Trading Partners to Service Provider
Posted: July 18, 2018
Manage Trading Partner to Service Provider Affiliations
Overview
Your trading partner to service provider affiliations are your affiliations as a trading partner to a MHCP service provider.
To initiate an affiliation to a service provider, click Add Trading Partner to Service Provider Affiliation. You will be brought to the Trading Partner to Service Provider Affiliation Search page. On this page, you type the National Provider Identifier (NPI) or Unique Minnesota Provider Identifier (UMPI) of the service provider you would like to affiliate with and perform a search to identify if that service provider is enrolled with MHCP.
If search results exist for the service provider you wish to affiliate with, you can select that service provider’s record to go to the Manage Trading Partner to Service Provider Affiliation page. On this page, provide information for your affiliation request and upload a completed MHCP Provider Setup form (DHS-4087) (PDF) to initiate your affiliation with that service provider.
If your search for that service provider does not provide any search results, the message, “No enrollment records were found that match the search information” appears. If the service provider you wish to affiliate with is not enrolled with MHCP, that service provider will have to enroll with MHCP before you can complete an affiliation to that service provider.
Use this page to create a new affiliation or to make changes to an existing affiliation. Click Add Trading Partner to Service Provider Affiliation to create a new affiliation. Click View/Edit to make changes to an existing affiliation to a service provider. Click Submit Request from the right side navigation to submit your affiliation request for approval.
Portfolio/Profile Information
See Portfolio/Profile Information.
Enrollment Record Information
See Enrollment Record Information.
Modified Trading Partner to Service Provider Affiliation
The Modified Trading Partner to Service Provider Affiliation section displays information on your current affiliation request. If you do not have a current request, this section will not appear.
View/Edit
Click View/Edit to go to the Manage Trading Partner to Service Provider Affiliation page. From this page, you can view and edit your affiliation information.
Delete
Click Delete to delete your modified trading partner to service provider affiliation request.
All Trading Partner to Service Provider Affiliations
The All Trading Partner to Service Provider Affiliations section shows information related to your existing trading partner to service provider affiliations. If you do not yet have any trading partner to service provider affiliations, this section will not have any information to display.
View/Edit
Click View/Edit to go to the Manage Trading Partner to Service Provider Affiliation page. From this page, you can view and edit your affiliation information.
View
Click View to go to the Manage Trading Partner to Service Provider Affiliation page. From this page, you can view your affiliation information. You will not be able to make any changes while in View mode.
Add Trading Partner to Service Provider Affiliation
Click Add Trading Partner to Service Provider Affiliation to go to the Trading Partner to Service Provider Affiliation Search page.
Continue
Click Continue to go to the next page.
Trading Partner to Service Provider Affiliation Search
Overview
On this page, you can search for a service provider that you would like to affiliate with as a trading partner. Search results will appear if that service provider is enrolled with MHCP. If your search does not display any results, the message, “No enrollment records were found that match the search information” appears. You will not be able to complete your affiliation request until that service provider enrolls with MHCP. If you think the service provider that you searched for is enrolled, contact the service provider and ask them to confirm the National Provider Identifier (NPI) or Unique Minnesota Provider Identifier (UMPI). If needed, contact MHCP Provider Screening and Enrollment.
Portfolio/Profile Information
See Portfolio/Profile Information.
Enrollment Record Information
See Enrollment Record Information.
Search Information
Under Search Information, provide the NPI or UMPI of the requested affiliating service provider.
NPI/UMPI
Type the NPI or UMPI of the service provider you would like to affiliate with in the NPI/UMPI box.
Search Results
The Search Results section displays the results of the search criteria you entered in the Search Information. To select an enrollment record to affiliate yourself with from the search results, click Select from the User Actions column to begin your affiliation request.
If the search criteria returns no results, the following message will display: “No enrollment records were found that match the search information.”
Select
Click Select to go to the Manage Trading Partner to Service Provider Affiliation page. From this page, you can enter your affiliation information to initiate your affiliation with this service provider.
Search
Click Search to begin your search of the criteria entered under Search Information.
Manage Trading Partner to Service Provider Affiliation
Overview
Use this page to manage your existing affiliation with a service provider or to initiate a new affiliation with a service provider who is already enrolled with MHCP.
Upload the MHCP Provider Setup Form (DHS-4087) (PDF) and complete the required affiliation information to initiate a new trading partner to service provider affiliation.
Portfolio/Profile Information
See Portfolio/Profile Information.
Enrollment Record Information
See Enrollment Record Information.
Provider Information
Under Provider Information, you can view details of the requested service provider. This section is informational only and you cannot make any changes to the service provider information that is displayed.
Affiliation Information
Under Affiliation Information, provide information for your affiliation request.
Start Date
Enter the start date of your affiliation with this service provider in the format of MM/DD/YYYY in the Start Date box.
End Date
Enter the date your affiliation with this service provider has ended in the format of MM/DD/YYYY in the End Date box. An end date is only required when you are requesting to end an affiliation with that service provider.
Remittance Advice Statement
Select the type of access this service provider is allowing you to receive from the Remittance Advice Statement drop-down list. The available options to select from are:
Digital Signature
Type your full name in the Digital Signature box. Go to the MPSE Commons page for additional information on digital signatures.
Signers Title
Type your professional title in the Signers Title box. Go to the MPSE Commons page for additional information on digital signatures.
Signature Date
Enter the date that you are digitally signing this page in the Signature Date box. Go to the MPSE Commons page for additional information on digital signatures.
File Uploaded
The File Uploaded box shows your uploaded document. Refer to the MPSE Commons page for more information on viewing uploaded documentation.
Upload
Use the Upload box to upload documents to support your request to affiliate with this individual provider. Refer to the MPSE commons page for more information on uploading a document.
Add File
Click Add File to populate an additional upload box to upload additional documentation.
Continue
Click Continue to go to the next page.
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