Provider Groups

1. Display the Provider Groups page: On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Providers, click Provider Groups.
2. Name — Enter the name for the new provider group.
3. Restricted provider group — Select Yes if you want to import patient data from an external source in bulk or use this provider group for interface purposes, etc. Restricted provider groups cannot create claims or collect and post money. Select No to create a provider group that can perform all types of transactions.
4. Billing name — Enter the billing name for the new provider group.
5. Medical group — Select the medical group (tax ID) that contains this provider group.
6. Ordering — Enter an ordering number (for lists).
7. Group specialty — Select the group's specialty.
8. Click Save. A warning message appears explaining that you cannot change the assignment of the medical group after the provider group has been created.
9. Click OK to create the group, or click Cancel to cancel the create action.

1. Display the Provider Groups page: On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Providers, click Provider Groups.
2. Locate the provider group that you want to update in the Provider Groups list.
3. Click the update link.
4. Edit the fields as necessary (you cannot re-assign the medical group).
5. Click Save.

1. Display the Provider Groups page: On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Providers, click Provider Groups.
2. Locate the provider group that you want to delete in the Provider Groups list.
3. Click the delete link. A warning message appears. Click OK to delete the provider group, or click Cancel to preserve it.
   
   Note: Deleted provider groups appear disabled in the list of provider groups. To restore a deleted provider group, click the undelete link. The audit history of the provider group is preserved.

If your practice has the Provider Group-Based Data Permissions feature enabled, your statements are split out by provider group. As a result of this split, you can administer the Statement Pay-To Name, Statement Return Address Name, and Statement Return Address fields at the provider group level.

The Return Address fields are used for returned or undeliverable patient statements only. If you enter the practice address in these fields, patient statements that are undelivered (due to bad address information) are routed directly to this return address (instead of to your practice lockbox address).

athenaOne segments patient demographic information using provider groups, in much the same way it segments financial and appointment data within an athenaEnterprise organization. Each patient record is assigned to a single provider group, and a copy of the patient record (actually a subset of the original data) is recorded in the Common Patient Index (CPI).

Configuration options allow you to control exactly which patient demographic information is included in the CPI record, and to control user access to CPI records.

Enterprise ID versus patient ID

The enterprise ID represents the entire patient record across all provider groups, whereas the patient ID represents the patient within a specific provider group.

With Provider Group-Based Data permissions, athenaEnterprise, and athenaClinicals, if a patient sees providers in more than one provider group, the patient may have separate charts within the enterprise organization. For example, if your athenaEnterprise organization includes a provider group for internal medicine and another provider group for behavioral health, and a patient sees providers in both groups, the patient will have separate charts for internal medicine and behavioral health.