Version 20.17

About

Completing Provider setup in the Staff Directory ensures that accurate information is included for billing submissions, lab links, and e-Prescribing.

Complete Provider Information

1. Complete the Provider's Basic Info tab prior to completing the remaining tabs. Click here for additional information on completing the Basic Info tab.
2. On the Provider Info tab, click into the Signature name field and enter the full name and credentials as they should appear for chart entries. A Signature name should be entered for anyone documenting a Visit, giving vaccines, or handling labs (i.e. Tina Test, MA) so that their name is displayed in the chart for items like vaccine administration, blood draws, etc.

1. (Optional) Click the Add Signature Graphic button to add the Provider's signature. For more information on how to link a Provider's signature to their record, click here.
2. Enter the state into the License info field.
3. Complete License #, Federal DEA#, State DEA#, Federal Tax ID or SSN, Provider NPID, and Provider UPIN as appropriate.

1. Enter 208000000X into the Taxonomy code field
2. (If applicable) Enter a Merchant ID.
3. (If applicable) Enter the Narcotic Addiction DEA Number (NADEAN #).
4. (Optional) Click the Auto-populate PCP as referring provider checkbox to automatically add the PCP selected in the patient chart as the Referring Provider (in Box 17) on claims where this provider is the Rendering Provider.
5. On the Practice Info tab, enter the Practice name and complete address in the Report headings field.

1. (If applicable) Enter an Alt. practice name.
2. Complete the Full Address, Phone, Ext., Fax, and Pager fields as appropriate.
3. In the Billing/Pay-To Information, enter the Billing name, and complete Address including the nine-digit zip code without a dash.

1. Enter 208000000X (for Pediatrics) into the Taxonomy code field.
2. Enter the Practice NPI. This Practice NPI field is the last place OP will look when adding a Group NPI to a claim. For more information on the order in which OP looks for Group NPI, visit Group NPI Setup.

1. If the Practice requires a Provider Lab ID to print on send-out lab requisition forms, click the Lab Links tab.
2. Click the Add button  to add an entry.
3. Click the Test Facility Name drop-down and select a lab facility.
4. Enter the Provider's Lab ID.
5. Click the Save button .

1. Repeat steps 17 to 20 for all outside labs that require a Provider lab ID.

Version 20.16

About

Completing provider setup in the Staff Directory ensures that accurate information is included for billing submissions, lab links, and e-Prescribing.

Complete Provider Information

1. Complete the provider Basic Info tab prior to completing the remaining tabs. Click here for additional information on completing the Basic Info tab.
2. On the Provider Info tab, enter the full name and credentials as it should appear for chart entries in the Signature name field. The Signature name should also be entered for anyone giving vaccines or handling labs (i.e. Tina Test, MA) so that their name is displayed in the chart for items like vaccine administration, blood draws, etc.

1. Add a signature graphic, if necessary. For more information on how to link a provider's signature to their record, click here.
2. Enter the state into the License info field.
3. Complete License #, Federal DEA#, State DEA#, Federal Tax ID or SSN, Provider NPID, and Provider UPIN (as appropriate).

1. Enter 208000000X into the Taxonomy code field
2. Enter a Merchant ID (if applicable).
3. Enter the Narcotic Addiction DEA Number (NADEAN #), if applicable.
4. (Optional) Click the Auto-populate PCP as referring provider checkbox to automatically add the PCP selected in the patient chart as the Referring Provider (in Box 17) on claims where this provider is the Rendering Provider.
5. On the Practice Info tab, enter the practice name and complete address in the Report headings field. 
6. Enter an Alt. practice name (if applicable).
7. Complete the Full Address, Phone, Fax and Pager fields (as appropriate).
8. In the Billing/Pay-To Information, enter the Billing name, and complete Address including the nine-digit zip code (without a dash).

1. Enter 208000000X (for Pediatrics) into the Taxonomy code field.
2. Enter the Practice NPI. This Practice NPI field is the last place OP will look when adding a Group NPI to claim. For more information on the order in which OP looks for Group NPI, visit Group NPI Setup.

1. If the practice requires a provider lab ID to print on Send Out lab requisition forms, click the Lab Links tab.
2. Click the Addbutton to add an entry.
3. Click the drop-down arrow and select a lab facility.
4. Enter the Provider's Lab ID.
5. Click the Save button  to save.

1. Repeat steps 14 to 17 for all outside labs that require a Provider Lab ID.