t hird party payers. | |
| 85 | ||
| 86 | US131 - As a billing clerk at a VA Medic al Center (VAMC) or Consolidat ed Patient Account C enter (CPA C), I need to be abl e to elect ronically transmit t he data fo r a denta l claim to the Finan cial Servi ces Center (FSC) so they can t hen submit a dental claim comp liant with the X12n 00501-X224 Health Ca re claim: Dental (83 7D) standa rd to the HCCH for s ubmission to third p arty payer s.,Yes,N/A ,IB*2.0*59 2,3&4 ,TC1 257 - CIT eBilling T S3 Manual Dental Cla im – Claim Level(2) US1108 and US131,Pas s,IB*2.0*5 92_T10,DE3 04, DE305, DE314, DE 358, DE363 , DE373, D E380, DE41 1, | |
| 87 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC - crea ted for 20 17 eBillin g Maintain Complianc e stories and activi ties,N/A,U S 1108 - E nter/Edit Dental Cla ims US 131 - C reate 837D Transacti on,US1108 - As a bil ling clerk at a VA M edical Cen ter (VAMC) or Consol idated Pat ient Accou nt Center (CPAC), I need to be able to e lectronica lly transm it the dat a for a d ental clai m to the F inancial S ervices Ce nter (FSC) so they c an then su bmit a den tal claim transactio n complian t with the X12n 0050 1-X224 Hea lth Care c laim: Dent al (837) s tandard to the HCCH for submis sion to th ird party payers. | |
| 88 | ||
| 89 | US131 - As a billing clerk at a VA Medic al Center (VAMC) or Consolidat ed Patient Account C enter (CPA C), I need to be abl e to elect ronically transmit t he data fo r a denta l claim to the Finan cial Servi ces Center (FSC) so they can t hen submit a dental claim comp liant with the X12n 00501-X224 Health Ca re claim: Dental (83 7D) standa rd to the HCCH for s ubmission to third p arty payer s.,Yes,N/A ,IB*2.0*59 2,3&4 ,TC1 258 - CIT eBilling T S5 Medicar e Error fo r Dental U S1108 and US131,Pass ,IB*2.0*59 2_T10,N/A, | |
| 90 | NA,US1168 - EPIC - M aintain eB illing Com pliance,EP IC created for 2017 eBilling M aintain Co mpliance s tories and activitie s,N/A,US 1 108 - Ente r/Edit Den tal Claims | |
| 91 | US 131 - C reate 837D Transacti on | |
| 92 | ,US1108 - As a billi ng clerk a t a VA Med ical Cente r (VAMC) o r Consolid ated Patie nt Account Center (C PAC), I ne ed to be a ble to ele ctronicall y transmit the data for a den tal claim to the Fin ancial Ser vices Cent er (FSC) s o they can then subm it a denta l claim tr ansaction compliant with the X 12n 00501- X224 Healt h Care cla im: Dental (837) sta ndard to t he HCCH fo r submissi on to thir d party pa yers. | |
| 93 | ||
| 94 | US131 - As a billing clerk at a VA Medic al Center (VAMC) or Consolidat ed Patient Account C enter (CPA C), I need to be abl e to elect ronically transmit t he data fo r a denta l claim to the Finan cial Servi ces Center (FSC) so they can t hen submit a dental claim comp liant with the X12n 00501-X224 Health Ca re claim: Dental (83 7D) standa rd to the HCCH for s ubmission to third p arty payer s.,Yes,N/A ,IB*2.0*59 2,3&4 ,TC1 260 - CIT eBilling TS8 Comple te Dental Claim US11 08 and US1 31,Pass,IB *2.0*592_T 10,DE282, DE291, DE3 84, | |
| 95 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC - crea ted for 20 17 eBillin g Maintain Complianc e stories and activi ties,N/A,U S 1108 - E nter/Edit Dental Cla ims US 131 - Create 83 7D Transac tion,US110 8 - As a b illing cle rk at a VA Medical C enter (VAM C) or Cons olidated P atient Acc ount Cente r (CPAC), I need to be able to electroni cally tran smit the d ata for a dental cl aim to the Financial Services Center (FS C) so they can then submit a d ental clai m transact ion compli ant with t he X12n 00 501-X224 H ealth Care claim: De ntal (837) standard to the HCC H for subm ission to third part y payers. | |
