Payers Enrollment form
Access, review and validate the Payers Enrollment details of a healthcare professional in the Payer enrollment form.
| Field | Description |
|---|---|
| Healthcare professional profile | Profile associated to healthcare professional. |
| Payer name | Name of payer who makes payments to the healthcare provider. |
| Payer plan name | Name of payer plan. |
| Plan number | Unique plan number against which payments are made by healthcare provider. |
| Active | Option to indicate that the payer enrolment record is active. |
| Effective From | Date starting which payer enrolment is valid. |
| Effective Till | Date until which payer enrolment is valid. |