Qualifications
The Qualifcations subgrid displays the Qualification Name, Certification Date, Expiration Date and the Qualification Number.
Create a Practitioner Qualification
To create a new Practitioner Qualification, click 'New Practitioner Qualification'.
- Practitioner - This field is prepopulated with the Practitioner navigating from.
- Qualification - Choose from qualification definitions.
- Certification Date
- Expiration Date
- Qualification Number
On existing practitioner qualifications, use the timeline, status reason, and application fields to track the workflow for getting this qualification credentialed by insurance:
- Status Reasons:
- Active (default)
- Application Sent to Provider
- Provider Application Received
- Credentialed Effectively
- Denied
- Application Sent - date the application was sent to the practitioner
- Signed Application Received - date the signed application was returned by the practitioner
- Submitted to Insurance - date the credentialing application was submitted to insurance
Applications can be uploaded to the timeline on the right side of the practitioner qualification form. Relevant communications regarding credentialing for this practitioner can also be tracked here.
Qualifications on Insurance Plan Benefits
The Insurance Plan Benefit (related to the Encounter Service) has a list of the qualifications a Practitioner must have to receieve payment for rendering the service.
It is important that the qualification and the dates are accurate. When scheduling a Session with a Practitioner, the system checks that the Practitioner has the required qualification for the service being provided.