| 96 | ||
| 97 | US131 - As a billing clerk at a VA Medic al Center (VAMC) or Consolidat ed Patient Account C enter (CPA C), I need to be abl e to elect ronically transmit t he data fo r a denta l claim to the Finan cial Servi ces Center (FSC) so they can t hen submit a dental claim comp liant with the X12n 00501-X224 Health Ca re claim: Dental (83 7D) standa rd to the HCCH for s ubmission to third p arty payer s.,Yes,N/A ,IB*2.0*59 2,3&4 ,TC1 342 - CIT eBilling TS6 Copy N ew Dental Fields 110 8 and US13 1,Pass,IB* 2.0*592_T1 0,N/A, | |
| 98 | US1109 - C reate Dent al Form/Up date Autob iller, | |
| 99 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US1 109 - Crea te Dental Form/Updat e Autobill er,As a bi lling cler k at a VA Medical Ce nter (VAMC ) or Conso lidated Pa tient Acco unt Center (CPAC), I need the Autobiller to create claims fo r billable dental se rvices usi ng the Ame rican Dent al Associa tion (ADA) claim for m (J430D) for dental appointme nts in Cla ims Tracki ng so that I can acc ess those claims and complete them. I al so want th e ability to prevent the creat ion of J43 0D claims for dental services by both th e Autobill er and man ual entry. ,Yes,N/A,I B*2.0*592, 3&4 ,TC125 9 - CIT eB illing TS7 Dental Cl aim Creati on - AutoB iller US11 09,Pass,IB *2.0*592_T 10,DE316, DE318, | |
| 100 | US2487 - I nsurance C ompany Ent ry/Edit - Dental, | |
| 101 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 487 - Insu rance Comp any Entry/ Edit - Den tal,As a b illing or insurance clerk at a VA Medica l Center ( VAMC) or C onsolidate d Patient Account Ce nter (CPAC ), I want to be able to define , by payer , the prim ary payer ID used by the clear inghouse t o route de ntal claim s to the c orrect pro cessing en tity. I al so want to be able t o assign P rovider ID s that are assigned by Form Ty pe, to the additiona l J430D Fo rm Type an d to defin ed which p rovider ID s are defa ulted/requ ired for t he J430D F orm Type. | |
| 102 | ||
| 103 | I also wan t to be ab le to defi ne an insu rance comp any mailin g address for Dental claims. I f there is no dental specific mailing ad dress, the n I want t he softwar e to use t he Main Ma iling Addr ess.,Yes,N /A,IB*2.0* 592,3&4 ,T C1346 - CI T eBilling TS10 Insu rance Co E ditor (1) US2487,Pas s,IB*2.0*5 92_T10,N/A , | |
| 104 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 487 - Insu rance Comp any Entry/ Edit - Den tal,As a b illing or insurance clerk at a VA Medica l Center ( VAMC) or C onsolidate d Patient Account Ce nter (CPAC ), I want to be able to define , by payer , the prim ary payer ID used by the clear inghouse t o route de ntal claim s to the c orrect pro cessing en tity. I al so want to be able t o assign P rovider ID s that are assigned by Form Ty pe, to the additiona l J430D Fo rm Type an d to defin ed which p rovider ID s are defa ulted/requ ired for t he J430D F orm Type. | |
| 105 | ||
| 106 | I also wan t to be ab le to defi ne an insu rance comp any mailin g address for Dental claims. I f there is no dental specific mailing ad dress, the n I want t he softwar e to use t he Main Ma iling Addr ess.,Yes,N /A,IB*2.0* 592,3&4 ,T C1349 - CI T eBilling TS11 Insu rance Co E ditor (2) US2487,Pas s,IB*2.0*5 92_T10,N/A , | |
