Healthcare Provider Profile

Posted on 2024-03-21

The Healthcare Provider Profile Page serves as a centralized hub for entering and maintaining essential details about healthcare professionals and facilities. Moreover, specify the range of services and treatments offered by the healthcare provider or facility.

Create a new healthcare provider

To create a new healthcare provider, navigate to Network ‣ Healthcare Providers, then click Add New, and fill out the new line as follows:

1. Name: The name of the healthcare provider.

2. Arabic Name: The name of the healthcare provider or facility in Arabic, if applicable.

3. Provider Category: The category or classification of the healthcare provider (e.g., University hospital, class A).

4. Abbreviation: An abbreviated form of the healthcare provider's name or title.

5. Default Currency: The currency used for financial transactions and billing purposes.

6. Licensing Authority: The governing body responsible for issuing licenses to the healthcare provider.

7. License Number: The unique identification number assigned to the healthcare provider's license.

8. Provider Type: The type of healthcare provider (e.g., Pharmacy, dentist, Hospital).

9. Email: The email address associated with the healthcare provider for communication purposes.

10. Phone: The telephone number for contacting the healthcare provider.

11. Address: The physical location or mailing address of the healthcare provider.

12. Region: The geographic region or area where the healthcare provider is located.

13. Audit Discount: Any discounts or concessions applicable to speed the auditing processes.

14. ICD Version: The version of the International Classification of Diseases (ICD) used for coding diagnoses.

15. Fees Splitting Method: The billing method for professional fees (e.g., hospital and physician fees are combined and the hospital pays the physician) may be divided in the payment orders or non-split.

16. Convert ER Authorization: is permitted to convert an ER claim to an IN claim.

17. Hold Payment: This configuration will stop all payment processing with this provider.

18. Auditor Physician: The TPA physician is in charge of auditing this provider's claims.

19. Payment Advice: This feature specifies whether a comprehensive payment should display all fees or a summary should display the total amount.

20. Contact – Department Name: The name of the department associated with the contact.

21. Contact – Email: The email address of the contact.


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