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The Entity table contains records for all of your billing offices and physicians, and Inovalon will pull this information when submitting claims to a specific payer. This information will also be used when enrolling for these payers (that process is discussed later in the article)
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By default, you should see your office’s primary facility in this list when you first visit the Entities table. You will need to double check the information in this default Entity by clicking the Edit button in the Action column.
Furthermore, we’ll need to add an Entity for all your billing offices and providers by clicking the “New Entity” button.
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One of the unique quirks we’ve discovered in Inovalon’s Payer Enrollment process is that we’ve had more success with Providers that need to bill as an individual by adding them into the Entities table as a Facility. By doing this, we ensure that when claims are submitted to payers, that Claims Management Pro pulls the appropriate NPIs. |
Every enrollment Payer Enrollment requires a Facility Entity on this table to complete the enrollment, and providers billing as individuals will need to be registered as a Facility in this list.
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Things you need to make sure of :when adding and checking your Entities
9 digit zip code (no hyphen in the zip code) for each Entity
Demographic information is correct for each Entity listed.You’ll need to make sure
Entity Identifications
All billing Entities MUST have the following
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IDs
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added by clicking the “Add ID” button under the Entity Identification section shown in the image above.
Required Entity IDs for Enrollment:
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