============================================================================= Run Date: NOV 16, 2021 Designation: PRCA*4.5*349 Package : PRCA - ACCOUNTS RECEIVABLE Priority: Mandatory Version : 4.5 SEQ #337 Status: Released Compliance Date: DEC 16, 2021 ============================================================================= Associated patches: (v)PRCA*4.5*342<<= must be installed BEFORE `PRCA*4.5*349' (v)PRCA*4.5*359<<= must be installed BEFORE `PRCA*4.5*349' (v)PRCA*4.5*375<<= must be installed BEFORE `PRCA*4.5*349' Subject: MCCF EDI TAS EPAYMENTS BUILD 10/13/14 Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ Below is a list of all the applications involved in this patch along with their patch number: APPLICATION/VERSION PATCH --------------------------------------------------------------- ACCOUNTS RECEIVABLE (PRCA) V. 4.5 PRCA*4.5*349 INTEGRATED BILLING (IB) V. 2.0 IB*2.0*642 The patches (PRCA*4.5*349 and IB*2.0*642) are being released in the Kernel Installation and Distribution System (KIDS) multi-build distribution as PRCA_IB_EPAYMENTS_BUNDLE_6_0.KID. The purpose of this patch is to meet the requirements of the Medical Care Collection Fund (MCCF) Electronic Data Interchange (EDI) Transaction Application Suite (TAS) Phase 1 project as related to Accounts Receivable (PRCA). This project ensures the Department of Veterans Affairs (VA) compliance with Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Operating Rules, and enables VA to more effectively use ERA data, resulting in better revenue and cash flow management. It will provide the infrastructure foundation for electronic exchange of claim payment information and promotes an interoperable system. It will reduce the time elapsed between receipt of the EDI 835 Electronic Remittance Advice Transaction and receipt of the Cash Concentration or Disbursement (CCD+) transactions. It will ensure that trace numbers between payments and remittances can be used by VA, reducing the level of open accounts receivable, allow claim denials to be more quickly addressed, and standardizes Electronic Funds Transfer (EFT) & ERA enrollment to reduce workload burden on VA staff. This patch contains changes to the ePayments (835 and EFT) program area to ensure compliance. Specifically, enhancements to the Veterans Health Information Systems and Technology Architecture (VistA) Third Party EDI Lockbox module to increase timely and accurate processing of payments for electronic claims in compliance with Health Insurance Portability and Accountability Act (HIPAA) and Veterans Health Administration (VHA) Fiscal Accounting policies. The ePayments system is used by Accounts Receivable (AR) staff to process payments from third party payers for both medical and pharmacy claims. The following features of the PRCA software will be affected by this patch. 1. Ability to auto-decrease TRICARE claims with and without payments. New site parameter questions were added to allow TRICARE claims with and without payments to be auto-decreased by the Nightly AR Process. This resulted in changes to the following areas: a) New site parameter questions were added to the EDI Lockbox Parameters [RCDPE EDI LOCKBOX PARAMETERS] option. b) The Auto Parameter History Report [RCDPE AUTO PARAM HIST REPORT] was modified to include changes to TRICARE auto-decrease parameters. c) The EDI Lockbox Parameters Report [RCDPE SITE PARAMETER REPORT] was modified to include TRICARE auto-decrease parameters. d) The EDI Lockbox Exclusion Audit Report [[RCDPE EXCLUSION AUDIT REPORT] was modified to include changes to payer exclusions for TRICARE claims with and without payments. e) The EDI Lockbox Parameters Audit Report [RCDPE PARAMETER AUDIT REPORT] was modified to include changes to site parameters for TRICARE claims with and without payments. f) The Nightly AR Process was modified to auto-decrease TRICARE claims with and without payments that meet site parameter criteria. 