Overview

The Plan: New and Plan: [name] pages are comprised of twelve tabs:

In support of the No Surprise Act, the Practices tab is utilized to designate practices as in or out-of-network for a particular plan. This will allow users to quickly identify plans within Connect that are in network and their effective date.

Note: This tab is not accessible from the Plan: New page until the General tab has been populated and applied.

How to Get Here?

To open the Practices tab for new plan:

From the Home Page:
From the Menus:
Via Shortcut Keys: 
  1. Click Payers & Plans from the Admin list 
  2. Click Create Plan
  3. Populate the General tab
  4. Click Apply
  5. Click the Practices tab
  1. Open the Admin menu and select Payers & Plans
  2. Click Create Plan
  3. Populate the General tab
  4. Click Apply
  5. Click the Practices tab
  1. From the Payers & Plans page, press [Alt] + [P]
  2. Populate the General tab
  3. Click Apply
  4. Click the Practices tab
 


To open the Practices tab for existing plan:

From the Home Page:
From the Menus:
Via Shortcut Keys: 
  1. Click Payers & Plans from the Admin list 
  2. Select the payer to be modified
  3. Click Update*
  4. Click the Practices tab

*Alternate Navigation: Double-click the plan from the list

  1. Open the Admin menu and select Payers & Plans

  2. Select the payer to be modified

  3. Click Update*

  4. Click the Practices tab

*Alternate Navigation: Double-click the plan from the list

  1. From the Payers & Plans page, select the payer to be modified
  2. Press [Alt] + [U]
  3. Click the Practices tab

 

 



Field Definitions

Field

Type

Required

Description

Practice Name 

Display Only

(Pulled from created/updated Practices)

YesThe unique name of the practice.
NetworkDrop DownYesClassification of whether the plan is in or out-of-network for the practice.  Values include: In-Network, Out-of-Network.
Contract Effective DateDrop Down (Calendar)YesThe begin date for which the plan was effective.

 Button Descriptions

Button

Shortcut Keys

Description

Step-by-Step Guides

Create

[Alt] + [C]

To create a new practice's Network Status designation and Effective Date.
  1. Select the Practice from the list to create the Network Status Designation.
  2. Click Create. The Create Network Status window open
  3. Open the Network Type drop down list and select the valid option.
  4. Open the Contract Effective Date drop down and select the date from which the plan is effective.
  5. Click Save to close the window and save the information.
Update[Alt] + [U]To update a practice's Network Status designation and/or Effective Date.
  1. Select the Practice from the list to update the Network Status Designation.
  2. Click Create. The Update Network Status window open
  3. Open the Network Type drop down list and update the selection, as necessary.
  4. Open the Contract Effective Date drop down and update the date from which the plan is effective, as necessary.
  5. Click Save to close the window and save the updates.
Delete[Alt] + [D]To delete a practice's network status designation on the plan.
  1. Select the Practice from the list to remove the Network Status Designation.
  2. Click Delete.