Add Provider Info

In step 1 of adding a provider, you must provide the following information specific to the provider. Required fields are indicated by a red asterisk.

Following are descriptions of the fields on this screen as well as tips on completing them.

• ID: Identifies the provider in various modules and reports. The ID is separate from designations such as the user name and mnemonic.
• Provider Type: Select the appropriate provider type for the user. Choices include Dentist, Advanced Dental Therapist, Dental Therapist, Hygienist, Assistant and N/A.
• User: Select the user account associated with this provider. For a user account to appear in the list, the user must have been set as a clinical user via the Clinical User check box on the Charting tab of user setup.
• Demographics: Details about the specific provider, including name, contact information, credentials and licensing information.
  • Address and phone may be the office address and phone.
  • Though not indicated as required by QSIDental Web, License #, DEA#, NPI # and TaxID # are required to file electronic claims.
• Print separate claim form: Separate claim forms may be printed for each procedure under a provider. It is recommended that you leave this at the default value No.
• Specialty: Use the dropdown to indicate the provider’s specialty, which is printed in Box56a of the claim form and used in some reporting.
• Scheduler Color: The Scheduler can be color coded by provider so that each of that provider’s appointments appears as a specific color. Select the color from the dropdown.
• EDDA Scheduling: The Scheduler can be managed using EDDA scheduling. Select Yes to enable this.
• Ref ID: Serves as another identifier for the provider. The Ref ID is generally the same as ID (at the top of the screen).
• Default provider time: The appointment block on the Scheduler indicates the availability of the provider. For each unit of time, a symbol shows the requirement for a dentist during the appointment.
  • The letter x identifies the time in which a dental assistant is monitoring or working with the patient.
  • A slash identifies time in which the provider cannot be booked in another operatory.
  • A period identifies anesthesia time in which the doctor does not have to be physically present in the operatory.

  These time indicators may be associated with procedure codes and managed manually within a specific appointment.

• Fee Schedule: A fee schedule may be associated with a specific provider. Select the fee schedule from the dropdown.
• Statement Name: If the provider prefers his or her name to appear differently on statements, indicate the name in this field (applies primarily to visit-oriented statements).