| 107 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 487 - Insu rance Comp any Entry/ Edit - Den tal,As a b illing or insurance clerk at a VA Medica l Center ( VAMC) or C onsolidate d Patient Account Ce nter (CPAC ), I want to be able to define , by payer , the prim ary payer ID used by the clear inghouse t o route de ntal claim s to the c orrect pro cessing en tity. I al so want to be able t o assign P rovider ID s that are assigned by Form Ty pe, to the additiona l J430D Fo rm Type an d to defin ed which p rovider ID s are defa ulted/requ ired for t he J430D F orm Type. | |
| 108 | ||
| 109 | I also wan t to be ab le to defi ne an insu rance comp any mailin g address for Dental claims. I f there is no dental specific mailing ad dress, the n I want t he softwar e to use t he Main Ma iling Addr ess.,Yes,N /A,IB*2.0* 592,3&4 ,T C1350 - CI T eBilling TS12 Dent al Payer I D/Dental U S2487,Pass ,IB*2.0*59 2_T10,DE41 2, | |
| 110 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 487 - Insu rance Comp any Entry/ Edit - Den tal,As a b illing or insurance clerk at a VA Medica l Center ( VAMC) or C onsolidate d Patient Account Ce nter (CPAC ), I want to be able to define , by payer , the prim ary payer ID used by the clear inghouse t o route de ntal claim s to the c orrect pro cessing en tity. I al so want to be able t o assign P rovider ID s that are assigned by Form Ty pe, to the additiona l J430D Fo rm Type an d to defin ed which p rovider ID s are defa ulted/requ ired for t he J430D F orm Type. | |
| 111 | ||
| 112 | I also wan t to be ab le to defi ne an insu rance comp any mailin g address for Dental claims. I f there is no dental specific mailing ad dress, the n I want t he softwar e to use t he Main Ma iling Addr ess.,Yes,N /A,IB*2.0* 592,3&4 ,T C1351 - CI T eBilling TS13 No D ental Paye r ID/No De ntal Addre ss US2487, Pass,IB*2. 0*592_T10, DE319, DE3 20, | |
| 113 | US2488 - U pdate Repo rts - Form Type J430 D, | |
| 114 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 488 - Upda te Reports - Form Ty pe J430D,A s a member of the bi lling staf f at a VA Medical Ce nter (VAMC ) or Conso lidated Pa tient Acco unt Center (CPAC), I want to b e able to see the ad ditional F orm Type, J430D, on Integrated Billing r eports. I also want to be able to specif y the Form Type of J 430D when an option or report uses the F orm Type a s search c riteria.,Y es,N/A,IB* 2.0*592,3& 4 ,TS21 - TC1621 - CIT eBilli ng TS21 ED I Claim St atus Repor t_Dental U S2488,Pass ,IB*2.0*59 2_T10,N/A, | |
| 115 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 488 - Upda te Reports - Form Ty pe J430D,A s a member of the bi lling staf f at a VA Medical Ce nter (VAMC ) or Conso lidated Pa tient Acco unt Center (CPAC), I want to b e able to see the ad ditional F orm Type, J430D, on Integrated Billing r eports. I also want to be able to specif y the Form Type of J 430D when an option or report uses the F orm Type a s search c riteria.,Y es,N/A,IB* 2.0*592,3& 4 ,TC1622 - CIT eBil ling TS22 RCB - View /Resubmit Claims_Den tal US2488 ,Pass,IB*2 .0*592_T10 ,N/A, | |
| 116 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 488 - Upda te Reports - Form Ty pe J430D,A s a member of the bi lling staf f at a VA Medical Ce nter (VAMC ) or Conso lidated Pa tient Acco unt Center (CPAC), I want to b e able to see the ad ditional F orm Type, J430D, on Integrated Billing r eports. I also want to be able to specif y the Form Type of J 430D when an option or report uses the F orm Type a s search c riteria.,Y es,N/A,IB* 2.0*592,3& 4 ,TC1623 - CIT eBil ling TS23 RCB - REX – Ready fo r Extract Report_Den tal US2488 ,Pass,IB*2 .0*592_T10 ,N/A, | |
