Last Modified: 6/18/2019
Location: FL, PR, USVI
Business: Part A, Part B
Q: How do I determine how many EIDM accounts my organization needs? Do I need multiple EIDM accounts or SPOT accounts if we have more than one provider in the practice?
A: Any member of your organization who requires access to the Secure Provider Online Tool (SPOT) must have his or her own Enterprise Identity Management (EIDM) account. The number of practitioners belonging to your organization does not determine the number of EIDM accounts your organization needs; however, whether the members of your organization bill Medicare as a group or as individuals does determine how many NPI/PTAN combinations your organization needs.
1. EIDM account -- created and managed in EIDM
• Approvers – create and manage organization details
• End users – manage personal account details
2. SPOT account
• Approvers – automatically created when you set up your organization in EIDM
• Note: Third-party agents may have multiple organizations created within EIDM
If an NPI/PTAN combination needs to be added to your account, please complete the SPOT update form
• End users – will have access to all NPI/PTAN combinations within their approver’s organization
• Note: If you need access to an NPI/PTAN that is not listed in your account, please contact your approver
The number of EIDM accounts you will need is directly determined by the number of individuals in your organization who require access to the Medicare information provided through SPOT. EIDM accounts may not be shared. Each approver and end users under that organization will need their own individual accounts within EIDM.
Organization – billing as a group
If your organization bills Medicare as a group, professional association, or corporation -- even if the organization has only one practitioner -- only information about the billing entity will be available through the SPOT.
Note: If your organization has more than one practitioner and they bill Medicare as part of the same group/billing entity, then claims and payment information will not be available for each individual practitioner, however, your approver may list these NPI/PTAN combinations on the initial enrollment form to retrieve comparative billing reports, which are based on the rendering physician’s information.
Your organization may have multiple EIDM accounts (one for each staff member requiring access), but all SPOT accounts will have access to the same NPI/PTANs) as listed on the enrollment form submission by the organization.
Practitioner – billing separately
If each practitioner bills Medicare under his or her own NPI, PTAN, and SSN -- not as part of a group – then a unique enrollment form would need to be submitted for each practitioner. This will require the approver to create a separate organization/entity within EIDM for each practitioner.
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