Overview
The Payer: New and Payer: [name] pages are comprised of five tabs:
The Referring Physician IDs tab collects the identification numbers issued to referring physicians by the payer. Referring physician identification numbers recorded at the payer are inherited by its plans, but can be overridden at the plan. If the payer requires that the referring physician be included on the claim for certain types of service, record the identification number for each referring physician.
(Click an image below to enlarge.)
Payer: New Page / Referring Physician IDs Tab
Payer: [name] Page / Referring Physician IDs Tab
Field Definitions
Field | Type | Required | Description |
---|---|---|---|
Payer Issues Referring Physician IDs | Checkbox | No | Indicates that the payer issues unique identification numbers to referring physicians. |
Find | Search | No | Filter for locating a referring provider. The provider name or identification number can be entered. The values entered are matched to the items in the list as you type. |
Provider Name | Display Only (Pulled from created/updated Providers) | Yes | The name of the provider. By default, the provider name is listed by last name, first name in ascending order. |
Specialty | Display Only (Pulled from created/updated Providers) | No | The field of medicine the provider has chosen to specialize, for example, Anesthesiology, General Practice, and Urology. |
ID Number | Free Text | No | The unique identification number issued to the referring physician by the payer or plan. |