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Providers - Location Setup

Add providers with their NPI, tax ID, and taxonomy codes so claims bill correctly and credentialing and CAQH dates are tracked.

📝 Overview

Setting up providers in the Providers Tab is a crucial step in ensuring accurate billing and claim creation in ChiroHD. This process connects the rendering provider with their associated NPI (National Provider Identifier) and EIN (Employer Identification Number), allowing for seamless insurance billing. Provider management includes both initial setup and ongoing maintenance to ensure compliance and accuracy.


✅ Step 1: Accessing Provider Settings

After setting up your location and users:

  • Navigate to your Live Location, Settings

  • Click on Providers.

  • Select Create New Provider.

✅ Step 2: Connect the Calendar User

  • In the User field, click the dropdown to select the provider’s calendar user — (this is the location-level user created without a login and with a calendar enabled).

  • IMPORTANT: Ensure that the correct Calendar User is linked. Selecting the wrong user will result in an “Unknown Provider” error on billing green sheets and claims will not process correctly.

  • If the correct calendar user does not appear in the dropdown, navigate to Settings > Users and confirm a location-level calendar user has been created for this provider before continuing.

✅ Step 3: Enter Provider Information

  • The system will auto-fill the First Name and Last Name upon user selection

  • Manually input the 10-digit NPI Number. Use the provider’s individual (Type 1) NPI.

    • A group (Type 2) NPI is entered in your location’s Office Info tab. Log into your Live Location → Settings → Office → Office Info, then enter the Type 2 NPI under Billing and Insurance.

    • You can’t reuse one individual NPI across multiple provider records.

  • Enter the Tax ID Number without dashes. Tax ID Type defaults to EIN.

  • If the provider is billing under a Social Security Number (SSN) instead of an EIN:

    • Open the Tax ID Type dropdown and select Social Security

    • Enter the SSN in Tax ID Number

  • Enter the Suffix / Title

  • Enter the Provider Taxonomy Code (Primary), if required

  • If the provider has a second taxonomy code, enter it in Provider Taxonomy Code (Secondary). This applies to providers with two specialties, such as an MD/DC.

  • If a payer rejects claims because a taxonomy code is missing, check Uses Provider Taxonomy Codes on that payer, then confirm the taxonomy code fields are filled in here. See Setting Up Third Party Payers.

✅ Step 4: Verify Required Fields

  • Any field marked with a blue bar is mandatory and must be completed before you can submit

  • Double-check the NPI, Tax ID, or SSN entries to ensure accuracy

✅ Step 5: Submit and Confirm

  • Once all fields are completed, click Submit to save the provider profile

  • Ensuring the Providers Tab is properly configured is essential for billing insurance claims accurately


đŸ—“ïž CAQH Re-Attestation

Use the CAQH Re-Attestation section to track provider attestation timing and upcoming renewals.

  • Last Attestation Date: Enter the date of the provider’s last CAQH attestation.

  • Attestation Duration (Tracked in days): Enter the number of days between attestations, such as 90.

  • Next Re-Attestation Due: Calculated automatically from the Last Attestation Date and Attestation Duration. If the due date has passed, ChiroHD shows how overdue the re-attestation is.

  • Re-Attestation Complete: Click this button after the provider re-attests. It sets the Last Attestation Date to today’s date. Then click Submit to save the change.

  • If no date has been entered, the section shows “Re-attestation date unavailable.”

  • ChiroHD shows a countdown for each provider. The indicator moves from green to yellow to red, and turns red when 14 days remain.

  • Entry is manual. ChiroHD doesn’t connect to CAQH and doesn’t verify attestation status.


đŸ©ș Credentialing at a Glance

Your payer and provider screens show credentialing relationships in both directions, always in sync.

  • On the payer screen, see every provider your office has set up as credentialed with that payer.

  • On the provider screen, see every payer your office has set up for that provider.

  • Update either screen and the other reflects it immediately.

Credentialing here is office-managed. Your team enters which providers are credentialed with which payers, and ChiroHD displays and tracks that information. ChiroHD doesn’t connect to any external credentialing database or verify credentials independently.


❗ Why This is Important

Without correctly setting up the Providers Tab, ChiroHD cannot correctly associate:

  • The Calendar Provider with the Rendering Provider

  • The appropriate NPI and EIN for insurance claims

  • The correct NPI linkage to prevent claim rejections and ensure accurate payment processing

This step is critical for successful claim submissions and avoiding errors in billing.

📌 Conclusion

Link each provider to the correct calendar user and enter an individual NPI and Tax ID Number before you bill. If a payer requires a taxonomy code, fill in the Provider Taxonomy Code fields. Enter the Last Attestation Date and Attestation Duration to track when re-attestation is due. Each time the provider re-attests, click Re-Attestation Complete, then click Submit.

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