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WWW.PRIMECLINICAL.COM

 

OnSTAFF 2000

 

 

Utility/Provider/FACILITY/Add, Modify, View, Delete

 

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In addition to the /Provider and /Provider/Provider, the /Provider/Facility option is used to add and maintain additional Provider and Group Numbers FOR EACH FACILITY other than the main office, as may be required in billing by Medicare or any other insurance company.  For example:  1)  EEG readings may require a special Provider Number in Box 24J and/or Group Number in Box 33 of the HCFA 1500 claim form.  2)  The Group has more than one location which Medicare has assigned, for each location, a separate Provider and Group Number.  In accommodating the requirements for example 1 and 2, the /Utility/Provider <Provider No. 1> and <Group No. 1> would contain the main office information; the additional office information would be entered in /Utility/Provider/Facility.  The Software Requirement for using /Utility/Provider/Facility is that /Utility/Procedure <Provider> must be set to Y.

 

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Menu Options:

 

                        Add                 Add a new Provider/Facility entry.

                        Modify            Modify an existing Provider/Facility entry.

                        Delete             Delete an exiting Provider/Facility entry.

                        View                View an existing Provider/Facility entry.

                        Print                 Print a listing of the information in this file.

                        Exit                  Returns you to the Provider Menu.

 

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When the Add option is selected, On-Staff will display the following fields:

 

Provider Code:           Enter the user defined code for the doctor (Utility/Provider <Provider Code>).

  

Name:                         The name of the Provider will be displayed automatically.

 

CMD:                         Press A to add a specific insurance carriers’ assigned numbers. Pressing the [F2] search key from the CMD (command) column will display the following valid choices:

 

                                                A      Add a new record.

                                                M     Modify an existing record.

                                                D      Delete an existing record.

                                                Q      Quit. Returns to the Provider Code field.

 

Facility:                       Enter the user defined code for the facility (Utility/Facility <Facility Code>).

 

Insurance:                  Enter the user defined code for the insurance company (Utility/Insurance <Insurance Code>).

 

HCFA Box 24K:        Enter the assigned Provider Number required in billing by the Insurance company you are entering (i.e. Insurance MM enter their Medicare Provider Number for that location).  This entry will print in Box 24J of the HCFA 1500 claim form when /Utility/Provider <Group Provider (Y/N) = Y>.

 

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Or

or Box 77 UB-04

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HCFA Box 33.:      Type the group identification number associated with this facility if applicable. System will use this entry to complete Box 33 b on the CMS 1500 (HCFA)

 

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NOTE:   HCFA Box 33 WILL PRINT in Box 33 of the HCFA 1500 claim form ONLY when billing method is by DOCTOR.  When billing method is by Clinic, Box 33 information will be pulled from the /Utility/Insurance <Group No.> field.

       

Group NPI          Type the group identification number associated with this facility if applicable.

System will use this number to complete Box 33a on the NEW CMS 1500 (HCFA).

 

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After pressing [Enter] in the Provider No. field, the cursor will return to the CMD column.  Press Q to return to the Provider Code field.  At this point, you may either enter information for an additional provider or press [] to return to the /Provider/Facility Menu.