Overview
The Plan: New and Plan: [name] pages are comprised of eleven tabs:
- General Tab
- Claims Tab
- Statements Tab
- Anesthesia Tab
- Provider IDs Tab
- Referring Physician IDs Tab
- Facility IDs Tab
- Group IDs Tab
- Paper Claim Options Tab
- Electronic Claim Options Tab
- Other Insurance Codes Tab
The Referring Physician IDs tab collects the identification numbers issued to referring physicians by the plan. 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 / Referring Physician IDs Tab
Plan: [name] Page / Referring Physician IDs Tab
Field Definitions
Field | Type | Required | Description |
---|---|---|---|
Payer Issues Referring Physician IDs | Checkbox | No | Indicates that the plan issues unique identification numbers to referring physicians. |
Find | Search | No | Filter for locating a referring provider. |
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. |
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. |