Provider Data
Provider Data holds all provider information under a customer's account. All of the fields within this category correspond directly to fields that can be found under the Provider section of the application.
| Name | Description |
| Billing Provider ID | The unique identifier of the provider selected in the "Select Provider Claims are Billed Under" selection field. |
| Eligibility Provider ID | The unique identifier of the provider selected in the "Select Provider Eligibility is Checked Under" selection field. |
| Practice ID | The unique identifier of the provider selected in the "Select Provider Practice This Provider is Under" selection field. |
| Provider ID | The unique identifier for a Provider, as seen in the 'Seq#" field. |
| Billing Mode | Displays the selected option in the "Bill As Individual or Group" selection field. |
| Code | Associated with the "Code" field. |
| Credentials | Associated with the "Credentials" field. |
| First Name | Associated with the "First" field. |
| Full Name | Displays the provider's full name in the following format: [Last Name], [First Name] [Middle Initial]. If for some reason there is no last name or first name on record for the provider, no comma will be displayed. Example: Smith, John Q |
| Full Name w/ ID | Displays the provider's full name followed by the provider's ID number in the following format: [Last Name], [First Name] [Middle Initial] ([ID]) Example: Smith, John Q (12345678) |
| Inactive? | Displays "Yes" if the Provider is marked as inactive. Otherwise, this field will display "No". |
| Last Name | Associated with the "Ind. Last" field. |
| Middle Initial | Associated with the "MI" field. |
| NPI | Associated with the "National Provider Identifier" field. |
| Reference ID | Associated with the "Reference ID" field. |
| Taxonomy Specialty | Displays the taxonomy code of the selected option in the "Taxonomy Specialty" selection field. |
| Taxonomy Specialty Description | Displays the description of the selected option in the "Taxonomy Specialty" selection field. |
| UPIN | Associated with the "UPIN#" field. |
| Entered Date | Displays the date that a provider was entered into the system. |
| EIN | Associated with the "Employer Identification # (EIN)" field. |
| SSN | Associated with the "Social Security# (SSN)" field. |
Other ID Numbers
| Name | Description |
| Anesthesia License # | Associated with the "Anesthesia License#" field. |
| Associated with the "Email Address" field. | |
| Specialty License # | Associated with the "Specialty License#" field. |
| State License # | Associated with the "State License#" field. |
| Cell Number | Associated with the "Cell Phone#" field. |
| Fax Number | Associated with the "Fax#" field. |
| Pager Number | Associated with the "Pager Phone#" field. |
| Phone Number | Associated with the "Home Phone#" field. |