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Facility Page: New Page / General Facility Information Tab
Facility Page: [name] Page / General Facility Information Tab
Field | Type | Required | Description | |
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Facility Name and Address | Records the name and address, telephone, and facsimile numbers of the facility. | |||
Facility Name | Free Text | Yes | The name of the facility. This information must be unique. The facility name can contain letters A through Z or numbers 0 through 9, but cannot contain special characters.
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Address | Free Text | Yes | The street address (lines 1 and 2) of the facility. | |
City | Free Text | Yes | The city where the facility is located. The field will auto-populate when the Zip Code is entered. However, the field can be edited by typing the name of the city in the space provided. | |
State | Free Text | Yes | The two-character state abbreviation of the facility address. The field will auto-populate when the Zip Code is entered. However, the field can be edited by typing the state abbreviation or selecting an option from the drop down list. | |
Zip Code | Free Text (Numeric) | Yes | The five-digit plus 4-digit postal code where the facility is located. The full 9-digit code is required.
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Phone Number | Free Text (Numeric) | No | The 10-digit telephone number and extension, if applicable, of the facility. | |
Fax Number | Free Text (Numeric) | No | The 10-digit telephone number and extension, if applicable, of the fax machine at the facility. | |
Identification | Records the various numbers for doing business as a facility. | |||
EIN | Free Text (Numeric) | No | The Employer Identification Number (EIN) used as the tax identification number for the facility. It should be entered in the ## - ####### format with no dashes. | |
State License Number | Free Text | No | The unique, legal identification number assigned to the facility by the state. If the facility provides services to patients in an Assisted Living Facility (designated in the Place of Service field in charge entry) and does not have an NPI number, they may receive claim rejections from Medicare. | |
CLIA Number | Free Text | No | The CLIA (Clinical Laboratory Improvement Act) number needed to reflect lab testing procedures. This information can contain letter or number and must be 10 characters in length. | |
Medicare Locality | Drop Down | No | The geographical location of the facility for Medicare claims. The list is maintained from a list provided by CMS. | |
Billing | ||||
Allow directed only CRNA services | Checkbox | No | If checked, allows users to enter a directed CRNA on the case without entering a directing provider. If unchecked, entering a directed CRNA on a case without a directing provider will produce a warning during the Error Check process in charge entry. | |
Electronic Communication with Patient Opt Out | Checkbox | No | If checked, it designates the client has opted to not receive text/electronic communications. This checkbox sets the preference at the facility level, but it can also be set at the account level. | |
Practice Affiliations | ||||
Practice Affiliations | Display Only with Selection Checkboxes (Pulled from created/updated Practices) | Yes | Specifies the practices affiliated with the facility. A checkmark next to the practice name indicates it is affiliated.
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Term Date | Display Only (Pulled from updated Practice Affiliation) | The term (inactive) date of the facility.
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Place of Service Types | ||||
Place of Service Types | Display Only with Selection Checkboxes (Pulled from system list of Place of Service Types) | Yes | Indicates where services for the facility are rendered. This list is maintained from a list of Place of Service codes from CMS.
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Button | Shortcut Key | Description |
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Select All/Select None | Provides a convenient way to associate/disassociate all practices or place of service types with the facility. The button toggles between Select All/Select None values upon selection. |