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Review Provider Information - Cal-PM

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Review and revise imported provider information in myAvatar for all mental health service organizations.

Prerequisites:

  1. Go to: Avatar PM > Client Management > California Required EDI > Review Provider Information
  2. In the Select Provider screen, enter the provider, choose Select Provider, then OK.
  3. Result: The pre-display dialog displays.
  4. Select the legal entity record.
  5. Click Add, or Edit as appropriate.
  6. Click Review Report to generate a report that details provider information.
  7. In the Fiscal Year field, enter the year, using the format YYYYYYYY. For example, for the fiscal year 2006 to 2007, enter '20062007'.
    • Provider Code
    • Mode of Service
    • Service Function
    • Legal Entity Code
    • Parent or Satellite
    • Provider Name

  8. The following fields are display-only and show provider information:

  9. In the Provider Start Date field, enter the start date.
  10. In the Provider End Date field, enter the end date.
  11. In the Provider demographic fields - enter provider demographic information.
  12. In the Medi-Cal Indicator field, select the provider's association with Medi-Cal billing.
  13. In the SD/MC Mode of Service field, select the Short-Doyle or Short-Doyle Medi-Cal mode of service.
  14. In the SD/MC Start Date field, enter the date.
  15. In the SD/MC End Date field, enter the date.
  16. In the Facility Type field, select the type of facility associated with the provider.
  17. In the C/T (Contract Type) field, select the type of provider contract.
  18. In the Contact fields, enter the contact person's information.
  19. In the Contact Comments field, enter comments associated with the provider.
  20. In the Transaction Date field, enter the date. If a record is being edited, this field displays the last date an edit was performed.
  21. In the Transaction Time field, enter the time.
  22. In the Transaction ID field, enter the identification, using the format
  23. In the Transaction Code field, select the status of the transaction.
  24. Select Submit.
► SQL Tables
  • SYSTEM.cal_provider_history_demo