Electronic Provider Credentials

From an existing provider setup screen:

The Provider Credential Setup - Electronic window will be displayed for the credential.

1 Pin/Group

2 Submitter

Code - Some payers assign a submitter number to the practice or to the provider, and that number must be sent with claims that are submitted electronically. Only applicable for certain payers.

Entity - The name linked to the submitter number that has been assigned by the payer.

3 Bill To
Use this tab to indicate if an override value should be used for the Billing Provider name.

Code

Entity

Address

4 Pay To
Use this tab to indicate if an override value should be used for the Pay to Provider name.

Code

Entity

Address

5 Rendering
Use this tab to indicate if an override value should be used for the Rendering provider name.

Code

Entity

Address

- Select this button to completely remove all of the information for the credential.

- Select this button to clear the information on the selected tab.

- Displays the patient chart and name (if the provider setup screen was accessed from the claim screen.

- Displays the system ID and payer name for the credential.

- Click this icon to open the Payer Setup screen for the payer.

 

Document Links
How To Setup A New Payer