Providers Credentialing Tab

Help Guide for NextGen® Enterprise PM 8

Providers Credentialing Tab

The Credentialing tab in the Providers master files enables you to track the various credentials obtained by each provider, such as degrees, licenses and certifications. You can enter credentials for each provider and use them for informational purposes only. If the Enable Provider Credential Billing option is enabled in Enterprise Preferences > General, you can also use them in the configuration of the Non-Coordinated SIM and Claim Modifiers libraries for billing purposes in NextGen® Enterprise PM. Add or Modify Provider Credentials Provider Credentials with Overlapping Dates Delete Provider Credentials Hide Provider Credentials Primary Credentials Parent topic: Behavioral Health Billing

File Maintenance Help for NextGen® Enterprise 8

Hide Provider Credentials

When Enable Provider Credential Billing is enabled in Enterprise Preferences > General, a provider's credentials can be hidden if needed, but not deleted. Access the Modify Provider Information window for a provider. Select the Credentialing tab. Credentials for the provider are listed in the top section of the tab. To hide a credential, do one of the following: Select the credential from the list, and then select the Hide Provider Credential check box. Select the credential from the list, and then select Open Menu and select Hide. The following prompt displays: Confirm hide of [Credential Name]? To hide the credential, select Yes. The credential is hidden and removed from the list. To display hidden credentials, select the Include Hidden Items check box. Hidden credentials display with the Hide icon. Parent topic: Providers Credentialing Tab

File Maintenance Help for NextGen® Enterprise 8

Delete Provider Credentials

When Enable Provider Credential Billing is not enabled in Enterprise Preferences > General, a provider's credentials can be deleted, if needed. Access the Modify Provider Information window for a provider. Select the Credentialing tab. Credentials for the provider are listed on the tab. To delete a credential, select the item from the list and then select Open Menu and select Delete. The following prompt displays: Do you want to Delete the record? To delete the credential, select Yes. The credential is deleted and removed from the list. Parent topic: Providers Credentialing Tab

File Maintenance Help for NextGen® Enterprise 8

Provider Credentials with Overlapping Dates

When Enable Provider Credential Billing is not enabled in Enterprise Preferences > General, a provider can have multiple entries for the same credential type with overlapping dates. For example: Dr. Smith obtained a State License on 11/01/2016. The license is effective from 11/01/2016 - 12/31/2017. Dr. Smith renewed the State License on 10/15/2017. The renewed license is effective from 11/01/2017 - 12/31/2018. In the above example, two entries can be made on the Modify Provider Information > Credentialing tab for State License, even though the effective date for the renewed license falls within the date range on the original license. When Enable Provider Credential Billing is enabled in Enterprise Preferences > General, a provider cannot have multiple entries for the same credential type with overlapping dates. Using the same example above, the following prompt displays when a second entry is made on the Modify Provider Information > Credentialing tab for State License with an effectiv

Help Guide for NextGen® Enterprise PM 8

Hide Provider Credentials

When Enable Provider Credential Billing is enabled in Enterprise Preferences > General, a provider's credentials can be hidden if needed, but not deleted. Access the Modify Provider Information window for a provider. Select the Credentialing tab. Credentials for the provider are listed in the top section of the tab. To hide a credential, do one of the following: Select the credential from the list, and then select the Hide Provider Credential check box. Select the credential from the list, and then select Open Menu and select Hide. The following prompt displays: Confirm hide of [Credential Name]? To hide the credential, select Yes. The credential is hidden and removed from the list. To display hidden credentials, select the Include Hidden Items check box. Hidden credentials display with the Hide icon. Parent topic: Providers Credentialing Tab

Help Guide for NextGen® Enterprise PM 8

Delete Provider Credentials

When Enable Provider Credential Billing is not enabled in Enterprise Preferences > General, a provider's credentials can be deleted, if needed. Access the Modify Provider Information window for a provider. Select the Credentialing tab. Credentials for the provider are listed on the tab. To delete a credential, select the item from the list and then select Open Menu and select Delete. The following prompt displays: Do you want to Delete the record? To delete the credential, select Yes. The credential is deleted and removed from the list. Parent topic: Providers Credentialing Tab

Providers Credentialing Tab

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Providers Credentialing Tab

Hide Provider Credentials

Delete Provider Credentials

Provider Credentials with Overlapping Dates

Hide Provider Credentials

Delete Provider Credentials