Permissions for actions allow users to perform the actions of an element in a Connect application.

You can grant rights to the element by granting permissions to the actions users are allowed to perform within that element. Some actions are implicitly granted to a role and therefore cannot be given or denied. The rights to these actions are implied and automatically granted to the role. For example, the Create action is not available for Account because an account is automatically created when a user creates a case.

The following actions are available for all elements:

Action

Description

View

This right is the most restrictive settings as it only permits users assigned to the role access to the element in view mode. The users assigned to the role can only view information and are not allowed to perform any editing functions.

Create

This right permits the users assigned to the role to create entities in the Connect application related to the element.

For example, permissions granted for the Create action to the Charge Batches element in Connect Back Office allows users to create charge batches.

Permissions granted for the View action for a report in Portal allows users to access and run a report. Permissions granted for the Create action for a report allows users to save reports with configured filter criteria for future reuse.

Update

This right permits the users assigned to the role to modify entities in the Connect application related to the element.

For example, permissions granted for the Update action to the Payments element in Back Office allows users to modify payment information.

Delete

This right permits the users assigned to the role to delete entities in the Connect application related to the element.

For example, permissions granted for the Delete action to the Payment Batches element in Back Office allows users to delete payment batches.

If an action (View, Create, Update, Delete) is selected for a role being defined, the listed permissions for the element are enabled.

Tab

Elements

View 

Create

Update

Delete 

Administration





Account Status
  • Select Account Status from Home page
  • Select Account Status from Admin menu 
  • Select different items in the Account Status table 
  • Close button enabled
  • Create button enabled
  • Update Associated Practices
  • Select All/None button enabled
  • Delete button enabled

Actions & Action Series
  • View information on Actions and Action Series form
  • All filters and Show Inactive checkbox enabled
  • Update button enabled
  • Create button enabled
  • Creation of new Actions & Action Series
  • Modify all existing fields on Update form
  • Remove series action on Update form
  • Delete button enabled

Adjustment Codes
  • Select Adjustment Codes from Home page
  • Select Adjustment Codes from Admin menu
  • Close button enabled
  • Create button enabled
  • Modify the Active flag within the Adjustment Code table
Not applicable

Case Error Rules
  • Select Case Error Check from Home page
  • Select Case Error Check from Admin menu
  • Close button enabled
  • Creation of custom rules & rule definitions.
  • Update button enabled
Not applicable

Case Hold Reasons
  • Select Case Hold Reasons from Home page
  • Select Case Hold Reasons from Admin menu
  • Close button enabled
  • Create button enabled
  • Select values in the Associated Practices section
  • Select All/None button enabled
  • Delete button enabled

Case Reporting Types
  • Select Case Reporting Types from Home page
  • Select Case Reporting Types from Admin menu
  • Close button enabled
  • Create button enabled

  • Update button enabled
  • Modify Name and save change
  • Delete button enabled

Claim Holds
  • Select Claim Holds from Home page
  • Select Claim Holds from Admin menu
  • Close button enabled
  • Create button enabled

  • Update button enabled
  • Process updates on existing Claim Holds
  • Delete button enabled

Code Mappings
  • Select Code Mappings from Home page
  • Select Code Mappings from Admin menu
  • Modify the Code Year field
  • Check/uncheck the Show System Code Mappings checkbox
  • Create button enabled
Not applicable
  • Delete button enabled

Collection Letters
  • Select Collection Letters from Home page
  • Select Collection Letters from Admin menu 
  • Close button enabled on the Collection Letters Admin and Collection Letter pages
  • Print Preview button enabled on the Collection Letter page
  • Update button enabled:
    • View collection letter layout, but not make changes to Letter text or Available data fields sections
    • Modify the Language field
  • Create button enabled on the Collection Letters Admin page
  • Modify all areas of the Collection Letter page, including: 
    • Name 
    • Language 
    • Letter text section
    • Available data fields section
  • Save and Apply buttons enabled
  • Delete button enabled

