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Provider Manager Basics

What are the 4 entity level classifications within Provider Manager?

Provider

Practitioner

Business Entity

Corporate Entity

Patient

Shell Record

Enrollment

What is an Entity?

What do we call an Entity that has a Heartbeat?

Provider

Practitioner

Patient

Business Entity

What is a Heartbeat?

How do we associate a Physician to the places they perform services?

Service Locations Cycles

Additional Address Cycles

Specialty Cycles

Affiliations to Hospitals

What is a Physician?

At what entity level do we insert brand new service locations for existing records?

Provider

Practitioner

Business Entity

Corporate Entity

Yellowpages

Service Location Entity

What do we add to a provider record in order to associate it to a Tax Identifiable Entity?

Business Entity Cycle

IRS Cycle

Location Cycle

Credentialing Cycle

Provider elected to not file Income Taxes

How many places can a Practitioner perform services at?

None

As many as they want

Good! Now how would we add multiple places that services are offered?

Multiple Service Location Cycles

Multiple Business Entity TIN Cycles

Multiple Practitioner Cycles

Multiple Credentialing Cycles

None of the Above

How would we change a Practitioners Specialty at a Location?

End Date the Existing Location Specialty Cycle and Create a New Location Specialty Cycle

Create a New Provider

This action is not allowed

Create a New Service Location

Ask the Practitioner to not change their Existing Information via Carrier Pigeon Mail

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