TM3 Provider Codes

Whats New?

With the latest TM3 update users can now set provider numbers on Practitioner profiles that will be displayed on relevant Invoices in relevant situations.



Practitioner Profile Configuration

The following sections in the TM3 Practitioner profile will configure Provider numbers for various situations.


Group Code = Group (Healthfund) specific provider numbers.

Set a provider number that will be used when certain Groups are billed.

Set on the practitioner profile under the Provider Codes Section.

Technical Information

practitionerGroupProviderNo in tblPractitionerGroup

 

Location Code = Location specific provider numbers

Set a provider number that will be used when billing occurs at certain Locations.

Set on the practitioner profile under the Location Section

Technical Information

practitionerLocationCode in tblPractitionerLocation

 

Practitioner Code = Default Practitioner Provider Number

Set a provider number that will be used generically as a default provider Number.

Set on the practitioner profile under the Location Section

Technical Information

practitionerCode in tblPractitioner


Standard Invoice Customisation

In the invoice template designer you will find the following merge fields listed under the Practitioner Section.



Practitioner Code = This merge field will display the default practitioner provider number set on the practitioner profile, regardless of group location etc.


Group Code = This merge field will display a group specific provider number if the invoice account is a group and the practitioner profile has a group specific provider number for that group.


Location Code = This merge field will display a location specific provider number if the invoice is generated at a location in which the billing practitioner profile has a location specific provider number for that location.


Provider Number = This is a dynamic merge field. The merge field will display the billing practitioner provider number dependant on the scenario.

Example:

Practitioner has a group specific Provider number of 1234567 for BUPA

Practitioner has a location specific provider number of 987456123 for Location 2

Practitioner has a default provider number of 555555A

Situation 1

Invoice is made at Location 1 and not related to a Group (Private Patient)

The provider number displayed will be the default provider number 555555A

Situation 2

Invoice is made at Location2 and not related to a Group (Private Patient).

The provider number displayed will be the provider number they have set for Location 2 987456123

Situation 3

Invoice made at Location 2 and related to BUPA Account

The provider number displayed will be the provider number they have set for the BUPA Group 1234567

 

Group Invoice Customisation

In group Billing situations an invoice may contain billings items for different attendances and could include different treating practitioners.


Example: Invoice to BUPA Containing all billed patients for the month. Multiple patients on the invoice and different treating practitioners.


In this situation the billing area of the invoice will need to display the relevant practitioner provider number for each patient/attendance.

In the Invoice Template designer, you can insert a new billing item area and select that entries within the billing item area will display the relevant provider number for the listed practitioner.



The provider number option in the billing tables works the same as the Provider number option in the generic merge fields. This is a dynamic merge field. The merge field will display the billing practitioner provider number dependent on the scenario.