Providers System Tab
On the System tab, you can add a provider or modify provider details using the following field descriptions.
| Field | Description |
|---|---|
| Provider Payers | This field lists payers and payer numbers added to the provider. After you add a provider, you should add values in the Provider Payers list. |
| Taxonomy Code | This field displays a default taxonomy code to classify providers according to type or specialty. |
| Specialty Code1/ Specialty Code2 | This field displays the provider's specialty codes. You can modify specialties in the Specialties master file. |
| Provider Subgrouping 1/ Provider Subgrouping 2 (User-defined fields) | This field displays provider subgrouping category types that you can use as reporting filters. To modify the information, you can refer to the Provider Subgrouping 1 and Provider Subgrouping 2 fields on the General tab of the Enterprise Preferences window. |
| Employer | This field displays the provider's employer. The employers listed are maintained in the Employers master file. |
| Primary Location | This field displays the provider's primary location that you are required to provide to insurance companies. |
| Hospital Affiliations | This field displays the hospital that the provider is affiliated with. |
| Letter Code | This field is currently not used. |
| Enable PQRI Claim Edits | This field enables Physician Quality Reporting Initiative (PQRI) claim edits for rendering providers. |
| Language | This field displays the provider's primary language. |
| Language (Sec) | This field displays the provider's second language, if any. |
| Language (Third) | This field displays the provider's third language, if any. |
| External ID | This field displays the alphanumeric key that other applications use to map fields. When another application needs data from a NextGen Healthcare application, the External ID identifies the NextGen Healthcare application file location. The other application can then access the file, obtain the information, and map it to a corresponding field. |
| Export Service | This field allows charges for services performed by the provider to be carried over to a third-party billing system. If you do not select the check box, the application does not permit charges to be billed. |
| Other License | This field displays any additional license or certification numbers the provider has. |
| Other License Description | This field contains descriptions of any additional license or certifications. |
| National Provider ID | This field displays the provider's National Provider Identifier (NPI).
|
| Default Tax ID | This field displays the provider's tax ID. If the Default Tax ID is blank, the Local 82 ID number is automatically populated. |
| Provider Licensing | This field lists the products the provider is currently licensed to use. If you have an unlimited license, you cannot clear the check boxes. |