Overview
Purpose
This report is used to review information pertaining to practices.
Category
System
Type
Detail
Mode
Not applicable
Output Options
CSV or Excel
Sample Reports
(Click an image to enlarge)
Portal
Back Office
Field Definitions
Field | Description |
---|---|
Practice | The name of the practice. |
Address Line 1 | The first line of the street address of the practice. |
Address Line 2 | The second line of the street address of the practice. |
City | The city where the practice is located. |
State | The state where the practice is located. |
ZIP Code | The postal code where the practice is located. |
Remittance Address Line 1 | The first line of the remittance address. |
Remittance Address Line 2 | The second line of the remittance address. |
Remittance City | The city of the remittance address. |
Remittance State | The state of the remittance address. |
Remittance ZIP Code | The postal code of the remittance address. |
EIN | The unique identification number (EIN) issued by the IRS. Could be Tax ID or SSN. |
Physician's Group NPI | The value placed in Physician's Group NPI on the practice. |
PA Group NPI | The value placed in PA Group NPI on the practice. |
CRNA Group NPI | The value placed in CRNA Group NPI on the practice. |
AA Group NPI | The identification number (National Provider Identification) issued to providers for claims submission. |
Rendering | Anesthesia Rendering Provider selection found in the General Practice Information tab. |
Active Date | The current Accounting Date Lockout for the practice. |
Term Date | The term (inactive) date of the practice. |
Inactive | Indicates via Yes or No flag if the practice is currently active. |
Available Report Filter
Option | Type | Required | Description |
---|---|---|---|
Report Folder | Drop Down | Yes | Designates where to place or save the output from the executed report. |