Member Physician EDI Import

This specification outlines the requirements and guidelines for utilizing the interface in conjunction with the Homecare EDI Import interface. This functionality is specifically designed for scenarios where physician information must be included in the claims to ensure accurate submission and compliance with billing requirements.

The following sections outline the file format requirements and file naming conventions necessary for successful implementation and operation of the interface.

Member Physician Import Closed

Save the *.CSV file on your computer, and Open the file using a text editor (such as Notepad) to preserve the formats for each field. Refer to the Save Sample Templates to a Workstation section.

Field	Description	Data Type	Required	Max Length	Cell
Agency Tax ID	Tax ID of the Agency.	Numeric	Required	10	A
Medicaid Number	Member identifier - Medicaid Number.	Text	Required	50	B
First Name	Physician First Name.	Text	Required	50	C
Last Name	Physician Last Name.	Text	Required	50	D
Physician Type	This field is restricted to the values configured in the agency’s Reference Table. To update or review these configurations, navigate to Admin > Reference Table Management > Physician Type within the Clinical/MD Order category. Possible Values: Cardiologist Dermatologist Gastroenterologist General Practitioner Internist Neurologist Oncologist Podiatrist Pulmonologist Rheumatologist Urologist Other	Text	Required	100	E
NPI	Physician NPI.	Numeric	Required	10	F
License Number	Physician License Number.	Text	Optional	50	H
License Expiration Date	Physician license expiration date.	Date	Optional	10	I
Suspension Date	Physician suspension date.	Date	Optional	10	J
Revoke Date	Physician revoke date.	Date	Optional	10	K
Address 1	Physician address 1.	Text	Optional	100	L
Address 2	Additional address if applicable.	Text	Optional	50	M
City	Required when: Address 1 is provided.	Text	Situational	50	N
State	Required when: Address 1 is provided. Format: State abbreviation.	Text	Situational	2	O
Zip Code	Zip code Format: XXXXX or XXXXXXXXX	Numeric	Situational	9	P
Phone	Primary phone number Format: XXXXXXXXXX	Numeric	Optional	10	Q
Phone 2	Secondary phone number Format: XXXXXXXXXX	Numeric	Optional	10	R
Phone 3	Tertiary phone number Format: XXXXXXXXXX	Numeric	Optional	10	S
Fax	Fax Number Format: XXXXXXXXXX	Numeric	Optional	10	T
Note	Free text notes.	Text	Optional	500	U
Accepts Medicaid	Accepts Medicaid. Possible Values: Y or N.	Text	Optional	1	V
Is Primary Address	Possible Values: Y or N.	Text	Optional	1	W
User Field 1	Field in layout for future use (Always empty).	Text	Optional	500	X
User Field 2	Field in layout for future use (Always empty).	Text	Optional	500	Y
User Field 3	Field in layout for future use (Always emMpty).	Text	Optional	500	Z
User Field 4	Field in layout for future use (Always empty).	Text	Optional	500	AA
User Field 5	Field in layout for future use (Always empty).	Text	Optional	500	AB