Overview
The Plan: New and Plan: [name] pages are comprised of twelve tabs:
- General Tab
- Claims Tab
- Statements Tab
- Anesthesia Tab
- Provider IDs Tab
- Referring Physician IDs Tab
- Facility IDs Tab
- Group IDs Tab
- Practices Tab
- Paper Claim Options Tab
- Electronic Claim Options Tab
- Other Insurance Codes Tab
The Group IDs tab collects the identification numbers issued by the plan to each group for general or facility-specific. By default, the plan inherits the provider identification numbers recorded in its parent payer configuration.
Note: This tab is not accessible from the Plan: New page until the General tab has been populated and applied.
(Click an image below to enlarge.)
Plan: New Page / Group IDs Tab
Plan: [name] Page / Group IDs Tab
Field Definitions
Field | Type | Required | Description |
---|---|---|---|
Group ID Type | Filter | Yes | Specifies whether group identification numbers are issued for general use or for facility-specific. Options include:
|
Link Status | Display Only (Based on Restore Link/Unlink option selected) | Yes | By default, the plan inherits the referring physician identification numbers recorded in its parent payer configuration. If the plan issues different identification number, the payer and plan identification numbers can be unlinked. The Link Status provides the current status, if the payer and plan IDs are linked or unlinked. |
Selection: General Group ID | |||
Practice Name | Display Only (Pulled from created/updated Practices) | Yes | The unique name of the practice. |
Physician Group | Free Text | No | General group ID issued by the insurance company for the physician group. |
PA Group | Free Text | No | General group ID issued by the insurance company for the physician assistant group. |
CRNA Group | Free Text | No | General group ID issued by the insurance company for the CRNA group. |
AA Group | Free Text | No | General group ID issued by the insurance company for the anesthesiologist assistant group. |
Selection: Facility-Specific | |||
Practice | Drop Down | Yes | List of practice to select to view the associated facilities. |
Facility Name | Display Only (Pulled from created/updated Practices) | Yes | The list of facilities associated with the selected practice. |
Physician Group | Free Text | No | Facility-specific ID issued by the insurance company for the physician group. |
PA Group | Free Text | No | Facility-specific ID issued by the insurance company for the physician assistant group. |
CRNA Group | Free Text | No | Facility-specific ID issued by the insurance company for the CRNA group. |
AA Group | Free Text | No | Facility-specific ID issued by the insurance company for the anesthesiologist assistant group. |
Selection: Does Not Issue IDs | |||
Practice Name | Display Only (Pulled from created/updated Practices) | Yes | The unique name of the practice. |