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Understanding Clinical Pathway Enrollment Blocks vs Duplicate Account Errors in Netsmart Integration (CRM)

Overview Clinical Pathway enrollment blocks are a specific type of error in Netsmart EMR integration that occurs when a patient is already enrolled in the selected Clinical Pathway.

When This Error Occurs

You'll encounter Clinical Pathway enrollment blocks when:

  • Pushing a patient to Netsmart who is already enrolled in the same Clinical Pathway

  • Processing readmissions for existing patients

  • The Netsmart system prevents duplicate enrollments to maintain data integrity

The error message will typically state that the client is already enrolled in the selected Clinical Pathway.

Clinical Pathway Blocks vs. Duplicate Account Errors

Clinical Pathway Block

Duplicate Account Error

Cause

Patient already enrolled in the specific pathway

Multiple patient records with similar identifying info

What it prevents

Duplicate pathway enrollments

Creation of assessments when system can't identify the correct record

Resolution

Add new intake opportunity under existing account

Merge duplicate patient accounts

Correct Workflow for Readmissions

  1. Search for the existing account using the patient's name, date of birth, or phone number in your CRM

  2. Add a new intake opportunity under the existing patient account — do not create a new account

  3. Complete the pre-assessment under the new intake opportunity

  4. Use import wizard options if importing data — choose Skip (ignore matching records) or Overwrite (update existing records)

⚠️ Important: Never create new patient accounts for readmissions. Always add new intake opportunities under existing accounts.


Patient Push Workflow Options

Option 1 — Automatic Push via Checkbox:

  • Create a new intake opportunity under the existing account

  • Complete the Pre-Assessment

  • Enable "PAA Complete and ready to send to Netsmart?" checkbox

  • The system automatically pushes the patient to Netsmart

Option 2 — Manual Push from Opportunity:

  • Use the "Push Patient to Netsmart" button on the intake opportunity

  • Manually trigger the push after assessment completion

Option 3 — Alumni Workflow:

  • Manually pull the alumni patient back from Netsmart

  • Create a new intake opportunity for them

  • Complete the assessment in the new opportunity

  • Push using Option 1 or Option 2

Tips & Notes

Best Practice: When encountering Clinical Pathway blocks, verify you're working with a readmission scenario and follow the proper workflow for adding new opportunities.


💡 Tip: If you cannot locate the existing patient record or the system won't allow you to proceed, this may require backend investigation — contact Dazos Support.


Related Resources

  • How to Add Additional Intake Opportunities to Existing Accounts

  • How to Import Intake Opportunity Data

  • How to Handle Duplicate Detection and Merge Records (CRM)

  • Troubleshooting Duplicate Error When Saving Pre-Assessments / VOBs

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