Add New Provider
if known, you may also enter the following Optional Information:
Provider Type: Select the Provider Type to be used and displayed along with the Provider Name to differentiate Providers who may have the same name.
Address: If entered, the address information will be displayed as Contact Information when selecting a Provider during the Claim Entry, SA/DVS/Eligibility or Prior Approval Request process.
Telephone: As with the Address, if entered, the telephone number will be displayed as part of the Provider's Contact Information.
click Go and the provider will be added to the local provider file, therefore available for selection when entering other claims or prior approvals.
If the State License Number, National Provider ID or SSN entered already exists in your local Provider Support File, an error will be displayed informing you of the duplication.