UHC-ID DIV's
When creating a UHC-ID DIV, what must your provider have to link the DIV's to?
TAX ID and B-AID (Billing address)
According to the Taxonomy grid, what is the Spec code for Sports Medicine?
296
What kind of addresses can be a primary?
Combo and PLSV
When reactivating a TIN, what else needs to be reactivated?
BSAR relationships, UHC-ID DIV's and all addresses tied to that TIN.
What should you use to check your work BEFORE submitting your GD to the SharePoint or completing it?
Demo Quality Check-list and predict
UHC-ID Add/Demo
What is the cancel date called for a DEA or license number?
Expiration date
What reference number means the master address record in NDB?
M-Aid
When adding a new provider and a new Master TAX ID, what do you need to before working on the instructions?
Add legal owner of the TIN
Is a comment always required on a closed GD?
No
When do you Timeline a DIV?
When changing a bill/combo address to a new bill/combo address
When adding a Specialty, do you need to check if it needs to be credentialed?
Yes
This indicates how an address is used.
Address Type
What is the correct way to look up your provider in NDB?
Look up by BOTH the MPIN and TIN.
When adding a Non Par provider, how do we determine what DIV's need to be loaded?
Par vs Non Par SOP and MPM Tool
Does the U screen use the same cancel reason codes as the main NDB?
No, always use the cancel code job aid.
A practitioner can have more than one Medicaid ID's
Close
You get a GD to change the legal owner group name or a TAX ID. What will you do if the MPIN for the new legal owner has already been created in the system?
Submit a Q screen request. This would be required to update the legal owner if an MPIN for the new legal owner has already been created in the system.
What is the process for a name change?
Timeline the updated name with the right cancel/effective date and reason code.
When does the CLN field have to be filled in?
UHCID with PROV TYPE 0001, 0004, and 0012 requires CLN to be populated.
You get a request to term a NPI due to a Quality of Care Termination. What cancel code do you use?
60
When loading the address macro, what screen to you have to be on for it to run AND what ALL has to be filled out?
M-AID, phone/fax, address type, effective date, Contract ORG, P/S Indicators and on the T screen.
Can you term a TAX ID if other providers are attached to it?
If there are no other active requests found in Phycon, no you would close the request.
What is the 2 step process in verifying whether or not our TIN is Delegated or not?
Check the I-D-C screen and the PLMI