Collections - Collector Groups
  • Access Collector Groups tab from Admin > Collections page
  • Create button enabled to create Collector Groups
  • Update button enabled
  • Modify associated collectors
  • Select All/None button enabled
  • Delete button enabled to delete Collector Groups

Collections - Denial
  • Access Denial Connections tab from Admin > Collections page
  • Filters on Denial Assignment form enabled
  • Create button enabled to create Denial Groups
  • Update groups on Denial Groups form
  • Add and remove associated denial codes
  • Associate practices to groups
  • Add, Update, and Remove denial assignment rules
  • Delete button enabled to delete Denial Code Groups

Collections - Enterprise
  • Access Admin > Collections page
Not applicable
  • Configure Enterprise Guarantor Collections rules on primary Guarantor Collections tab
  • Configure Enterprise Insurance Collections rules on primary Insurance Collections tab
Not applicable

Collections - External
  • Access External Collections tab from Admin > Collections page
  • Select practices on the External Collections tab
Not applicable
  • Modify all fields on the External Collections tab
Not applicable

Collections - Guarantor
  • Access Guarantor Collections tab from Admin > Collections page
  • Select and update practices
  • View information on Task Generation andTask Assignmentforms for selected practice
  • Enable Guarantor Collections checkbox enabled
  • Update task generation rules
  • Update general task assignment rules
  • Add, Update, and Remove task assignment rules
Not applicable

Collections - Insurance
  • Access Insurance Collections tab from Admin > Collections page
  • Select and update practices
  • View information on Task Generation and Task Assignment forms for selected practice
  • Enable Insurance Collections checkbox enabled
  • Update task generation rules
  • Update general task assignment rules
  • Add, Update, and Remove task assignment rules
Not applicable

Collections - Pre-Collections
  • Access External Collections tab from Admin > Collections page
  • Select practices on the Pre-Collections tab
Not applicable
  • Modify all fields on the Pre-Collections tab
Not applicable

Concurrency Schemes
  • Select Concurrency Schemes from Home page
  • Select Concurrency Schemes from Admin menu 
  • Close button enabled on the Concurrency Schemes and Concurrency Scheme pages 
  • Update button enabled:
    • View all information on the General Concurrency Scheme Information, Excluded Procedure Codes, and Physical Status Modifiers tabs
  • Create button enabled
  • Clone button enabled
  • Modify the Default setting on the Concurrency Schemes page
  • Modify all areas for the Concurrency Scheme, this includes all information on the following: 
    • General Concurrency Scheme Information tab
    • Excluded Procedure Codes tab 
    • Physical Status Modifiers tab
  • Delete button enabled on the Excluded Procedure Codes tab
  • Save and Apply buttons enabled
  • Delete button enabled

Custom Fields
  • Select Custom Fields from Home page
  • Select Custom Fields from Admin menu 
  • Select Custom Fields in the Custom Fields tab
  • Close button enabled
  • Create button enabled
  • Update button enabled
  • Modify the Custom Field Description
  • Select values in the Associated Practices section
  • Select All/None button enabled
  • Delete button enabled

Denial Management
  • Select Custom Fields from Home page
  • Select Custom Fields from Admin menu 
  • Select Custom Fields in the Custom Fields tab
  • Close button enabled
  • Create button enabled
  • Modify denial code settings
  • Modify Group and Reason Code fields on the Denial Code window
  • Add and Delete buttons enabled on the Denial Code window
  • Delete button enabled

EDC Interface Configurations
  • Select EDC Interface Configurations from Home page
  • Select EDC Interface Configurations from Admin menu 
  • Close button enabled
  • Update button enabled:
    • Modify the Mapping Element field
    • All other items/tables disabled
  • Create button enabled
  • Modify Configuration Name field
  • Modify Batch Cases by radio buttons
  • Modify the Excluded flag on the mapping table
  • Create and Delete buttons enabled on the mapping table
  • Save and Apply buttons enabled
  • Delete button enabled

