Tip: Information displayed on the Provider Account - Site Detail page is read-only and cannot be changed.Use this page to view specific and detailed information about a provider account's site.
Tip: Information displayed on the Provider Account - Site Detail page is read-only and cannot be changed.
The following information is read-only and cannot be changed:
Description displays a brief description and/or the name of the site.
Status displays the site’s current status (such as Active or Inactive).
Active Date displays the date on which the site became active for the provider account.
Address displays the current address information for the site.
City displays the name of the city in which the site is currently located.
State/Zip displays the name of the state and the ZIP code in which the site is currently located.
Email displays the email address for the site.
Phone displays the primary telephone number for the site.
Mobile displays the mobile telephone number for the site.
Phone2 displays the secondary telephone number for the site.
Phone3 displays an alternate telephone number for the site.
Fax displays the fax telephone number for the site.
Contact displays the name of the primary contact person for the site.
In addition, the following information on the Provider Account - Site Detail page can also be viewed under One of More Provider Accounts may use this Site for:
Payment Site indicates whether this site is currently designated as a payment site for a provider.
Service Site indicates whether this site is currently designated as a service site for a provider.
Correspondence Site indicates whether this site is currently designated as a correspondence site for a provider.
Admin Only indicates whether this site is currently designated as an administrative-only site for a provider.
Click the following button(s) as necessary:
Click Close to return to the previous page.
Click the following link(s) to see how to complete a task step-by-step: