Highlights
New features
New: Down-Coding Report Now Available
ISL-8415: We have added a new Down-Coding Report to the Reports portal, providing practices with greater visibility into claims where billed procedure codes were adjusted to lower-level codes by the payer. The report summarizes down-coded claims by Provider, Procedure, Payer, CARC Code, and Remark Code, allowing users to quickly identify trends and measure the financial impact of down-coding.
The report includes both a Summary view for high-level analysis and an Advanced Search that enables users to filter, group, and drill down to individual claims to review the original and adjusted procedure codes.
Value Add: Identify recurring down-coding trends, quantify lost revenue, and uncover opportunities to improve coding accuracy, strengthen documentation, and address payer-specific adjustment patterns.
New: Authorization Required Flag in Appointment Type Setup
ISL- 8572: We added a new Authorization Required flag to Appointment Type Setup, giving practices greater control over scheduling validation for appointment types that require prior authorization. When this flag is enabled, the system will trigger a validation warning if an appointment is scheduled without an authorization on file. This helps prevent appointments from being booked without the necessary authorization in place.
The Authorization Required flag can be found under Appointment Type Setup > Appointment Type Values and can be updated by your team as needed. 
Enhancements
Recall Button Added to Patient Appointment List
ISL-8375: Based on beta feedback, we have added a new Recall button to the Patient Appointment List, making it easier to view and manage recalls without leaving the appointment screen. The new Recall button is located to the right of the appointment status button and displays a counter showing the number of active recalls for the patient (where active is defined as recalls with a future due date that are currently in a Recall status). This gives you an at-a-glance view of whether a patient has any upcoming recalls assigned.
When clicked, the button will open the Recall Search pre-filtered with the patient's chart number and today's date, allowing you to quickly review existing recalls or create a new one as needed. 
Procedure-Level Rendering Provider Now Reflected on HCFA (CMS-1500) Claims
ISL- 8387: When documenting claims, you have always had the ability to assign a rendering provider at both the claim level and the procedure level via Right-click on Procedure > Additional Information > Providers. This allows a specific rendering provider to be designated for an individual procedure that differs from the claim-level provider. While this procedure-level provider was already being correctly applied to electronic (837P) claim submissions, it was not being carried over to paper (HCFA/CMS-1500) claims.
With this release, the HCFA claim now applies the same logic as the 837P for procedure-level rendering providers. When a procedure-level rendering provider is specified, their NPI will now populate in Box 24J of the CMS-1500 form. 
Rendering Provider and Service Location Added to "Expired Claims" Connect Report
ISL 8359: We have added two new fields to the Expired Claims Connect Report. The new fields are Rendering Provider and Service Location — available as both search parameters and display fields. You can now filter the report by either of these criteria and view them as columns in the report results, allowing for more targeted and detailed analysis of expired claims. 
eDocuments - Add to Print Queue
ISL-4537: Today, the ability to add a document to a patient's print queue is available in most areas of the system, but was not supported in eDocuments — where only faxing or adding to the fax queue was available.
With this release, you can now add documents to the patient's print queue directly from either the EMR > eDocuments chart tab or the eDocuments portal, bringing the print queue functionality in line with the rest of the system. 
Resolutions
Fixed: My Medical Locker Status Icon Now Updates Correctly After Reconnection
ISL-13802: We resolved an issue where the My Medical Locker (MML) indicator in the patient header continued to display red (opted out) even after a patient had successfully reconnected to MML at a subsequent visit. While the connection was being established correctly and was visible in the My Medical Locker Manager screen, the patient header icon was not updating to reflect the new connected status.
With this release, when a patient successfully connects to MML, any prior opted-out status will be cleared and the MML header icon will now correctly update to green (Connected), ensuring the indicator accurately reflects the patient's current MML status.
Fixed: Communication Task Unexpectedly Loosing Focus in My Tasks
ISL-14026: We resolved an intermittent issue in My Tasks > Communication where using the Own Task action could cause the active task to be silently replaced with a task belonging to a different patient. This switch occurred without any visible indication or warning, meaning the issue may have gone unnoticed unless the user recognized that the patient name had changed.
With this release, the Own Task action will now correctly maintain the context of the originally selected task, ensuring that the patient associated with your active communication task does not change unexpectedly.
Fixed: Claim Validation Rule #110 Updated for New Patient Indicator
ISL-13758: We resolved an issue where Claim Validation Rule #110 was incorrectly failing claims when at least one procedure code on the claim lacked a new patient indicator, even if other codes on the same claim did have the indicator. The validation was requiring all codes on the claim to have the new patient indicator rather than at least one.
Additionally, certain codes — such as hospital and consult codes (e.g., 99243) can be billed for both new and established patients and do not carry a new patient indicator. Previously, this was causing Rule #110 to fail for these codes when the patient had no claims within the last three years.
The following updates have been made to address both scenarios:
- Validation Logic Update — Rule #110 will now pass if at least one code on the claim has a new patient indicator, and the patient has not had a claim in the last 3 years.
- New Company Setting — A new setting, "Allow Override of Rule #110," has been added and will be enabled by default, giving practices additional flexibility in managing this validation rule. Allowing practices to choose when this rule should be bypassed in instances where a code can be billed for both new and established patients.
Fixed: Payment Import Timeout Not Displaying an Error Notification
ISL-12201: We resolved an issue where a payment import that failed due to a server timeout was not surfacing any error message to the user. Because the server was returning a success response code despite the failure, the client-side code was not recognizing the failure and no notification was being displayed — leaving users unaware that their import had not completed successfully.
With this release, the system will now correctly detect when a payment import has timed out and display an appropriate error notification, ensuring you are informed if an import fails and can take the necessary steps to retry or investigate.
Fixed: Procedure Code Order Now Preserved in Appointment Type Setup
ISL-13792: We resolved an issue where procedure codes added to the Superbill Additions or Cost Estimator Procedures in Appointment Type Setup were being automatically reordered in ascending order upon saving, rather than maintaining the order in which they were entered by the practice. In some cases, this was causing claim denials due to the primary procedure code not appearing first on the superbill or claim.
With this release, the order in which procedure codes are entered will now be preserved upon saving, ensuring that your primary procedure code remains in the correct position and reducing the risk of denials related to procedure code ordering.
Fixed: Claim Save Button Grayed Out in Check In/Out Dashboard
ISL-13776: We resolved an issue where the Save button on the Claim tab within the Check In/Out Dashboard was remaining grayed out, preventing users from creating a claim from that screen. This issue was isolated to the Check In/Out Dashboard, as the same action could be completed without issue from Quick Pay or the EMR.
With this release, the Save button will now enable correctly on the Claim tab in the Check In/Out Dashboard, allowing claims to be created as expected. 
Improved: Payment Batch Search Button Now Disabled Until Valid Date Range is Entered
ISL-13737: We recently improved the date validation behavior on the Payment Batch search screen. Previously, while an error was displayed when invalid or missing dates were entered, a search request was still being sent to the server in the background (which could impact performance unnecessarily).
With this release, the Search button will now remain disabled until a valid date range has been entered, preventing unnecessary server requests and ensuring that searches are only executed when the required date criteria are in place.