2. The amount column on the List of Receipts [RCDP LIST OF RECEIPTS REPORT] report was modified to accurately reflect the amount of the receipts when more than one receipt is created for an ERA. 3. The Review Line [RCDPE APAR EEOB REVIEW] protocol action was removed from the Research menu of actions in the Auto-Post Awaiting Resolution [RCDPE APAR] (APAR) worklist. 4. The worklist header for the ERA Worklist [RCDPE EDI LOCKBOX WORKLIST] (WL) was modified to ensure that the entire payer name/TIN is accurately displayed. 5. The EFT/ERA TRENDING Report [RCDPE EFT-ERA TRENDING REPORT] (ETR) was modified to display a separate section for auto-posted ERAs. 6. A new filter was added to the EFT/ERA TRENDING Report [RCDPE EFT-ERA TRENDING REPORT] (ETR) to allow for the display of only closed claims. 7. A new report, EFT Unlock Lockout Override [RCDPE EFT UNLOCK OVERRIDE REP] was added to the Audit Reports [RCDPE EDI LOCKBOX AUDIT RPRTS] (AUDR) sub-menu of EDI Lockbox (ePayments) Reports Menu [RCDPE EDI LOCKBOX REPORTS MENU]. a) Allows the user to display a list of EFT Lockout overrides including the override comment, override type, user who performed the override and the date the override was performed for a specified date range. 8. The Site Parameter Edit [PRCA SITE PARAMETER] and the EDI Lockbox Parameters Report [RCDPE SITE PARAMETER REPORT] options were modified to allow selection by a specified list of categories, if desired. 9. The Site Parameter Edit [PRCA SITE PARAMETER] option was modified to filter the payer exclusion lists for Auto-Posting and Auto-Decreasing Medical, Pharmacy and TRICARE claims by the type of payer (Medical, Pharmacy or TRICARE). 10. The Search List action in the ERA Worklist [RCDPE EDI LOCKBOX WORKLIST] (WL) was modified such that if a user performed a search on an empty worklist, no error occurred. 11. Look at Receipt [RCDPE EOB WL RECEIPT VIEW] in the ERA Worklist scratchpad was modified to only display the create receipt [RCDPE EOB WORKLIST RECEIPT] action for users who have the RCDPEPP security key. 12. Display of auto-decrease CARCs are now sorted in numerical order by CARC code in the EDI Lockbox Parameters [RCDPE EDI LOCKBOX PARAMETERS] option and the EDI Lockbox Parameters Report [RCDPE SITE PARAMETER REPORT] option. 13. A previous enhancement prevented claims with reject error messages from being audited. This has been amended so that claims with rejects will be allowed to be audited if review has been completed in the Claims Status Awaiting Resolution [IBCE CLAIMS STATUS AWAITING] option. 14. A new filter by rate type has been added to the Audit an Electronic Bill [PRCAA AUDIT] option. When looping through bills one or more rate types may be selected to limit the bills presented for audit. 15. The TPJI "ERA/835" screen was modified to fix a problem with users being kicked out of the system when an EOB contained a RARC code that was not on file. 16. A bug fix was made to allow pharmacy claims that have ECME numbers with less than 12 characters to be correctly identified when receiving a pharmacy 835 Electronic Remittance Advice (ERA) file. 17. Email messages will now be sent to a standard outlook email group, vha835payerinquiry@domain.ext when 835 transmission errors occur. Patch Components ================ Files & Fields Associated: File Name (#) New/Modified/ Sub-file Name (#) Field Name (Number) Deleted ------------------- -------------------------------------- ------------- ELECTRONIC REMITTANCE ADVICE (#344.4) Modified ERA DETAIL (sub-file) (#344.41) Modified CHECKED FOR FIRST PARTY AD (#10.01) Modified RCDPE AUTO-PAY EXCLUSION (#344.6) Modified EXCLUDE TRICARE CLAIM POSTING (#.13) New EXCLUDE TRICARE CLAIM DECREASE (#.14) New TRICARE AUTO-POST COMMENT (#5) New TRICARE AUTO-DECREASE COMMENT (#6) New RCDPE PARAMETER (#344.61) Modified AUTO-POST TRICARE CLAIMS ENBLD (#1.05) New AUTO-DECREASE TRICARE PD ENBLD (#1.06) New AUTO-DECREASE TRICARE AMT DFLT (#1.07) New AUTO-DECREASE TRICARE DYS DFLT (#1.08) New AUTO-DECREASE TRICARE ZRO ENBL (#1.09) New AUTO-DECREASE TRICARE DYS ZERO (#1.1) New EFT