How to Add a Billing Provider Group?

Settings > Practice > Provider Group > Billing  Provider

Follow the above-mentioned workflow to land on the Billing Group page.

Click on the ‘Add Group’ button to add a billing provider group.

image1-3-920x386
‘Add’ Button

Once clicked, a new page is displayed that contains details which are to be filled in for the new billing group.

image2-2-920x379
‘Group Details’

User has to fill-in the following mandatory information fields:

  • Name
  • NPI
  • Tax ID(EIN)
  • Effective Date
  • Location
  • Billing Address
  • City
  • State
  • Zip

Then click on ‘Save’ to add the new provider group to the ‘Billing Group’ page.

image3-920x379
Mandatory Details

User cannot enter the same details of an existing billing group while creating a new billing group.

The user needs to have at least one unique value in the following fields to add the new billing group:

  • NPI
  • TaxID
  • Location
  • Effective Dates
  • ePIN

When the user tries to add a billing group having the same mentioned information as another existing billing group, then a prompt is displayed that states:

“A billing group with selected NPI, Tax ID, Location, Overlapping Effective Dates, and ePIN already exists.”

image4
‘Existing Billing Group’ Prompt

Multiple locations can be selected while creating a billing provider group.

When the user clicks on the ‘Location’ field, a list of locations appears on the screen displaying checkboxes with each entity.

Users can select multiple locations or all locations to be associated with the provider group.

provider-groupo-920x370
Location Field

The selected locations appear together in the ‘Location’ field separated by commas.

group-2-920x288
Multiple Selected Locations

The ePIN value gets auto-populated on EDI file based on the selection made from the two options including State License Number or UPIN Number.new_symbol-1

Once an option is selected from ePIN dropdown, it appears in the greyed-out ePIN qualifier text field, which then gets auto-populated in the EDI file.

When the user clicks on the ‘ePIN’ dropdown field, two options appears in the dropdown, including:

  • 0B. State License Number
  • 1G. Provider UPIN Number
    billing-provider
    ePIN Dropdown