| EMC Provider ID/TAX ID Number |
Type the EMC Provider ID/Tax ID Number. |
 |
15 |
| Office Address 1 |
Type the street address for the practice. |
 |
40 |
| Office Address 2 |
Type the second line of the street address for the practice, if applicable. |
|
30 |
| Zip Code |
Type the zip code for the practice. |
 |
9 |
| City |
Type the city. |
 |
20 |
| State Code |
Type the state code for the practice. |
|
40 |
| Contact Phone Number |
Type the phone number for the CGM webVERIFY contact person in your practice. |
 |
12 |
| How to Handle Non Future Carriers |
If a carrier does not allow verification for future dates of service, select if you want
to replace the future date with today's date and proceed with verification or if you want to
skip the verification. |
 |
1 |
| Default View |
Select the applicable option to indicate the default view for eligibility results. |
 |
1 |
| Ask Date of Service to Verify |
Select this check box if you want the option to verify eligibility for past, present, or
future dates of service from within the Change Patient Data function. |
|
1 |
| Show Verification Status Icons in Schedule |
Select this check box if you want CGM webVERIFY status icons to display in the Scheduling
screen. |
|
1 |
| Eligibility Verification Frequency Default |
Select the default value for the Eligibility Verification Frequency field when a new
insurance carrier code is added. |
 |
1 |