LOCKOUT OVERRIDE HISTORY (subfile) (#344.612) New DATE (#.01) New USER (#.02) New PARAMETER (#.03) New TYPE (#.04) New OVERRIDE DAYS (#.05) New RCDPE CARC-RARC AUTO DEC (#344.62) Modified CARC TRICARE W PYMNTS AUTO-DEC (#3.01) New TRICARE W. PAYMENTS DATE ADDED (#3.02) New TRICARE W. PAYMENTS UPDATED BY (#3.03) New TRICARE W. PAYMENTS LAST UPDTD (#3.04) New TRICARE W PYMNTS CARC DEC AMNT (#3.05) New TRICARE WITH PAYMENTS COMMENT (#3.06) New CARC TRICARE AUTO-DECRS NO-PAY (#3.07) New DATE ADDED TRICARE NO-PAY (#3.08) New TRICARE NO-PAY UPDATED BY (#3.09) New TRICARE DATE LAST UPDTD NO-PAY (#3.1) New CARC DECR AMNT TRICARE NO-PAY (#3.11) New COMMENT TRICARE NO-PAY (#3.12) New Bulletins Associated: New/Modified/ Bulletin Name Deleted ------------- ------------- N/A Dialogs Associated: New/Modified/ Dialog Name Deleted ----------- ------------- N/A Forms Associated: New/Modified/ Form Name File Name (Number) Deleted --------- ------------------ ------------- N/A Functions Associated: New/Modified/ Function Name Deleted ------------- ------------- N/A HL Logical Link: New/Modified/ HL Logical Name Deleted --------------- ------------- N/A HL7 Application Parameters: New/Modified/ HL7 Parameter Name Deleted ------------------ ------------- N/A HLO Application Registry: New/Modified/ HLO Registry Name Deleted ----------------- ------------- N/A Help Frames Associated: New/Modified/ Help Frame Name Deleted --------------- ------------- N/A Mail Groups Associated: New/Modified/ Mail Group Name Deleted --------------- ------------- FIRST PARTY COPAY DECREASE Modified Options Associated: New/Modified/ Option Name Type Deleted ----------- ---- ------------- RCDPE 1ST PARTY AUTO VS MAN run routine SEND TO SITE RCDPE AUTO PARAM HIST REPORT run routine ATTACH TO MENU RCDPE AUTO-DECREASE 1ST PARTY run routine ATTACH TO MENU RCDPE AUTO-DECREASE REPORT run routine ATTACH TO MENU RCDPE AUTO-POST RECEIPT REPORT run routine ATTACH TO MENU RCDPE AUTO-POST REPORT run routine ATTACH TO MENU RCDPE EDI LOCKBOX AUDIT RPRTS menu SEND TO SITE RCDPE EEOB MOVE/COPY/RMOVE RPT run routine ATTACH TO MENU RCDPE EFT AUDIT REPORT run routine ATTACH TO MENU RCDPE EFT TRANSACTION AUD REP run routine ATTACH TO MENU RCDPE ERA STATUS CHNG AUD REP run routine ATTACH TO MENU RCDPE EFT UNLOCK OVERRIDE REP run routine SEND TO SITE RCDPE ERA W/PAPER EOB REPORT run routine ATTACH TO MENU RCDPE PAYER EXCLUSION NAME TIN run routine ATTACH TO MENU RCDPE MARKED AUTO-POST REPORT run routine ATTACH TO MENU RCDPE REMOVED ERA AUDIT run routine ATTACH TO MENU Parameter Definitions: New/Modified/ Parameter Name Deleted -------------- ------------- N/A Parameter Template: New/Modified/ Template Name Deleted ------------- ------------- N/A Protocols Associated: New/Modified/ Protocol Name Deleted ------------- ------------- RCDPE APAR EEOB RESEARCH MENU SEND TO SITE RCDPE APAR VIEW/PRINT EOB ATTACH TO MENU RCDPE EOB WL PREVIEW AM MENU SEND TO SITE RCDPE EOB WL RESEARCH EXIT ATTACH TO MENU RCDPE EOB WORKLIST ADMIN COST ADJ ATTACH TO MENU RCDPE EOB WORKLIST BILL COMMENT ATTACH TO MENU RCDPE EOB WORKLIST FULL ACCT PROF ATTACH TO MENU RCDPE EOB WORKLIST REESTABLISH ATTACH TO MENU RCDPE EOB WORKLIST TPJI ATTACH TO MENU Remote Procedures Associated: New/Modified/ Remote Procedure Name Deleted --------------------- ------------- N/A Security Keys Associated: New/Modified/ Security Key Name Deleted ----------------- ------------- N/A Templates, Input Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- RCDPE FIRST PARTY INPUT #342 SEND TO SITE Templates, List Associated: New/Modified/ Template Name Type Deleted ------------- ---- ------------- RCDPE EOB RECEIPT PREVIEW AM List SEND TO SITE RCDPE EOB WORKLIST List SEND TO SITE RCDPE PARAMETERS REPORT List SEND TO SITE Templates, Print Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- N/A Templates, Sort Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- N/A Additional Information: N/A New Service Requests (NSRs) ---------------------------- N/A Patient Safety