You can see the provider's basic information here. This information is used in Enrollment forms so it is important that it is up to date.
Assignment
A provider can be assigned to any specific credentialing team member, so that the responsible team member is able to see all the alerts and notifications associated with the providers assigned to them exclusively on their dashboard. This is not a mandatory function.
If a provider is not assigned to any credentialing team member then all the associated alerts can be seen in an “unassigned” pool of alerts. Which means that there isn’t any specific team member who is in charge of resolving the alerts in the provider's profile, however everyone who has access to the provider can view it and take necessary actions.
Note: You will be able to assign any user added from admin here. Make sure to assign only the team members who have access to the credentialing module.
PLI
PLI number and start/end date could be the same for all providers. It is a non-mandatory field. In case additional policy details are required to be accessed by the provider, you can attach a file here.
These details will be accessible on the provider portal for providers.
SSN
This is a highly secured field. Only the person with appropriate access will be able to see the ‘eye’ icon to view the SSN.
Access based- copy button is provided here so that if you have to use the SSN on any other forms or portal, you are able to copy it directly instead of typing it, this is considering that the field itself is locked.
Status
Only active employees will appear on the dashboard and other reports.
You will be able to assign a provider to any work auth or add their schedule if they are active.
Compensation
This information can be only added/edited/viewed by the users who have access to the ‘Compensation’ section.
This is not mandatory information. It connects to cost and margin reports, however it does not have direct effect on any other functionality in the system.