Referral (Provider Tab) Page

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Referral (Provider Tab) Page

You can use the Provider tab to search for referral requests using provider information.

The Provider tab of the Referral search page contains the following panels:

Provider
Search Results

Provider Fields

Field	Description
To add a referral, click Add Referral.
Provider Type	Indicates whether the search is for the referred to or referring provider information.
Provider ID Type Code	The type of provider ID. Examples: Medicaid, National Provider ID (NPI)
Provider ID	Unique identifier used for a provider of healthcare services. Format: Up to 15 alphanumeric characters
Begin Date	The earliest date in the date range for which you are searching. Format: MM/DD/YYYY
End Date	The latest date in the date range for which you are searching. Format: MM/DD/YYYY
Member ID	Unique identifier used for a member and is assigned when the member becomes eligible to receive Medicaid benefits.
Service Requested	The specific service requested based on the type of referral. Examples: Hearing Aids, Outpatient Hospital Services
Service Code Type	Indicates whether the service code is a revenue code, procedure code or another type of code.
Service Code	The revenue or procedure code for which the referral is submitted.
Mod1 - Mod4	Modifiers 1 - 4. A two-digit code attached to the procedure code to modify or clarify the description of the procedure. Up to four modifiers may be submitted for each procedure code, if applicable.
Referral Type	The type of referral. Examples: CSP, PCCM, Other Referral - Dental
Location	The work location assigned to the referral request.
Only Show My Referrals	Limits the search results to only referral requests that have your user ID stored in any field on the referral record.

Search Results Fields

If more than one record is found, a table with matching records is displayed.

Version as of 5/16/14.