You can now share your custom buttons with other users in your practice—so your team doesn’t have to recreate the same buttons again and again.
With this update, you can choose to:
Share a button with everyone in your organization, or
Share it with specific users, disciplines, or locations (sites)
This helps keep documentation consistent, saves setup time, and lets your team focus more on client care instead of configuration.
To learn more about how to configure sharing and access settings for custom buttons, see the Knowledge Base. The screenshot below shows where to find the Share and Access Settings button for custom content.
Learn more: Sharing Custom Buttons with Practice Users
You can now configure required fields for clinical notes in ICANotes+.
This enhancement allows your practice to enforce documentation requirements before a note is compiled. When a field is marked as required, users must complete it before compiling the note.
You can currently configure the following fields as required:
Diagnosis Code
Service Code
Time Spent
Linked Appointment
If a required field is missing, the system displays a validation message and prevents the note from being compiled.
You can also configure exceptions. This allows specific users to compile certain note types without completing a required field, while other users must still meet the requirement.

See the Configure Required Fields for Clinical Notes Knowledge Base article.
You no longer need to reapply your filters and sorting every time you return to a worklist. Previously, when navigating back to a worklist using the app’s navigation buttons—or after logging out and back in—your filters and sorting were reset. With this update, your last-used settings are remembered and automatically restored, helping you get back to work faster.
Filters and sorting are saved per user and per device/browser.
Your settings are restored even after you log out and log back in.
Use the Reset Filters button to quickly return to the default view.
In this example, when a user returns to a Billing Worklist tab, the system automatically reapplies the last-used filters and sorting instead of showing the default, unfiltered view. The Reset Filters button is also shown, which lets users restore the worklist to its default state.
ICANotes+ now submits claims to the clearinghouse in batch files instead of sending one claim per file. When you submit claims from the Billing Worklist, multiple claims are grouped into a single file and sent together. This update helps improve submission performance for high-volume practices.
Multiple claims are now included in a single submission file.
Fewer files are sent to the clearinghouse, which helps improve processing speed.
Related claims appear together in the clearinghouse portal, making them easier to track and review.
There are no changes to the submission workflow in the interface.
Claim validation works the same way:
Claims that fail validation are not included in the submitted file.
A validation CSV is still generated for any claims that fail validation.
Payer-specific rules are still applied per claim and do not affect other claims in the same batch.
You’ll continue to see a confirmation message showing how many claims were submitted.
Claims that are in the process of being submitted cannot be submitted again until the submission completes. This helps prevent duplicate submissions.