Primary Credential Conflicts and Messages

You can enter multiple Primary Credentials for a provider on the Credentialing tab. However, there can only be one primary credential in effect at a time. When you enter a primary credential with an effective or expiration date that overlaps with another, a prompt appears stating that the effective expiration dates overlap with another primary credential.

A provider's Primary Credential, in combination with another credential, can be used in the configuration of the Claim Modifiers Library to add a charge-level modifier to claims during the billing process in NextGen® Enterprise PM. The Claim Modifiers Library adds the modifier only if the primary credential is defined in both the Credentialing and Primary Credentials sections of the Credentialing tab. When you enter a primary credential for a provider that is not listed as one of their credentials, a prompt appears stating that the credential does not exist in the credentialing table and the claim modifier library will not apply a primary credential modifier on claims unless it exists in both areas and if you were sure to add this credential as primary.