Managing Providers in Audit Manager

Effective 3/27/2021

As of March 27, 2021 we are changing the system to make the Provider ID the unique identifier for the provider instead of the provider’s name and address. When possible, we recommend using the provider’s NPI, however, if it is not available you can use any number that uniquely identifies a provider within your organization or your client’s organization. This change complies with standard industry practices for the most accurate identification of providers. 

If you are not using the NPI as your Provider ID you will not be able to take advantage the CMS data that is the Analytics product which compares your providers to the CMS data.

When you enter a provider manually or do a bulk upload of providers the Provider ID will be required. If you do not have a provider ID, the process of adding providers individually or in bulk will fail. We strongly encourage you to add provider ID’s to your processes immediately as that will prevent potential issues in the future.

If you have providers currently in Audit Manager that do not have a provider ID in their record and you need to make an edit to a provider, you will be asked to enter a provider ID before you save that record. 

Please note: for bulk import of claims, if you do not have a Provider ID associated with the provider, you can continue to use the provider name.