Provider Agency Search

This page allows you to view detailed information about your provider agency.

NOTE: You can click the icon to expand information or the icon to collapse information on this page.

This page contains one or more tables. You can click a specific column heading in a table to sort the data in the table in ascending order by the selected column. Once selected, you can click the column heading again to sort the data in descending order. When more than one page of data is available, you can click the buttons at the bottom left of the table to navigate through the various pages, or you can select a specific page in the Page drop-down list to display data for a specific page.

Search Criteria for Provider Agency

As a provider, search criteria display automatically for your provider agency and the following information is read-only and cannot be changed:

Level Of Care
Provider Agency Name
Initiative
As Of Date

Search Results

In the columns of the Provider Agencies table, the following information is displayed for your provider agency:

Click the Details link to display detailed information about your provider agency. When clicked, the page refreshes and displays Provider Agency Detail information.
Name displays the name of your provider agency.
State Reference displays the unique reference identifier as defined by the state for your provider agency.
Start Date displays the date on which your provider agency began (or will begin) participation in the program.
End Date displays the date on which your provider agency ended (or will end) participation in the program.
Payment Location displays the name of the billing site for your provider agency.

Provider Agency Detail

Provider Agency Information displays when the Details link in the Provider Agencies table is clicked. The following information is displayed for your provider agency:

Agency Name displays the name of your provider agency.
State Reference displays the unique reference identifier as defined by the state for your provider agency.
Start Date displays the date on which your provider agency began (or will begin) participation in the program.
End Date displays the date on which your provider agency ended (or will end) participation in the program.

Site Information

Under Site Information, the following information is displayed for the site currently selected in Provider Site:

Provider Site displays the name of the provider agency site or location. You can select a different site in the drop-down list to view specific information about the site selected. The drop-down list contains a list of all sites associated with your provider agency. When a different site is selected, the page refreshes and displays information specific to the selected site.

Contact Information displays the various contact information for the site, including:

Address
Primary Phone Number
Alternate Phone Number
Secondary Phone Number
Cell Phone Number
Fax Number
Email Address

Main Site indicates whether the site currently displayed is the main site for the provider agency. The main site may be the business headquarters or centralized location for your provider agency, or it may be an administration building, a hospital, etc.

Payment Site indicates whether the site currently displayed is a payment site for your provider agency. While some sites designate their own billing, most provider agencies designate billing from the main site.

Active Clinicians

The Active Clinicians table displays a list of all active clinicians that are practicing at the site currently selected in Provider Site. You can select a different site in the drop-down list to view active clinicians at the selected site. The following information is displayed for each active clinician:

State Reference displays the unique reference identifier as defined by the state for the clinician.
Last Name displays the last name of the clinician.
First Name displays the first name of the clinician.
Start Date displays the date on which the clinician started (or will start) practicing at the site.
End Date displays the date on which the clinician stopped (or will stop) practicing at the site.

Initiatives

The Initiatives table displays all programs available for funding for all provider agencies participating in the program. The following information is displayed for each initiative:

Name displays the name of the initiative.
Description displays a brief description of the initiative.
Fee For Service indicates whether the initiative is currently classified as a fee for service initiative.
Start Date displays the date on which the cap became (or will become) active for the initiative.
End Date displays the date on which the cap became (or will become) inactive for the initiative.
Cap displays the maximum total amount that can be claimed for the initiative by all provider sites participating in the program.
Claimed Amount displays the total amount that has already been claimed for the initiative by all provider sites participating in the program.

Levels of Care

The Levels Of Care table displays levels of care currently authorized for the provider agency. The following information is displayed for each level of care:

Name displays the name of the level of care.
Description displays a brief description of the level of care.
LOC Type displays the type of the level of care.

For Adults indicates whether the level of care is currently available for adults.

Start Date displays the date on which the level of care became (or will become) active.
End Date displays the date on which the level of care became (or will become) inactive.

Annual Limit displays the total amount that can be claimed for the level of care.

Services

The Services table displays a list of all services that are available at the site currently selected in Provider Site. You can select a different site in the drop-down list to view services at the selected site. The following information is displayed for each service:

Name displays the name of the service.
CPT Code displays the unique CPT code currently associated with the service.

Start Date displays the date on which the service became (or will become) available at the site.
End Date displays the date on which the service became (or will become) unavailable at the site.
Service Unit displays the amount that consists of one unit of service. For example, a measurement of time or a treatment can equal one unit.

Payments

The Payments table displays a list of all payments that have been made for services provided at the site currently selected in Provider Site. You can select a different site in the drop-down list to view payments made for services at the selected site. The following information is displayed for each payment:

Click the Details link to display detailed information about the selected payment. When clicked, the page refreshes and displays Transaction information.
Reference Number displays the unique reference number for the payment.
Type displays the type of payment that was made.
Statement Date displays the date on which the statement became available for the payment.
Effective Date displays the date on which the payment became effective.
Amount displays the amount that was paid for the service.
Balance Forward displays the current forward balance of the payment.

Transactions

The Provider Agency Site Transactions table displays when a payment number is clicked in the Payment Number column of the Provider Agency Site Payments table. The following information is displayed for each transaction associated with the payment:

Transaction Date displays the date on which the transaction occurred.
Description displays a brief description of the transaction.
Type displays the type of transaction that was recorded.
Status displays the current status of the transaction.
Payment Amount displays the amount that was paid for the service.
Delete provides a link to delete the transaction. Click the icon in this column to delete the transaction.

Advances

The Provider Agency Site Advances table displays payments that have been made in advance for services that have not yet been provided at the site currently selected in Provider Site. You can select a different site in the drop-down list to view payments made for services at the selected site. The following information is displayed for each advance payment:

Recoupment Begin Date displays the date on which recoupment of compensation begins (or will begin) for the advance payment.
Description displays a brief description of the advance payment.
Total Cycles displays the total number of repayment cycles available for the advance payment.
Remaining Cycles displays the number of repayment cycles currently remaining for the advance payment.
Advance Amount displays the amount of money that was advanced for the service.
Balance displays the amount of money remaining to be advanced for the service.
Delete provides a link to delete the advance payment. Click the icon in this column to delete the advance payment.

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