hi Experts
Vijay Siddha

Client Request: Any advise is appreciated.

Hi Debbie,

We ran a Providerwise Export file template called “Providerwise Extract File” on group “City of Walnut Creek” for the January, 2017 invoice that’s been finalized, but it’s not picking up the self-funded components Provider Number (which contains our internal provider vendor number). It’s picking up the Benefit Provider on the plan instead of the various self-funded components providers on the rates. For example, the “Blue Shield HMO-Medical-Blue Shield” plan is passing the Blue Shield benefit provider number of 06547-0008 instead of the various providers listed in the self-funded components. I originally mapped “BillingDataFields Providerwise Vendor Number”, but when I save it & come back into the template, it switches the name to “Enrollment Providerwise Vendor Number”. I don’t know if that makes a difference, but there isn’t another vendor number to choose from in the list, so I’m assuming it’s the one we’re supposed to be using, but it’s not using the self-funded components vendor(s) when the benefit plan is self-funded. We really need to get the January bill set up in our accounting system – is there any way we can get someone to look at it & see if it can be fixed in live pretty quickly?

Thanks,

Scott DeRousse | AVP, IT Engineering