Map provider names to Org codes

Contract Management administrators can manage provider name mappings to organizational codes using the Provider Org Code Mapping feature.

When a claim enters the system, the provider name on it is checked against the existing list of names. If the name is different in any way from the names already in the list (for example, spelling or word order), it is added to the list. Administrators can then map the new provider names or the name variances to the correct Org codes.

By default, new provider names come in with the default code. You can select the desired name from the Org Code drop-down or, if needed, you can create a new Org code.

To map a provider name to an Org code:

  1. In the main menu header, from the Admin menu, select Provider Org Code Mapping.
  2. Locate the provider name in the list on the left. Names are listed in alphabetical order.
  3. In the Org Code column, from the Org code drop-down for the corresponding provider name, select the desired Org code. The change is saved automatically. If the needed Org code does not exist, you can add it using the following instructions.
  4. To propagate the provider name and Org code association to existing claims, recalculate the claims.

To add a new Org code:

  1. In the main menu header, from the Admin menu, select Provider Org Code Mapping.
  2. In the Add New Org Code section, in the Org Code field, type the number to associate with the Org code.
  3. In the Description field, type the Org code description.
  4. Click Save.