Eligibility - Excluded Payers
  • Access Eligibility / Excluded Payers tab from Home page
  • Access Eligibility / Excluded Payers tab from Admin menu 
  • Close button enabled
  • Create button enabled on Eligibility > Excluded Payers tab

Not applicable

  • Delete button enabled on Eligibility > Excluded Payers tab

Eligibility - Payer Mappings
  • Select Eligibility from Home page
  • Select Eligibility from Admin menu 
  • Close button enabled
  • Create button enabled on Eligibility > Payer Mappings tab
  • Update button enabled
  • Modify TriZetto Payer ID/Name fields
  • Save and Cancel buttons enabled on the mapping table
  • Delete button enabled on Eligibility > Payer Mappings tab

External Collection Agencies
  • Select External Collections from Home page
  • Select External Collections from Admin menu 
  • Close button enabled
  • Update button enabled:
    • View all items on the External Collection Agency page, but not update
  • Create button enabled
  • Modify all information on existing External Collection Agencies
  • Save and Apply buttons enabled
  • Delete button enabled

Facilities
  • Select Facilities from Home page
  • Select Facilities from Admin menu 
  • Close button enabled on Facilities and Facility pages
  • Update button enabled:
    • View-only access to the following Facility tabs:
      • General Facility Information tab
      • Affiliated Providers tab
      • Facility NPI Numbers tab
  • Create button enabled
  • Modify the following:
    • Facility Name and Address fields
    • Identification section
    • Practice Affiliations section
    • Place of Service Types section
    • Select All/None buttons enabled
    • All fields on Affiliated Providers and Facility NPI Numbers tabs
  • Save and Apply buttons enabled
  • Delete button enabled

Fee Schedules
  • Select Fee Schedules from Home page
  • Select Fee Schedules from Admin menu 
  • Close button enabled on Fee Schedules and Fee Schedule: [ID] pages
  • Update button enabled:
    • View-only access to all tabs
  • Create button enabled
  • Modify all information for the fee schedule
  • Delete button enabled

Financial Classes
  • Select Financial Classes from Home page
  • Select Financial Classes from Admin menu 
  • Close button enabled
  • Select Financial Classes in the table
  • Create button enabled
  • Update button enabled
  • Modify the Financial Class Name and Description
  • Delete button enabled

Mobile
  • Select Mobile from Home page
  • Select Mobile from Admin menu 
  • Close button enabled
  • Modify the Practice field
  • Create button enabled for Image Upload
  • Enable Connect Mobile Assistant checkbox enabled
  • Modify Visible and Required checkboxes
  • Save and Apply buttons enabled
  • Delete button enabled for Image Upload

Payers & Plans
  • Select Outcomes from Home page
  • Select Outcomes from Admin menu 
  • Filters fields enabled
  • Expand All and Collapse All buttons enabled
  • Update button enabled
  • Close button enabled
  • On Payer page:
    • Select plans in Linked Plan table on the General tab
    • Update button enabled on the General tab 
    • Modify Practice field on Provider IDs tab
    • View-only access to all remaining fields on all tabs
    • Close button enabled
  • On Plan page:
    • Modify Practice field on the Provider IDs tab
    • View-only access to all remaining fields on all tabs
    • Close button enabled
  • Create Payer button enabled
  • Create Plan button enabled
  • Clone button enabled
  • Create button enabled on the Payer page / General tab
  • Copy Paper Claim Settings button enabled
  • Save and Apply buttons enabled on the Payer and Plan pages
  • Delete button enabled

Practices
  • Select Practices from Home page
  • Select Practices from Admin menu 
  • Close button enabled on Practices and Practice: [name] pages
  • Update button enabled:
    • View-only access to all tabs
  • Create button enabled
  • Modify all tabs and information for the practice
  • Delete button enabled

Procedure Categories
  • Select Procedure Categories from Home page
  • Select Procedure Categories from Admin menu
  • Close button enabled
  • Create button enabled
  • Update button enabled
  • Modify the Procedure Category page
  • Delete button enabled