Issues (PSIs) ----------------------------- N/A Defect Tracking System Ticket(s) & Overview ------------------------------------------- N/A Test Sites: ---------- VA BOSTON HEALTHCARE SYSTEM (Boston,MA) JAMES A. HALEY VETERANS HOSPITAL (Tampa,FL) WILKES-BARRE VAMC (Wilkes-Barre,PA) MIAMI VAMC (Miami,FL) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/PRCA_IB_EPAYMENTS_BUNDLE_6_0.KID Other Software Files: This release also includes other software files. They can be obtained at location: /srv/vista/patches/SOFTWARE or by accessing the URL: https://download.vista.domain.ext/index.html/SOFTWARE Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE Title File Name ------------------------------------------------------------- PRCA*4.5*349 Deployment, PRCA_4_5_P349_DIBR.PDF Installation, Back-Out, and Rollback Guide Accounts Receivable EPAYMENTS_EDI_LOCKBOX_UG.PDF Version 4.5 ePayments User Manual (EDI Lockbox) Accounts Receivable Version 4.5 User Manual - Clerk's AR Menu Part 1 PRCA_4_5_P349_5CLERK1.PDF Accounts Receivable Version PRCA_4_5_P349_TM.PDF 4.5 Technical Manual/Security Guide Patch Installation: ------------------- Pre/Post Installation Overview: ------------------------------- Do not install this patch while the "Accounts Receivable Nightly Process Background Job" [PRCA NIGHTLY PROCESS] is running. To avoid disruptions, this patch should be installed during non-peak hours when there is minimal activity on the system and there are no Accounts Receivable users on the system. Pre-Installation Instructions: ------------------------------ ****************************************************************** * Do _NOT_ install this patch while the "Account Receivable * * Nightly Process Background Job" [PRCA NIGHTLY PROCESS] is * * running. * * * ****************************************************************** This patch may be installed with users on the system although it is *strongly* recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. Installation Instructions: -------------------------- 1. Use the Load a Distribution option contained on the Kernel Installation and Distribution System Menu to load the Host file. When prompted to "Enter a Host File:" enter /srv/vista/patches/SOFTWARE/PRCA_IB_EPAYMENTS_BUNDLE_6_0.KID which contains the following patches: PRCA*4.5*349 IB*2.0*642 2. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name. (ex. PRCA IB EPAYMENTS BUNDLE 6.0) NOTE: Using will not bring up a Multi-Package build even if it was loaded immediately before this step. It will only bring up the last patch in the build. B. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global. ii. At the Select INSTALL NAME prompt, enter "PRCA IB EPAYMENTS BUNDLE 6.0". iii. At the Subject prompt after the subject name, press Enter to accept the default. iv. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Backup Type: B// Press Enter to select Build. v. When prompted to Enter a Host File: Enter the path and name for the hostfile backup file. If you don't specify a directory, the default directory of HFS Primary Directory will be used. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all of the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install. i. When prompted 'Enter the Coordinator for Mail Group 'FIRST PARTY COPAY DECREASE':', enter POSTMASTER. ii. This patch does contain changes to menus that require a menu rebuild. So, when prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//', answer NO if you know your site has a background job that rebuilds menus overnight. Otherwise, answer YES to rebuild the menus now. iii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iv. