PPA+User+Story+1+-+Registration

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= The content within this page has been incorporated into the PPA UC 1 - Provider Registration =

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 * NOTE: The content developed and displayed on this page will be inserted into the Use Case document in the highlighted sections below: **



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**10.1 Generic User Story **
The Provider Profile Authentication (PPA) work stream is a two part process. The first part is covered in this Use Case and is associated with the provider sending a registration request or Trading Partner Agreement to a payer entity in order to receive the Medical Documentation Request (MDR) electronically.

The provider or Agent submits a registration request to the payer. The payer entity could be CMS, Medicaid, Medicare, SSA or Commercial Insurance[i]. A secure, trusted registration request is received by the payer entity and provider eligibility to receive electronic Medical Documentation Requests (including provider identity) is validated by the payer. The payer then requests Electronic Service Information (ESI) from an External Provider Directory using the validated provider’s identity to determine the capability of provider or agent to receive an electronic medical documentation request (eMDR). If a valid ESI for eMDR is received by the payer entity from the External Provider Directory, a confirmation is sent to the provider or agent as appropriate to notify them of their registration status.

The provider’s registration request can be either confirmed or rejected by the payer entity. If the registration request is confirmed, the payer will attempt to send all future MDRs electronically. If the provider registration request is rejected, the provider does not receive electronic MDRs and can submit another registration request.

[i] The provider registration process defined in this Use Case is not mandatory by all other commercial payers.


 * The below table contains all drafts of User Story 1 content as well as suggestions for revisions **.
 * || **Name** || **Revision Submission Date** || **Submitted content** ||
 * 1 || Participant Group || 12/21/11 || [[file:siframework/PPA User Story 1_Draft V01_Initials.docx|PPA User Story 1_Draft V01_Initials.docx]] ||
 * 2 || Keith Salzman || 12/29/11 || [[file:siframework/PPA User Story 1_Draft V01.1_ks.docx|PPA User Story 1_Draft V01.1_ks.docx]] ||
 * 3 || Amanda Bolger || 1/4/12 || [[file:siframework/PPA User Story 1_Draft V01.1_AB.doc|PPA User Story 1_Draft V01.1_AB.doc]] ||

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