Add Prescriber Additional Information

The Prescriber Record Additional Information screen stores NP/PA flag, office hours, notes and additional identifiers such as Medicaid Number.

To access Prescriber Additional Information:

1. Click on the Prescriber Record vertical icon bar.

2. The Additional Information screen displays:

3. Use the following definitions to add or edit information in each Prescriber Record/General Information field as needed:

PRESCRIBER RECORD/ADDITIONAL INFORMATION SCREEN  
Field Name Field Definition
Additional Information  
Group Type the user-defined code to group prescribers. Click the double arrows to view a list of prescribers in a particular group.
Degree Type prescriber's (or NP/PA's) medical degree.
NP/PA Check this box to change the record to a Nurse Practitioner or Physician's Assistant Record.
Credential Ten alpha/numeric positions for the prescriber's credentials (examples: ARN = Advanced Registered Nurse, CCFP = Certificate of the College of Family Practice).
Office Hours Type the prescriber's office hours.
Specialty Type a two character user-defined code to identify the prescriber's area of practice.
Days Off Type the days of the week the prescriber's office is closed.
Location Three-character field. Location address code assigned to the prescriber as identified in the National Provider System (NPS).
340B Select to flag a prescriber as 340B eligible. 340B flowchart.
Auth for Schedule 2, 3, 4 or 5 Check each class of drug the prescriber can dispense. If the prescriber is not authorized for a drug class and tries to prescribe that class, the system displays the message Prescriber Not Authorized for Schedule 2, 3, 4 or 5.
Sanctions Federal sanctions levied against the prescriber. Start Date = MM/DD/CCYY. End Date = MM/DD/CCYY. Board and Action = 50 alpha/numeric character fields for the board issuing the sanction and the action taken.
Notes  
Notes Type prescriber notes (up to 100 characters). These notes do not display during prescription processing.
Fill Status Select the fill status from the drop-down list.
Additional Identifiers  
State License # Type the state-assigned license or registry number. This number is required for certain third party billing procedures.
Expires Type the expiration date for the State License #.
CTP Certificate to Prescribe. HMS updates this field with a check if the State License Number is for a nurse practitioner in Ohio. Otherwise, the field is left blank.
Medicaid Number Type the state-assigned Medicaid registry number.
Universal ID Type the HCFA assigned Universal Physician Identification Number. This number is used on 1500 Forms.
Misc Number Type a miscellaneous ID number.
Misc Qualifier Select the valid qualifier for the above number from the drop-down list.
DPS Number Department of Public Safety. HMS updates this field for the state of Texas. Otherwise, the field is left blank.
Statistics System-generated information showing prescription activity for this prescriber.

 

4. Press CTRL+S or click .

 

Return to Create Prescriber Records in PrimeCare