| 117 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 488 - Upda te Reports - Form Ty pe J430D,A s a member of the bi lling staf f at a VA Medical Ce nter (VAMC ) or Conso lidated Pa tient Acco unt Center (CPAC), I want to b e able to see the ad ditional F orm Type, J430D, on Integrated Billing r eports. I also want to be able to specif y the Form Type of J 430D when an option or report uses the F orm Type a s search c riteria.,Y es,N/A,IB* 2.0*592,3& 4 ,TC1624 - CIT eBil ling TS24 RCB - VPE - View/Pri nt EDI Bil l Extract Data_Denta l US2488,P ass,IB*2.0 *592_T10,N /A, | |
| 118 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 488 - Upda te Reports - Form Ty pe J430D,A s a member of the bi lling staf f at a VA Medical Ce nter (VAMC ) or Conso lidated Pa tient Acco unt Center (CPAC), I want to b e able to see the ad ditional F orm Type, J430D, on Integrated Billing r eports. I also want to be able to specif y the Form Type of J 430D when an option or report uses the F orm Type a s search c riteria.,Y es,N/A,IB* 2.0*592,3& 4 ,TC1626 - CIT eBil ling TS26 - HCCH Pay er ID Repo rt US2488, Pass,IB*2. 0*592_T10, DE383, | |
| 119 | US2489 - S ystem Erro rs - MRW_C SA, | |
| 120 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 489 - Syst em Errors - MRW_CSA, Fixing Pre -existing defects.,Y es,N/A,IB* 2.0*592,3& 4 ,TC1618 - CIT eBil ling TS18 MRW - Prin t MRA US24 89,Pass,IB *2.0*592_T 10,N/A, | |
| 121 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US2 489 - Syst em Errors - MRW_CSA, Fixing Pre -existing defects.,Y es,N/A,IB* 2.0*592,3& 4 ,TC1619 - CIT eBil ling TS19 CSA - Prin t EOB/MRA US2489,Pas s,IB*2.0*5 92_T10,N/A , | |
| 122 | US3528 - P rovider ID Maintenan ce_Dental_ Removal , | |
| 123 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS14 – Re gression I nsurance C o ID Defau lt,Pass,IB *2.0*592_T 10,N/A, | |
| 124 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS15 – Re gression I ns Co ID P arameters, Pass,IB*2. 0*592_T10, N/A, | |
| 125 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS16 – Re gression B illing Pro vider Seco ndary IDs, Pass,IB*2. 0*592_T10, N/A, | |
| 126 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS17 – Re gression A dditional Billing Pr ovider Sec ondary IDs ,Pass,IB*2 .0*592_T10 ,N/A, | |
| 127 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS34 – Re gression I ns Co VA L ab/Facilit iy ID,Pass ,IB*2.0*59 2_T10,N/A, | |
| 128 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS27 – Re gression V A Provider ’s Own IDs ,Pass,IB*2 .0*592_T10 ,DE418, | |
| 129 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS28 – Re gression V A Provider ’s Insuran ce IDs,Pas s,IB*2.0*5 92_T10,N/A , | |
| 130 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS29 – Re gression C are Units, Pass,IB*2. 0*592_T10, N/A, | |
| 131 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS30 – Re gression N on-VA Prov ider’s Own IDs,Pass, IB*2.0*592 _T10,N/A, | |
| 132 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS31 – Re gression N on-VA Prov ider’s Ins IDs,Pass, IB*2.0*592 _T10,N/A, | |
| 133 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS32 – Re gression N on-VA Faci lity’s Own IDs,Pass, IB*2.0*592 _T10,N/A, | |
| 134 | N/A,US1168 - EPIC - Maintain e Billing Co mpliance,E PIC create d for 2017 eBilling Maintain C ompliance stories an d activiti es,N/A,US3 528 - Prov ider ID Ma intenance_ Dental_Rem oval ,As a member of the eBill ing Team, I have det ermined du ring User Acceptance Testing ( UAT) that I no longe r want to be able to define ei ther human or facili ty Seconda ry Provide r IDs to b e used on Dental cla im. ,Yes ,N/A,IB*2. 0*592,3&4 ,TS33 – Re gression N on-VA Faci lity’s Ins IDs,Pass, IB*2.0*592 _T10,N/A, | |
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