Step | Name | Description |
1 | 835 Process Uploaded File | Processes uploaded 835 files and applies payments, adjustments and transfers |
2 | Create Bed Services | Creates bed services when the Census functionality is being used |
3 | Generate Bundled Services | Bundles services based on specifications in the system |
4 | Update Aid Code In Custom Charges | Links the current Medi-Cal Aid Code to the Charge |
5 | Attach Diagnosis to Show Services | Refreshes the diagnosis on the Billing Diagnosis tab in the Service Note for services that are in a show status |
6 | csp_CalMHSA_job_ApplyDiagnosisToCompletedServices | Custom step for CalMHSA which will insert Service Diagnosis records into completed services created by the upload process that do not already have Service Diagnosis records |
7 | Service Completion | Completes services with no errors and creates the charge for billing |
8 | Set Charge Ready To Bill | Charges will be set to Ready to Bill if there are no errors or warnings |
9 | Reallocation | The reallocation process looks for various changes in the system and reallocates charges accordingly (Ex. Coverage Plan changes) |
10 | Ready To Bill – 2 | Once the reallocation job runs, the Ready to Bill job runs for a second time. Charges with no errors or warnings will be set to Ready to Bill |
11 | Allowed Amount Adjustments | Processes any allowed amount adjustments that have been set up in the Plan details |
12 | Client Fee Adjustments | Processes any Client Fee adjustments based on Client Fee records |
13 | Auto Post Client Payments | Posts client payments that were set to Auto Post when the payments were entered |
14 | Create Custom Timely Filing Warnings | Generates charge errors based on Plan Rules to allow for Delay Reason Code submission |
15 | Create Custom EPSDT Indicator | Generates the EPSDT Indicator in the claim file when applicable |
16 | Fix Open Charges, Unposted Payments and Client Balances | General data validation check process, checks the calculations for these fields |
17 | Create RWQM Work Queue Items | Based on RWQM rules set up, moves items into the RWQM Work Queues |
18 | csp_CalMHSASetCaliforniaBatchServiceListRecordsOverrideError | Custom step CalMHSA created |
19 | Create Batch Services | Creates services that have been imported through the service import process |
20 | Process claims queued in CustomQueuedClaimprocesses | Processes claim batches that have been queued up to process during off peak hours |