You can now configure exceptions for required clinical note fields using a new option in the user dropdown. Previously, exceptions had to be configured per specific user, meaning only selected individuals could compile a note without completing the required field. With this release, the All Users option is available in the exceptions dropdown.
What this means:
When you select All Users for an exception on a specific required field and note type, every practice user can compile that note type without completing the required field.
This simplifies setup when you want a required field to be exempted practice-wide for a particular type of note.
This enhancement expands flexibility in workflows by making it easier to grant universal exceptions to required fields while maintaining data requirements where needed.
We enhanced how service codes display on compiled clinical note PDFs to improve clarity, consistency, and billing transparency.
Service codes on the compiled notes now follow a standardized format:
[Code] - [Description] | Unit(s): [#] | Modifier(s): [code, code]
If no modifiers exist, the modifier section does not appear.
For example,
The enhanced format applies to compiled PDFs for the following note types:
This update helps streamline billing review, reduce manual cross-referencing, and support clear documentation when sharing notes externally.
You can now enter and access claim-level billing notes from multiple workflows, helping you maintain context and reduce duplicate work when following up on claims.
Add/Edit Billing Note in Payment Worklist: The Add/Edit Billing Note option, previously available only in the Billing Worklist, is now also available in the Payment Worklist tab.
Centralized claim-level notes: Billing notes are now saved at the claim level, not tied to a specific screen or workflow.
Consistent visibility across workflows: The same claim-level note is visible when you access the claim from:
Billing Worklist
Payment Worklist
Account Ledger (coming in a future release)
Editable from supported screens: You can view and modify existing claim-level notes from any supported screen.
If you enter a billing note in the Billing Worklist, the same note automatically appears in the Payment Worklist for that claim and vice versa.
You can update the note from either screen, and changes are reflected everywhere the claim is accessed.

Filters are now available on the Billing Worklist tab to help refine results and improve billing workflow efficiency.
Start Date / End Date: Define a date range to narrow the results displayed on the worklist.
Date Type: Select the date type used when applying the date range:
Patient statements can now be generated even when the client balance is $0.
Previously, statements were typically generated only when an outstanding balance existed. With this update, practices can produce complete financial documentation for a client, including payment and adjustment history, even when no balance is due.
This enhancement provides greater flexibility in generating statements while maintaining appropriate transmission controls.
This update ensures that copays are treated as estimates until insurance adjudication, improving billing accuracy while preserving collection workflows.
The copay field in the Insurance section is now treated as an Expected Copay and no longer affects the client balance on the Account Ledger before insurance adjudication.
Previously, entering a copay immediately moved a portion of the billed amount to client responsibility. This could result in inaccurate ledger balances, incorrect aging, and confusion during collections.
With this update, the copay amount is stored as an estimate and used for collection guidance. Client responsibility is established only after the payer adjudicates the claim.
Before: Copay amount was immediately applied to client responsibility.
Now: Copay is treated as an estimate and does not impact client responsibility until adjudication.
Entering or updating the expected copay no longer moves any portion of the billed amount to client responsibility.
The Account Ledger continues to reflect the full charge under insurance responsibility until adjudication.
Client responsibility is updated only after insurance adjudication or when manually adjusted.
For clients with secondary coverage, remaining balances move to secondary insurance after primary adjudication.
The Copay label in the Insurance section is updated to Expected Copay to clarify that the amount is an estimate until the claim is adjudicated.
The Copay Due label in the calendar appointment view is updated to Expected Copay.
In the client portal, the Expected Copay is displayed below the Client Balance.
Refer to the screenshot below to view the Expected Copay label on the Insurance screen:
Your front-desk collection workflow does not change. Staff can continue to collect copays at the time of service using the Expected Copay as guidance.
This change does not impact the ability to collect payments during check-in.
For unadjudicated claims, invoices display the Expected Copay as the Amount Due.
After adjudication, invoices reflect the actual client responsibility from the ledger.
If the expected copay is updated and the invoice is regenerated, the updated amount is reflected.
Expected copay is used when the claim has not been adjudicated.
After adjudication, payment requests reflect actual client responsibility.
Self-pay clients continue to show the full client balance.

Expected copay is displayed alongside Client Balance for unpaid invoices.
For adjudicated claims or self-pay clients, Expected Copay is $0.
Payment workflows remain unchanged.
Client balances appear in aging reports and statements only after insurance adjudication or manual updates.
Charges pending adjudication remain under insurance responsibility and do not appear as client balances.
Payments collected toward an expected copay are recorded as usual. These payments are reconciled appropriately once the claim is adjudicated.
If a payment collected toward the Expected Copay exceeds the actual client responsibility determined after adjudication, the excess amount is automatically moved to the client's unapplied balance. Staff can then redistribute the unapplied amount to another charge or issue a refund.
Prevents premature client balance creation
Improves accuracy of Account Ledger and aging reports
Aligns billing workflows with standard insurance adjudication processes
Maintains visibility for front-desk collections using expected copay estimates
Superbill generation is not affected.
Client portal continues to follow the same payment workflow with added expected copay visibility.
After this update, new encounters may initially show lower or no client balance until the payer adjudicates the claim.
This update is applied automatically and does not require any configuration changes.

The Insurance accordion on the Chart Face > Account tab now displays active insurance coverages at the top of the list. This change makes it easier to quickly identify coverages that are currently in effect.
Insurances are grouped in the following order:
Within the Active and Inactive groups, coverages are sorted by rank:
Sorting is applied automatically when the page loads and is updated whenever an insurance record is added, edited, or deleted.