v9.10 Release Notes (Release Date: March 31, 2026)

v9.10 Release Notes (Release Date: March 31, 2026)

Overview

ICANotes+ version 9.10 delivers significant enhancements across both clinical and billing workflows. This release improves clinical documentation flexibility and usability, while introducing several billing enhancements to improve accuracy, visibility, and payment processing efficiency.

A major highlight of this release is the updated expected copay handling process, designed to provide more accurate client balances and streamline how copays are managed throughout the billing workflow.

New: “All Users” Option for Required Field Exceptions

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.

In this example, selecting All Users allows every practice user to compile the Progress Note without entering the diagnosis code. The diagnosis code is still required for all other note types.


Enhanced Service Code Display on Compiled Clinical Notes

We enhanced how service codes display on compiled clinical note PDFs to improve clarity, consistency, and billing transparency.

What’s improved

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,


Where this applies

The enhanced format applies to compiled PDFs for the following note types:

  1. ASAM
  2. Case Management
  3. Complete Evaluation
  4. Couples/Family Therapy
  5. Primary Care Note
  6. Progress Note
  7. Quick Note
  8. SOAP
Notes compiled before this enhancement continue to display in their original format.

This update helps streamline billing review, reduce manual cross-referencing, and support clear documentation when sharing notes externally.

Refer to the screenshot below for an example of how service codes appear on a compiled note.

Claim-Level Billing Notes Now Available Across Worklists

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.

What’s New
  • 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.

How It Works
  • 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.

Notes
In a future release, the Add/Edit Billing Note option will also be available directly within the client’s Account Ledger.

This enhancement provides a centralized place for claim-level notes, improves visibility across workflows, and streamlines claim follow-up activities.

See the following screenshot for reference.


New Filters on the Billing Worklist Tab

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:

  1. Encounter Date
  2. Note Created Date
  3. Note Signed Date
Smart search fields: The following smart search fields are available. Each field defaults to All. Begin typing in the text box to display matching results for selection.
  1. Client
  2. Diagnosis Code
Dropdown filters: The following dropdown fields are available to further refine results. Each field defaults to All. Expand a dropdown to select one or more specific values:
  1. Location
  2. Clinician
  3. Provider Credentials
  4. Signed By
  5. Service Code
  6. Note Type
  7. Note Status
Additional filters
  1. Exclude Non-Billable: Removes non-billable encounters from the results.
  2. Telehealth Only: Displays only telehealth encounters.
Action buttons
  1. Apply: Applies the selected filters and updates the Billing Worklist results.
  2. Reset: Clears all selected filters and restores the default settings.
This enhancement provides greater control and flexibility when reviewing and managing billing worklist data.

Refer to the screenshot below to view the available filter options on the Billing Worklist tab.
 

Related article: Using the Billing Worklist

Generate $0 Patient Statements

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.

Additional Updates
  • A new All balance filter option is available for Client Balance and Insurance Balance to support expanded filtering.
  • The ‘Reset’ button will clear all filters except for client balance, which will be returned to ‘Greater Than 0’.
  • Statements with a client balance of $0 or less cannot be transmitted. The Transmit option is disabled in these cases.

This enhancement provides greater flexibility in generating statements while maintaining appropriate transmission controls.






Expected Copay Update in Insurance and Billing Workflows

This update ensures that copays are treated as estimates until insurance adjudication, improving billing accuracy while preserving collection workflows.

Overview

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.

What’s changed

Before vs After behavior

  • Before: Copay amount was immediately applied to client responsibility.

  • Now: Copay is treated as an estimate and does not impact client responsibility until adjudication.

Ledger behavior

  • 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.

UI updates

  • 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:


Refer to the screenshot below to view the Expected Copay label on the Calendar:


Refer to the screenshot below to see how the Expected Copay label appears in the Client Portal:


Impact on billing and collections

Although Expected Copay no longer affects client responsibility before adjudication, it continues to appear throughout the collection workflow, including appointments, invoices, payment requests, and the Client Portal.

Front-desk collections

  • 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.

Invoices

  • 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.

Payment requests

  • 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.

Notes
When clients select Pay Now, the Total Balance includes both the invoice Client Balance and any Expected Copay.

Client portal

  • 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 aging and statements

  • 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.

Payment handling

  • 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.

Why this matters

  • 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

Additional notes

  • 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.

No action required

This update is applied automatically and does not require any configuration changes.

  1. This update applies only to new encounters created after the release.
  2. Existing claims, balances, invoices, and historical data remain unchanged.
  3. No reconciliation or manual adjustment is required.

FAQs (on the Expected Copay change)

Q: Will my front desk still know what to collect?
A: Yes. The expected copay is displayed on appointments, invoices, payment requests, and the Client Portal. Your collection workflow at check-in is unchanged.

Q: What if we collected a copay and the payer says the patient owed less?
A: The system automatically moves the overpayment to an unapplied balance on the patient's account. From there you can apply it to another claim or process a refund — giving you full control.

Q: Why do some new patient balances look different than before?
A: For new encounters, patient responsibility now reflects only confirmed amounts after payer adjudication. Once the payer responds, the correct patient balance will post. This is more accurate than showing an estimated amount as if it were confirmed.

Q: Do I need to take any action?
A: No. This change takes effect automatically for new encounters. Your existing data is untouched. If you'd like to review any specific patient accounts, our support team is happy to walk through them with you.

Info
If you have questions about how the Copay update affects specific client accounts or workflows, contact Support for assistance.


Active Insurances Displayed First in the Insurance Section

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:

  1. Active
  2. Inactive
  3. Undated

Within the Active and Inactive groups, coverages are sorted by rank:

  1. Primary
  2. Secondary
  3. Tertiary
  4. Other

Sorting is applied automatically when the page loads and is updated whenever an insurance record is added, edited, or deleted.




Need Help?

For further assistance, contact:
📞 Phone: 443-203-5857
📱 Text: 866-301-0085
📧 Emailticket@icanotes.com
💬 Chathttps://app.icanotes.com



Proprietary Notice Information: This article is provided for informational purposes only, and the information herein is subject to change without notice. While every effort has been made to ensure that the information contained within this article is accurate, ICANotes cannot and does not accept any type of liability for errors in, or omissions arising from the use of this information.


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