Setup Step 2: Facility Information

Setup Step 2: Facility Information

Underneath Settings, click "Facilities", then double click the line displayed in the middle of this page. Check over the information at the top of your Facility Information Page for accuracy. Please enter any information that is missing in the red fields. If you have more than one physical or logical facility then you can click the New button to add an additional facility.

The next section down is for Programs. The most commonly used programs are listed below, and we can add special programs upon request. Please be sure to click the Add button to apply the selection from the drop down menu.
  1. MH - Mental Health
  2. SA - Substance Abuse
  3. INT - Mental Health/Substance Abuse
  4. BH - Behavioral Health (OKHCA LBHP contracts only)

Skip the section for Facility Logins since we will fill this out for you when we receive the information. 

The next section is "Facility Payers", please take your time here as it controls what information we submit during billing. All payers you may want as an option on a client should be entered in this section. Please note, the OKHCA MCO payers appear as "OK Aetna Better Health", "OK Humana", and "OK Complete Health" in the list.

Some helpful tips about what to enter in certain fields on the Payer Information page:
  1. Payer Account is important for OKHCA payers and OKHCA MCO payers, and is where your contract number and letter goes. For all other payers, it does not really matter what you put but most folks put the name of the payer instead.
  2. Bill Zip must include +4 and it must match what the payer has on file.
  3. Bill Submit Type can be set to manual for the time being. We will change it later when you're ready to submit billing.
  4. Priority here is up to you because you will have finer control over payer priority on every client regardless of what is entered here.
  5. Payer Code and Payer Source are used for some ODMHSAS contracts but can be left blank otherwise.
  6. The Dates 01/01/1900 and 12/31/9999 can be left as they are unless you are certain that your contract with a particular payer is going to expire and not be renewed on specific dates.
  7. The Service NPI field tells the system which service and rendering NPI to send:
    1. Facility: Facility is contracted with the payer. Send the facility NPI as Service NPI and the provider NPI as the Rendering NPI. This is the most common option.
    2. Facility/Supervisor: Send the facility NPI as Service NPI. Send the provider NPI as the Rendering NPI unless the provider is under supervision, in which case send the supervisor's NPI as the Rendering NPI.
    3. Provider: Providers are contracted with the payer. Send the provider NPI as Service NPI and the provider NPI as the Rendering NPI.
    4. Provider/Supervisor: Always send the provider NPI as Service NPI and the provider NPI as the Rendering NPI unless the provider is under supervision, in which case send the supervisor NPI as Service NPI and the supervisor NPI as the Rendering NPI.