Detail Provider

WINDOW OVERVIEW

The Detail Provider window describes the terms of one specific provider approval for a Service Approval. The provider approval identifies the Program Service and the Organization who is approved to provide the service. If a Service Approval covers more than one Program Service and/or more than one provider Organization, each will be documented on its own Detail Provider window.

See Also:

Detail Provider icons

How Do I

Close Provider Detail

Reopen Provider Detail

FIELD DESCRIPTIONS:

Provider Group Box:

ID: This field displays the unique system ID number of the provider

Name: This field displays the name of the Organization who is the provider of the Program Service displayed on this window

Select the Search button to designate the provider for a new provider approval. A pop-up window will appear and ask if the Service Approval Owner and the provider are the same. A second pop-up window will appear asking if the Payee and Provider are the same. If they are, choose 'yes' and the provider ID and Name fields will be populated with that information. If they are not the same, choose 'no'. and go to the Search Organization window to search for (or add) the provider. After selecting the provider, use the Return Arrow to return to this window. If the select arrow if not enabled, the system is in Update Mode and are not able to change the provider is not available.

Service Approval Owner Group Box:

ID: This field displays the unique system ID number of the Service Approval Owner.

Name: This field displays the name of the Service Approval Owner.

Dates Group Box:

Status: This field displays the status of this provider approval.

Begin: This field displays the date the provider approval began. If this is a new approval, enter the date in the format MM-DD-YYYY. The date cannot be prior to the begin date of the Service Approval.

End: This field displays the date the provider approval ends. This field will usually be open-ended.

Warning: An end date in this field means all related Service Authorizations will also end. Do not use this field to indicate the date a Service Approval is due to expire. The expiration date must be documented on the Detail Service Approval window. The end date on the Detail Provider window is only used to close a provider approval. To close the approval, open the Actions pull down menu and select "Close".

Service Type Group Box:

ID: This field displays the unique system ID number for this service type.

Name: This field displays the name of the Service Type.

Program: This field displays the name of the program covering the Service Type.

Select the Search button to search for the Service type for a new provider approval. Enter a date in the Begin Date field, then select this button. The Search Service Type window appears. Navigate to the List Service Type or the Detail Service Type window for the desire Service Type. Highlight the appropriate Program Service. Use the Return Arrow to return to the Detail Provider window. The Program Service will display. If the Arrow Button is not enabled, the system is in Update Mode and are not able to make a change.

 

Preprint: Select this check box to send the preprint to the provider. If this check box is selected, select a Preprint Frequency. If the provider approval involves a Program that does not allow preprints, this field will be disabled. An example of a Program that allows Preprints is Child Care.

Hold Authorizations: Select this check box to indicate to staff responsible for Service Authorizations that they should discuss the provider's status with Resource Development staff prior to using this provider. For example, this check box would be selected if the provider was under investigation for fraud.

Automatic Claims: Select this check box for the system to automatically pay the provider. If the approval is for a Program that does not allow automatic payment, this field will be disabled. An example of a Program that allows automatic payment is CFS.

Preprint Frequency: This field displays how often a preprint will be sent to the provider. If this is a new approval, open the drop down list and highlight the appropriate frequency. Whenever the Preprint check box is selected, a frequency must be designated.

Provider Details Group Box:

Rates Button: Select this button to go to the Detail Provider Rates window where information about the provider's rates is entered.

Approval Items Button: Select this button to go to the Detail Approval Items window where details such as Weekend Service or Holiday Service are entered.

(07-2009)

NFO5301H(14)