PrimeSupport - Payer Enrollments SOP

 To request a new or add-on payer enrollment for a customer, a ticket must be submitted to the Payer Enrollments team. To submit a ticket, follow the steps listed below:

1. Open PrimeSupport.
2. Under the All portals section, click on Browse all then select Payer Enrollment.
3. Choose the applicable Request Type.
4. Fill out the required fields:
   1. Raise this request on behalf of: This will auto populate with your name.
   2. Brief description: Enrollments – Request for New / Add on.
   3. Request participants: Optional.
   4. Attachments: Attach the required documents if needed (see below)
   5. HPI Company: Search for the company you need. You can search by the Hubspot record ID or Hubspot company name.
   6. Client contact’s name / phone number / email address: Enter the
      information of the practice contact.
   7. Group or individual: Select the type of NPI you are requesting.
   8. Clearinghouse Name: Enter the clearinghouse needed.
   9. Client’s NPI / Tax ID: Enter the information needed for the enrollment.
5. On the Payer Information section, select whether your request is for multiple payers:
   1. Yes
      1. If you are requesting enrollments for multiple payers.
      2. Download the template using the link in the ticket form.
      3. Fill out and upload the completed template to the ticket form.
   2. No
      1. If you are requesting only one payer, regardless of how many enrollment types.
      2. Enrollment Types: Select the enrollment type(s) needed for your single payer.
      3. Payer Name & Payer ID: Enter the information.
      4. If the payer is Medicare, Medicaid or Railroad Medicare – Enter the provider number / PTAN.
6. Fields for TAF and Voided Check will show up. Select whether you have attached them to the ticket form or if they already on file. If you are unsure, please attach them to the ticket form.
7. Click Create.

Important Ticket Processing Information

• If you are submitting a request for multiple payers, the provided template must be completed and attached to the ticket.
• If you selected that the TAF and/or Voided Check are on file, the Enrollments Team will verify the documents once the request is received.
• If the required documents are not received and/or on file, the Enrollments Team
  will email the ticket creator, requesting these documents. If the information is not received within two business days from the notification, the ticket creator will benotified and the ticket will be closed.
• If your ticket is closed due to missing required information, a new ticket will be
  needed.