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Managing a Provider’s Profile, Locations, and Procedures

This guide explains how to manage a provider’s profile, add and update location mappings, and assign procedures.

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Written by Regina Arbolante
Updated over 3 months ago

Objective

To ensure provider records are accurate and complete by updating personal details, mapping locations, and assigning procedures in the portal.

Key Steps

Step 1: Access the Provider Profile

  • Log in with your admin account.

  • From the main navigation, select Providers.

  • Search for the provider by name or NPI.

  • Click the provider’s name to open their profile.

Step 2: Update Provider Profile Details

  • In the Profile form, review and update details:

    • External System*: Select the system connected to this provider.

    • External ID*: Enter the provider’s ID from the external system.

    • Name: Confirm or update first and last name.

    • NPI and DEA: Enter or verify identifiers.

    • Gender: Select from the dropdown.

    • Address Information: Update street address, city, state, and ZIP code.

    • Contact Information: Update phone number.

  • Once complete, click Update Provider to save.

Step 3: Manage Provider Locations

  • In the provider profile, open the Locations tab.

  • To add a location:

    • Click Add Location.

    • Select the practice location from the dropdown.

    • Click Add Location to confirm.

  • To view current mappings:

    • Review the Current Locations list.

    • If no locations are mapped, use the form to add at least one.

  • To remove a location:

    • Open the Current Locations list.

    • Select the location to unmap.

    • Confirm removal if prompted.

Step 4: Manage Provider Procedures

  • Open the Procedures tab in the provider profile.

  • To add a procedure:

    • Click Add Procedure.

    • Search for the procedure by name or code.

    • Select the correct procedure and click Add Procedure.

  • To view current mappings:

    • Review the Current Procedures list.

  • To update or remove a procedure:

    • Select the procedure from the list.

    • Confirm deletion or add updated ones as needed.

Important Notes

  • Provider profile details must match external system records where applicable.

  • At least one location should be mapped to every provider for scheduling accuracy.

  • Procedures must align with the provider’s specialty and the practice’s approved list.

  • Errors in mapping may result in scheduling issues or claim denials.

Tips for Efficiency

  • Update all details at once during onboarding to avoid repeat edits.

  • Standardize procedure sets by specialty to speed up provider onboarding.

  • Audit quarterly to ensure providers only have active locations and valid procedures.

  • Verify NPI and external IDs before saving to avoid duplicate entries.

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