2.2. MARCO TEÓRICO
2.2.11. EL DEBER DEL CUIDADO OBJETIVO
2.2.11.1 EL DEBER DE VIGILANCIA EN LA EMPRESA
To edit the master provider profile associated with the first plan for which you are
registered, click EDIT from the bottom of the Provider Details page (accessed on clicking the Details subtab from the menu bar of the Providers tab). The system displays the Edit Provider page.
The Edit Provider page enables you to edit the provider details, as displayed on the Provider Details page, with the exception of the following fields:
NPI - This is a unique identifier which the system assigns to a provider on enrollment.
835 Distribution and H2H Account ID - These fields can only be modified by a J.P.Morgan Implementation Coordinator (JIC).
Note: The system marks mandatory fields with a red asterisk (*).
The following table provides information on editing the fields:
Field Name Description
PROVIDER DETAILS: Provider Name*
Enter your name as it appears within Healthcare Link Payer using up to a maximum of 60 alphanumeric (a-z, A-Z, 0-9) characters. You can also use spaces and symbols. NPI* The National Provider Identification (NPI), which uniquely
identifies all provider of health care services, supplies, and equipment. This field is read-only and cannot be modified. Tax ID* Enter your unique 9-digit tax identification number.
For security reasons, the system only displays the last four digits.
Provider Contact Name
Enter the name of the person to contact using up to a maximum of 60 alphanumeric (a-z, A-Z, 0-9) characters. You can also use spaces and symbols.
Department Enter the contact's department using up to a maximum of 60 alphanumeric (a-z, A-Z, 0-9) characters. You can also use spaces and symbols.
Provider Phone Number
Enter the contact's phone number in U.S. format. On entering the number, the system automatically inserts the hyphens (-).
Field Name Description
Email Address Enter the contact's e-mail address using the standard format, i.e., a local and domain part separated by an @ symbol.
Example:
Notes:
A non-quoted local part may consist of alpha (a-z, A-Z) and/or numeric (0-9) characters and may include the following symbols ! # $ % & ' * + - / = ? ^ _ ` { | } and ~. Periods (.) may also be present in the local part, but
cannot be the first or last character, or be adjacent to another period.
Domain parts consist of labels separated by periods with between 1 and 63 characters for each part (including the period delimiter).
Domain labels must start and end with an alpha (a-z, A- Z) or numeric (0-9) character and may include hyphens (-).
The last domain label must contain at least one alpha character or hyphen and have a minimum of 2 characters.
No spaces are allowed in the e-mail address. The e-mail address cannot exceed 80 characters. Payment Type Select one or both of the following check boxes to indicate
how the payment is to be made:
ACH - electronic payment by ACH (Automated Clearing House).
Check - payment by check.
EOB Type Indicates how you want the Explanation of Benefits (EOB) associated with the payment to be submitted to you. If you want the EOB to be submitted on paper, select
the check box.
If you want the EOB to be submitted electronically (i.e., online) to you, clear the check box.
Notification Email Enter the e-mail address, which Healthcare Link Payer uses to send notifications to you.
Field Name Description
Consolidation Days and Consolidation Amount$
These fields are only displayed if the payer has set up the plan to allow you to view the consolidation rules.
To change the consolidation settings, select the appropriate number of days from the Consolidation Days drop-down list and/or enter the Consolidation Amount$.
Note: For more information about consolidation including examples, refer to Viewing the Master Profile Details on page 35.
LOCATION ADDRESS: Address Line 1*, Address Line 2, City*, State*, and Zip Code*
Enter the address details for your location, i.e., first and second line of your address, city, two-digit state code, and zip code.
All fields except Address Line 2 are required.
For the State, select the appropriate two-digit state code from the State drop-down list.
PAYMENT ADDRESS: Address Line 1, Address Line 2, City, State, and Zip Code
If your payment address is the same as the location
address, select the Same as Location Address check box. The system populates the payment address fields with the location address details.
However, if the payment address is different, enter your payment address details.
BANK DETAILS: Routing Number
Enter the 9-digit number which the payment system uses to route the payment to you.
Account Number Enter your bank account number using up to a maximum of 18 alphanumeric (a-z, A-Z, 0-9) characters. For security reasons, the system only displays the last four digits.
Note: The bank account number is unique for each plan. However, a plan can have the same bank account for ACH and check payments.
Field Name Description
Description Enter the description of the bank account using up to a maximum of 50 alphanumeric (a-z, A-Z, 0-9) characters. You can also use spaces and symbols.
Click Save to save your changes (or click Cancel to discard). The system returns to the Provider Details page.
Note: On saving your changes, the system updates the fields on the Provider Details page and populates the Last Updated Date field with the current date and time.