Release 8.5
Release date: July 9, 2021
Delegated Entity Features
- New Payer/LOB configuration to support the following:
- Configure a payer for partial or full delegation.
- Send letters to providers.
- Display clinical summary on provider dashboard.
- Customize the return address for letters.
- New Template Management page at the Payer/LOB level to upload delegated entity-related letters.
- New Delegated Entity Dashboard user role that provides access to the Letter Dashboard.
- Letter Dashboard features:
- All letters associated to the treatment plans for Payer/LOBs configured for delegated entity appear on the dashboard.
- Download, edit, and upload letters.
- View the status of letters that were sent via the fulfillment vendor (Mail My Statements).
- Integration with Mail My Statements for letter fulfillment.
- Updated the Complete MO Review and the Approve/Reject Add Drug screens:
- When a treatment plan is declined, the system requires the user to enter notes to support the rejection.
- When a payer is configured for full delegation, the system lets the user make a final determination on a treatment plan (approve or reject).
- On the Medical Office Dashboard, you can generate a custom letter for treatment plans that are associated to a Payer/LOB configured for delegated entity.
Connect Enhancements
- Modified the Display the Reconsideration Timeline on Treatment Plan Summaries.
- Payer Dashboard: Increased the character limit on Add Notes pop-up window.
- Modified Drug Import Processor to use archived tables instead of archived views.
- Updated DrugImportProcessor to dynamically rename views, create materialized views, and drop materialized views.
- Decommissioned the Patient Info Link and associated pages.
- Decommissioned the regimen tagging functionality.
Security Updates
- The Eviti Admin can select a reason an account is activated, inactivated, and re-activated.
- The Eviti Admin can validate the TIN(s) that are associated to an account and indicate why a TIN is deemed valid or invalid.
- Restrict access to treatment plans on the provider dashboard when an account has an invalid TIN.
AIM-Related Enhancement
- Dual Eligibility: Off pathway message 20003 thrown for all Dual TxPlans.
KB Web Enhancements
- Medical Policy Association Issue of policies being removed/unselected when the user attempts to select another policy has been resolved in the rules listed below. Also added a “Show Selected Only” option so you can view the associated policies only.
- Analyzer Only
- BioMarker Override
- Justification Override
- Justification Template Override
- Supportive Care Hide
- Supportive Care Override
- Supportive Drug Exclude
- Regimen Include
- Regimen Exclude
- Updates to Workflow Management Dashboard:
- New Regimen Reason search filter that includes the following options in the drop-down menu. (These are the same reasons that appear in the Create New Regimen, Copy Regimen, and Edit Regimen pop-up window):
- Active/Inactive
- Annual Review
- Change in Guidelines and/or Manufacturer Change
- Change Request
- Other
- Typographical Change
- Changed how regimens and/or evidence appears on WFM to display those regimens that were last modified. Currently, results are displayed according to priority.
- Expanded the character count for the Add Notes option that appears in the Actions dropdown.
- New Regimen Reason search filter that includes the following options in the drop-down menu. (These are the same reasons that appear in the Create New Regimen, Copy Regimen, and Edit Regimen pop-up window):
- The system includes the ability to filter rules on the Medical Policy View tab by rule type:
- Analyzer Only Rule
- BioMarker Rule
- Consensus Group Include Rule
- Diagnosis Override Rule
- Justification Override Rule
- Justification Template Override Rule
- Regimen Exclude Rule
- Regimen Include Rule
- Supportive Care Hide Rule
- Supportive Care Override Rule
- Supportive Care Exclude Rule
- By default, the system does not display the Supportive Care Rules on the Medical Policy View tab when you first access the tab, or when you filter the rules by entity.
- Decommissioned the Medical Advisory Board Report.
Resolved Issues
- KB Web: PIE report not showing Medicare UM Drug Information (#103640).
- Connect: De-dupe messages for TWAD multi-cycle drugs – System Error Detected (#103066).
- Connect: “Peer to Peer Doctor Name Required” incorrectly displayed when saving reviews opened from drafts (#103392).
- Connect: Formulary Redirection Character limit (#103355).