Procedure Codes
  • Select Procedure Codes from Home page
  • Select Procedure Codes from Admin menu 
  • Close button enabled
  • Search button enabled
  • Filters fields enabled
  • Modify Show System Procedure Codes checkbox
  • Create button enabled
  • Update button enabled
  • Modify the Procedure Codes window
Not applicable

Providers
  • Select Providers from Home page
  • Select Providers from Admin menu 
  • Close button enabled
  • View Attachment button enabled
  • Filters fields enabled
  • Update button enabled:
    • View-only access to Provider page
    • Close button enabled
  • Create button enabled
  • Modify all fields on the Provider page
  • Save and Apply buttons enabled
  • Delete button enabled

Pseudo Code Mappings
  • Select Pseudo Code Mappings from Home page
  • Select Pseudo Code Mappings from Admin menu
  • Close button enabled
  • Create button enabled
  • Update button enabled
Not applicable

Quality - AQI Reports
  • Select Quality from Home page (and then AQI Reports tab)
  • Select Quality from Admin menu (and then AQI Reports tab)
  • Close button enabled
  • Export button enabled
Not applicableNot applicable

Quality - Outcomes/Outcome Groups
  • Select Quality from Home page (and then Outcomes/Outcome Groups tabs)
  • Select Quality from Admin menu (and then Outcomes/Outcome Groups tabs)
  • Close button enabled
  • Filters fields enabled
  • Modify Show System Outcomes and Show Inactive checkboxes
  • Create button enabled
  • Update button enabled
  • Delete button enabled

Report Permissions
  • Select Report Permissions from Home page
  • Select Report Permissions from Admin menu
  • Close button enabled
  • Modify and select folders in the Folders section
  • Create button enabled
  • Modify values in the Permissions section
  • Delete button enabled

Rooms

For any non-Admin user with Rooms permissions, be sure to also give him/her View permissions for Facilities in order to properly use the Rooms functionality.

  • Select Rooms from Home page
  • Select Rooms from Admin menu 
  • Select different items in the Rooms table 
  • Close button enabled
  • Create button enabled
  • Update button enabled
  • Associated/disassociate rooms with facilities in the Associated Facilities table
  • Delete button enabled

Statement Override Messages
  • Select Statement Override Messages from Home page
  • Select Statement Override Messages from Admin menu
  • Close button enabled
  • Select items in the Message Name section
  • Modify the Statement Language field
  • Create button enabled
  • Clone button enabled
  • Rename button enabled
  • Select All/None button enabled
  • Apply button enabled
  • Modify the Override Message field
  • Modify values in the Associated Practices section
  • Delete button enabled
Security





Access Restrictions
  • Select Access Restrictions from Home page
  • Select Access Restrictions from Security menu
  • Close button enabled
  • Create button enabled
  • Modify the Enable Access Restrictions checkbox
  • Update button enabled
  • Delete button enabled

Password Policy
  • Select Password Policy from Home page
  • Select Password Policy from Security menu
  • Close button enabled
Not applicable
  • Modify all fields on the Password Policy page
  • Save and Apply buttons enabled
Not applicable

Roles
  • Select Roles from Home page
  • Select Roles from Security menu
  • Close button enabled on Roles and Role pages
  • Update button enabled:
    • View-only access to Rights section
    • View-only access to Reports section
  • Create button enabled
  • Clone button enabled
  • Modify all fields on the Role page
  • Save and Apply buttons enabled
  • Delete button enabled

Session History
  • Select Session History from Home page
  • Select Session History from Security menu
  • Close button enabled
Not applicableNot applicableNot applicable

Sessions
  • Select Sessions from Home page
  • Select Sessions from Security menu
  • Close button enabled
  • Refresh Data button enabled
Not applicableNot applicable
  • End Session button enabled

Users
  • Select Users from Home page
  • Select Users from Security menu
  • Close button enabled on Users and User pages
  • Update button enabled:
    • View-only access to User page
  • Create button enabled
  • Reset Password button enabled
  • Unlock button enabled
  • Modify all fields on the User page
  • Save and Apply buttons enabled
Not applicable
  • No labels