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Staff Identification Details allows the user to define a group number, individual number and up to four other miscellaneous numbers for each staff member that can vary by any combination of Division, Plan, and/or Facility.
Division
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If a staff member has plan-based ID's that vary by Division, then enter a Staff Identification Detail entry with the appropriate division
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Locality
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If a staff member has plan-based ID's that vary by Locality, then enter a Staff Identification Detail entry with the appropriate locality
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Facility
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If a staff member has plan-based ID's that vary by Facility, then enter a Staff Identification Detail entry with the appropriate facility
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Plan
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Enter a Staff Identification Detail entry with the appropriate plan
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Group No
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Maintains the group number assigned to the staff member/division//locality/facility/plan combination
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Individual No
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Maintains the individual number assigned to the staff member/division//locality/facility/plan combination
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Misc Details 1
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Maintains the miscellaneous detail number 1 assigned to the staff member / division / locality / facility / plan combination
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Misc Details 2
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Maintains the miscellaneous detail number 2 assigned to the staff member / division / locality / facility / plan combination
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Misc Details 3
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Maintains the miscellaneous detail number 3 assigned to the staff member / division / locality / facility / plan combination
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Misc Details 4
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Maintains the miscellaneous detail number 4 assigned to the staff member / division / locality / facility / plan combination
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Force to Paper
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If a provider is not yet approved to send claims electronically but the provider ID's have been obtained from the payor, simply check the force to paper option for these claims to print paper even if the Plan is set to file claims electronically.
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The use of Division, Locality and Facility are "weighted" from least specific (Division) to most specific (Facility). The weights are cumulative when used in combination. For example, a combination of Division and Locality will override an entry with Facility only.
TIP: If there are providers in your practice that have not yet been assigned ID numbers by the payor but you want to enter the charges into the system, enter the word PENDING in the provider Group No field or Individual No field or BOTH. The word PENDING in the provider ID field will cause the claim to be pended in the system until the actual number is entered into the staff file or the word pending is removed. The claims will automatically release once the word PENDING has been replaced with the providers ID numbers.
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