Tables: Practice Providers

This table should contain all of the providers for whom billing takes place at the practice. For each provider, fill in the required fields and save.

You can search for the provider’s NPI number in one of two ways:

• Search button: Click magnifying glass to search the MBSWin database, which is updated quarterly. Search by provider name or address (can use partial) and state.
• NPPES Website: If the provider is not in our database, use this button to check the NPPES Website. Be sure to view the Provider Type dropdown to see if it applies to the provider being added. Specific Rules come into play when creating the EDI 837 Claim File for specific provider types. Check the Supervised box if the provider is unable to bill using their own name and NPI for all insurance plans. This is commonly used for Physician Assistant providers and NP providers not currently certified to bill separately from the provider.