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Content Section
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PC-ACE Setup a Provider Submitter for Part B
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Each provider that will be using PC-ACE to submit claims must have its
information entered into the Provider Information screen.
Display the Provider Information screen using the following procedure:
- Select Reference File Maintenance from the main menu
- Select the Provider tab
- Click on the New button to add a new Provider or
highlight an existing Provider and Click on View/Update to update the Provider’s Information
 Be sure to see the ‘PC-ACE Pro32 CLAIMS PROCESSING SYSTEM Pro32 Quick Reference Guide’ and the ‘Provider Setup for Commercial Claims’ for additional setup information for Providers. This is an example of how to set up a provider record for a solo Medicare Provider.
To set up an individual provider number electronically, set up must be in a 10-digit format for Medicare and Blue Shield. Use the first initial of the provider’s first name, the first initial of the provider’s last name, followed by a zero, then the PIN number (Provider Identification Number) followed by a zero: e.g., John Smith JSØ123321Ø.
(For Group Provider setup, instructions are on page 18 of the manual.)
From the Main Menu PC-ACE Pro32 Claims Processing System
Click on: ‘Reference File Maintenance’ (yellow folder)
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MEDICARE SOLO PRACTICE
SETUP
Fill in the following fields:
- Provider Type Click on ‘Solo Practice’
- Last Name/ First / MI
- Address City/State/Zip Code
- Phone number
- Contact
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| Provider ID/No |
For Medicare use your 10-digit provider ID |
| LOB |
MCB (For Medicare) |
| Payer ID |
Use appropriate value F2 to list Highlight MCB 00803 and press enter |
| Tag |
Optional (ex., Medicare = MCB) |
NPI
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Enter assigned NPI number
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| Tax ID |
Employee Identification Number or Social Security Number |
| Type |
Select F2 to List and select the appropriate value |
| UPIN |
Leave Blank (set up in the Physician UPIN Reference File) |
| Specialty |
Select F2 to list, then select the appropriate value |
| Type Org |
Select F2 to list, then select the appropriate value |
| Taxonomy |
Leave Blank |
| Accept Assig |
Select F2 to list, then select the appropriate value |
| Participating |
Select F2 to list, then select the appropriate value |
| Signature Ind |
Select F2 to list then select the appropriate value |
| Signature Dt |
Date of Signature |
The ‘ Extended Info’ Tab accommodates:
- CLIA Number
- Mammography No.
- HMO Contract No.
- ‘Pay-To Provider Information’ leave blank
- Secondary Provider IDs (ANSI use only) Leave blank
Click on ‘Save’
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Last Updated on 08/18/2006
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