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO. Post-Installation Instructions: ------------------------------- The post-install routine POST^RCP349 performs the following actions: 1. Populates default values for TRICARE Auto-Post/Decrease parameters. In order to verify the patch post-installation routine was run successfully, please examine the Install File for this patch and report any error messages to Product Support. Back-Out/Roll Back Plan: ------------------------ For a description of how to back-out this patch, please refer to the Deployment, Installation, Back-Out and Rollback Guide listed above (PRCA_4_5_P349_DIBR.PDF). Routine Information: ==================== The second line of each of these routines now looks like: ;;4.5;Accounts Receivable;**[Patch List]**;Mar 20, 1995;Build 42 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PRCAUDT Before: B53661295 After: B64524414 **1,21,57,97,143,107,173,321, 342,349** Routine Name: RCDPEAD Before:B208756015 After:B168464391 **298,304,318,326,332,345,349** Routine Name: RCDPEAD1 Before: B91841985 After: B94268966 **298,318,326,345,349** Routine Name: RCDPEAD2 Before: B18955368 After: B16239175 **326,345,349** Routine Name: RCDPEAD3 Before:B122937852 After:B122937852 **345,349** Routine Name: RCDPEAD4 Before: n/a After: B11107498 **349** Routine Name: RCDPEAP1 Before:B135185048 After:B153584674 **298,304,318,321,326,345,349** Routine Name: RCDPEFA1 Before:B180038453 After:B180038453 **345,349** Routine Name: RCDPEFA2 Before: B59580303 After: B59580303 **345,349** Routine Name: RCDPEFA3 Before:B190509157 After:B193678025 **345,349** Routine Name: RCDPEFA4 Before: B18579183 After: B18579183 **345,349** Routine Name: RCDPEM Before: B76983330 After: B77109765 **173,255,269,276,283,298,304, 318,321,326,345,349** Routine Name: RCDPEM0 Before: B94784656 After: B97022552 **173,208,220,298,304,345,375,349** Routine Name: RCDPEM7 Before:B161364446 After:B165221121 **276,298,303,304,321,326,345,349** Routine Name: RCDPENR1 Before:B223926486 After:B224876580 **304,359,349** Routine Name: RCDPENR2 Before:B255388817 After:B271731143 **304,321,326,349** Routine Name: RCDPENR3 Before:B210652613 After:B238581460 **304,321,326,332,349** Routine Name: RCDPENR4 Before: B70397699 After: B99563058 **304,321,326,349** Routine Name: RCDPEOP Before: n/a After: B55897108 **349** Routine Name: RCDPESP Before:B257307949 After:B262739675 **298,304,318,321,326,332,345,349** Routine Name: RCDPESP1 Before: B95219092 After:B203231667 **298,304,318,321,326,332,345,349** Routine Name: RCDPESP2 Before: B86693783 After:B111530674 **298,304,317,321,326,332,345,349** Routine Name: RCDPESP5 Before:B216533678 After:B114900595 **304,321,326,332,345,349** Routine Name: RCDPESP6 Before: B88001917 After:B150785617 **326,332,345,349** Routine Name: RCDPESP7 Before: B21778993 After:B153640795 **298,304,318,321,326,345,349** Routine Name: RCDPESPA Before: B77085169 After: B87784937 **332,345,349** Routine Name: RCDPESPB Before: B19472177 After: B25428797 **345,349** Routine Name: RCDPESPC Before: n/a After:B175859932 **349** Routine Name: RCDPESR1 Before: B86861399 After: B86733667 **173,214,208,202,271,298,321, 345,349** Routine Name: RCDPESR3 Before: B55602628 After: B55602628 **173,214,208,255,269,283,298, 321,345,349** Routine Name: RCDPEU1 Before:B121893428 After:B167255562 **326,332,349** Routine Name: RCDPEUPO Before: B47349551 After: B51602539 **298,332,349** Routine Name: RCDPEWL Before: B79960126 After: B86543434 **173,208,269,298,317,318,326,349** Routine Name: RCDPEWL4 Before: B67782893 After: B67032618 **173,208,269,298,303,318,326,349** Routine Name: RCDPEWL7 Before:B240834871 After:B242670616 **208,222,269,276,298,304,318, 321,326,332,349** Routine Name: RCDPEWLP Before:B202431640 After:B206156962 **298,303,304,319,332,345,349** Routine Name: RCDPRLIS Before:B143635402 After:B154265037 **114,304,321,332,349** Routine Name: RCP349 Before: n/a After: B2215086 **349** Routine list of preceding patches: 342, 359, 375 ============================================================================= User Information: Entered By : Date Entered : JAN 18, 2019 Completed By: Date Completed: NOV 16, 2021 Released By : Date Released : NOV 16, 2021 ============================================================================= Packman Mail Message: ===================== No routines included