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| Providers
- Provider Groups - Payees |
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| Our Provider Modules allow your organization to manage demographics, contracts, specialties, licenses, education, malpractice insurance, Provider groups, and backup providers. Our Payees module allows your organization to easily track entities that will receive payment for services rendered.
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Feature |
Benefits |
| Contracts can be assigned at 3 different levels |
The
system will check for contracts, starting at the Provider level,
then move to the Provider Group and finally the Payee level.
The automatic contract location performed by our system
ensures that specialty or exception contracts will be found, and
your providers will be correctly reimbursed. |
| Providers
can easily be assigned to Provider Groups |
Managing
contracts at various levels saves valuable data entry time when
making changes to current contracts. |
| Collect
Credentialing Information |
Unlimited
Provider Licenses, Classes, Specialties, Hospital and Provider
Group Affiliations and Identification Numbers can be listed for
each provider. Allows all Educational background to be stored
including schools or programs attended, degrees, graduation years,
and any honors received. Stores
all pertinent Malpractice insurance coverage, and any incidents of
malpractice |
| Member
services related information |
Provides
information helpful when attempting to assign a member a PCP or
other specialist. Stores
languages spoken, whether the provider is accepting new patients,
and what their maximum panel size is. |
| Tracks
an unlimited number of service locations and contacts |
Unlimited
service locations (addresses) can be defined for each provider.
Unlimited contacts can be defined for each provider. All
Service Locations are shared across all providers and facilities,
so your organization can choose from a pool of service locations
and attach them to a claim or authorization which in turn may or
may not affect pricing arrangements. |
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