Parameter Name
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Definition
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Effective Date
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This is the date that the provider started their practice.
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End Date
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If the provider has finished their practive, the date that they ended may be recorded here.
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Flag Message Option
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Selecting this option will display the Flag Message every time an operator enters a claim with this provider and the operator as finished entering the Benefit Line Code.
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Flag Message
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If the option above is selected, this message will be displayed after every time an operator who is entering a claim enters the Benefit Line Code. The maximum size of this is 200 characters.
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Provider Active
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Selecting this option will indicate if the Provider is currently active or not.
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Provider Status Notes
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Any additional notes about the status of the provider, and their activity may be entered here. The maximum size of this is 200 characters.
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General Notes
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Any other additional notes about the provider may be entered here. The maximum size of this is 200 characters.
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CCN Provider Type
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This is a CCN repricing parameter set by CCN.
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CCN Service Area
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This is a CCN repricing parameter set by CCN.
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Group Indicator
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This is a CCN repricing parameter set by CCN.
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Group Number
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This is a CCN repricing parameter set by CCN.
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Self Refer
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This is a CCN repricing parameter set by CCN.
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Group All Inclusive
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This is a CCN repricing parameter set by CCN.
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Conversion Factor
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This is a UCR repricing parameter.
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UCR Factor
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This is a UCR repricing parameter.
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