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Provider Profile Management

Who can do this?

  • Admins can add and edit provider profiles.

  • Only users with permissions to see a contract or workflow can see content in the Associated Contracts and Associated Workflows tabs.


Additional Considerations

  • If your organization is using Time Tracking (TERMS 2.0), ensure that providers who will be tracking their time in the app have provider profiles.

  • The provider directory allows duplicate NPIs to facilitate reporting for legacy customers that have multiple contracts falling under the same NPI.

  • For auditing and compliance purposes, provider profiles cannot be deleted.


How to Add a Provider Profile

  • Hover the cursor over Explore, then select Providers.

  • Click Create Provider.

  • In the Create New Provider modal, select the Provider Type:

    • Group Provider

      • Enter the Business Name.

    • Individual Provider

      • Enter the First Name and Last Name.

For multi-organization tenants:

Admins with multi-organization permissions can associate a single provider profile with multiple organizations.

  • Select one or more Organizations in the dropdown.

The Internal Provider ID will auto-populate.

  • If applicable, add a Primary Contact for the provider.

  • When finished, click Save.
    OR
    To close the modal without adding the provider profile, click Cancel or ✖.

  • After adding the provider profile:

    • Attachments and comments can be added.

    • All Admins for the organization will receive an automated email notification alerting them that a provider profile was added.


How to Edit a Provider Profile

  • In the provider profile, click Edit.

  • In the Edit Provider modal, edit the provider information.

  • If applicable, add comments and/or attachments to the provider profile.

  • When finished, click Save.
    OR
    To close the modal without saving your changes, click Cancel or ✖.

Contracts, workflows, exclusion verifications, credentialing, gifts, and TERMS timesheets associated with the provider are listed in tabs at the bottom of the provider profile.


How to Add a Provider Contact

  • Navigate to the provider profile.

  • Under the Provider Contacts tab, click Add Provider Contact.

  • In the Create New Provider Contact modal, enter the contact information.

  • If applicable, check the box to designate the person as the Primary Contact. The Primary Contact will be the first displayed in the contact list.

  • When finished, click Save.
    OR
    To close the modal without adding the provider contact, click Cancel or ✖.


How to Edit a Provider Contact

  • Navigate to the provider profile.

  • Under the Provider Contacts tab, click the caret to the left of the contact name.

  • Click the … (ellipsis) located on the right.

  • In the dropdown, select Edit.

  • In the Edit Provider Contact modal, edit the contact information.

  • When finished, click Save.
    OR
    To close the modal without saving your changes, click Cancel or ✖.


How to Delete a Provider Contact

  • Navigate to the provider profile.

  • Under the Provider Contacts tab, click the caret to the left of the contact name.

  • Click the … (ellipsis) located on the right.

  • In the dropdown, select Delete.

  • In the confirmation modal, click Delete Provider Contact.
    OR
    To close the modal without deleting the provider contact, click Cancel or ✖.


How to Add a Provider Exclusion Verification Record

  • Navigate to the provider profile.

  • Under the Exclusion Verification tab, click Add Exclusion Verification.

  • In the Add Exclusion Verification modal, enter the information.

  • If applicable, click (+) Upload Attachment to upload an attachment.

  • When finished, click Save.
    OR
    To close the modal without adding the provider exclusion verification record, click Cancel or ✖.

Your username will be recorded in the Verified By field of the record.


How to Edit a Provider Exclusion Verification Record

  • Navigate to the provider profile.

  • Under the Exclusion Verification tab, click the caret to expand the record.

  • Click the … (ellipsis) located on the right.

  • In the dropdown, select Edit.

  • In the Edit Exclusion Verification modal, edit as needed.

  • When finished, click Save.
    OR
    To close the modal without saving your changes, click Cancel or ✖.

Your username will be recorded in the Verified By field of the record.


How to Delete a Provider Exclusion Verification Record

  • Navigate to the provider profile.

  • Under the Exclusion Verification tab, click the caret to expand the record.

  • Click the … (ellipsis) located on the right.

  • In the dropdown, select Delete.

  • In the confirmation modal, click Delete Exclusion Verification.
    OR
    To close the modal without deleting the provider contact, click Cancel or ✖.


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