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Provider Definitions

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Information

 
Application Version
Environment
Instructions

Billing Provider

  • Provider who bills the payer.
  • You can set a default billing provider in Administration: Provider Maintenance and Administration: Locations.  

Referring Provider

  • Provider who referred the patient.
  • Defaults from the appointment or patient associations in Patient Registration.
  • Transfers to the claim form.
  • You can set a default referring provider in Administration: Provider Maintenance.

Rendering Provider

  • Provider who treated the patient.
  • Links to Administration: Calendar Resources.
  • Transfers to the claim form.
  • Used for Merit-based Incentive Payment System (MIPS) Quality and Promoting Interoperability measure evaluation.
  • You can set a default rendering provider in Administration: Provider Maintenance.

Servicing Provider

  • Internal reporting purposes only.
  • Does not get sent to the claim form.
  • Used to report services or revenue to the servicing provider, but the servicing provider is not credentialed with the payer. 

Supervising Provider

  • Rendering provider's supervisor.
  • Provider who supervises the services.
  • Transfers to the claim.
  • You can set a default supervising provider in Administration: Provider Maintenance.

 

See Also: 
Administration: Calendar Resources
Administration: Locations
Administration: Provider Maintenance - Rendering and Billing Providers
Administration: Provider Maintenance - Referring/Ordering/Purchased
Patient Registration
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Keywordsdefinition description billing rendering referring servicing supervising providers "provider types" role
TitleProvider Definitions
URL NameProvider-Definitions

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