Applying Contracting Provider

Enter an application for a contracting provider. The provider is assigned 'applying contracting provider' status. This allows you to track provider applications separately from registered providers.

Prerequisites:

• Applying contractors can receive service authorizations, if Yes is selected in the Allow Contracting Providers To Be Authorized While Not Registered field (Set System Defaults form).

1. ---

   Go to: Avatar MSO > Provider Management > Applying Contracting Provider.

2. In the Select Provider field, search for and select the provider name.

3. If a provider is not found, click New Provider. The Auto Assign dialog displays.

• Click Yes to generate a provider ID.
• Click No to display the ID Number dialog and enter an ID.

3. In the Application Date field, enter the date.
   Dates must be entered DDMMYY.

4. In the Type of Contracting Provider field:

• Select Facility if the Contracting Provider agency is a location which has multiple Performing Providers rendering services/etc.

• Select Provider if the Contracting Provider agency is a singular Performing Provider/same as the Performing Provider rendering services/etc.

5. In the Name field, enter the provider or facility name, and select.

6. In the Contact at Facility field, enter the contact name using the format LAST,FIRST.

7. In the Type of Contact field, select how to communicate with the contact.

8. In the 'Office' fields, enter the provider's office demographics.

• The Office County field can be edited using the county dictionary value.

9. In the Comments field, enter information associated with the provider.

10. Click Submit.