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What Is Entity?

An entity is an individual or institution for which information is collected and maintained in ND MMIS. There are two basic types of entities: those that are enrolled, such as provider and members, and those that are un-enrolled such as attorneys, TPL carriers, or providers and members not in ND MMIS.

The entity search feature is used to search for enrolled or un-enrolled entities, to add new un-enrolled entities, or edit existing entities. After adding an un-enrolled entity, you can then add case or correspondence records to track activities, events and correspondence between you and the entity.

When you add an entity, ND MMIS captures the entity name, unique ID, contacts, address, e-mail, and telephone information and generates a unique contact management ID that can be used later when creating case records or correspondence records (CR) for the entity.

The entity search feature can be accessed from many functions in ND MMIS. The entity type is used to determine which view of the Entity Search page is displayed. The fields on the views vary to help you search more efficiently. The current entity search views are Provider, Un-enrolled Provider, Member, TPL Carrier, County, and all Others (Un-enrolled Members, Attorney, etc.).

When the Search Entity page is accessed via the Search Document Repository, the Entity search result that is selected will be used to populate the user key search criteria of the Search Document Repository page.

After you have completed your search and selected an individual entity, you are either returned to your original function's page where the entity information fields are now completed with your selection or directed to pages to view and make changes to the entity, depending on your task. Updates for enrolled providers or members, are done on the Provider Name and Address or Member Search/Summary pages respectively. All others are done on the Maintain Entity page.

If you select Add Entity from another function, the Maintain Entity page is displayed so you can add specific entity information. When you save the information, you are returned to your original page and the information is used to populate that page's entity information fields.

Maintaining an Entity

The Maintain Entity page allows you to add and edit the following types of information:

Validating an Entity ID

When editing an entity, Entity ID and Entity ID Type fields together with the Validate button are only displayed when you select Un-Enrolled Provider as the Entity Type. You use the Entity ID field to enter the provider ID for an un-enrolled provider who becomes enrolled. You have to manually enter the enrolled provider ID in the Entity ID field, select the appropriate Entity ID Type, and then click Validate. The validation process establishes a relationship between the CM entity ID and the provider entity ID. That is, the CM entity record is associated with the provider record.





Instructions

How to Search for an Entity

How to Add or Edit an Entity

 

Field Descriptions

Entity Search Pages
Maintain Entity Pages

 

See Also

How to View or Edit a Provider

How to Add or Edit Member Details

About Contact Management

 

Version as of 5/16/14.

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