IWeb User Guide

Add/Edit a Physician/Vaccinator

Use these steps to enter the information for the primary care physicians and other employees who administer vaccines (vaccinators).

Add a New Physician/Vaccinator

Before adding a new physician or vaccinator, you must first conduct a search to make sure they have already been added to the application. Under the list of physicians/vaccinators in the Search Results, click Add.

If you attempt to add a physician or vaccinator who is already entered in the application, a message appears indicating that they already exist.

After clicking Add, the Physician/Vaccinator Maintenance [Add] page opens.

Enter as much information about the physician/vaccinator as possible (the required fields are in bold red text) and click Save.

The fields available on this page are as follows:

Field

Description

First Name

Enter the physician/vaccinator's first name. This field is required.

Middle Name

Enter the physician/vaccinator's middle name.

Last Name

Enter the physician/vaccinator's last name. This field is required.

Title

Select the physician/vaccinator's title from the drop-down list.

Specialty

Select physician/vaccinator's specialty from the drop-down list. If Other is selected, enter the specialty in the textbox that appears.

SSN

Enter the physician/vaccinator's social security number (U.S.).

BOMEX

Enter the physician/vaccinator's BOMEX number (Arizona).

Enter the physician/vaccinator's Doctor of Osteopathy state-assigned license number.

Medicaid PIN

Enter the physician/vaccinator's Medicaid PIN.

Medicaid Group

Enter the physician/vaccinator's Medicaid group number.

Medicare PIN

Enter the physician/vaccinator's Medicare PIN.

Medicare Group

Enter the physician/vaccinator's Medicare group number.

NPI

Enter the physician/vaccinator's NPI number, which is a unique 10-digit ID number for covered healthcare providers.

This field displays on the HCFA 1500 report (33A).

Medical License Number

Enter the physician/vaccinator's medical license number, up to 30 characters/digits.

Terminal Distributor's License

Enter the physician/vaccinator's terminal distributor's number.

Group NPI

Enter the physician/vaccinator's group NPI number.

Other Provider ID

Enter any additional provider IDs, up to 30 characters/digits in length.

This field displays on the HCFA report (33B). For Wyoming Users: This field is mainly used for the taxonomy ID, which is 251K00000X.

Organization (IRMS)

Select the physician/vaccinator's associated Organization (IRMS) from the drop-down list. This field is required.

Facility

Select the physician/vaccinator's Facility from the drop-down list. The Facility name may be the abbreviated version instead of the full name.

Physicians/vaccinators without an assigned facility are considered floaters and display in all drop-down lists for the Organization (IRMS).

Phone Number

Enter the physician/vaccinator's phone number.

Phone Number Extension

Enter the phone number extension.

Fax Number

Enter the physician/vaccinator's fax number.

Enter the physician/vaccinator's email address.

District/Region

Enter the physician/vaccinator's district or region. This is a whole number and may be automatically populated.

Inactive

Select this option if the physician/vaccinator is inactive. Since records cannot be deleted, selecting this option flags it so that it cannot be used.

Automatic Ownership Blocked

Select this option if the physician/vaccinator cannot "own" a patient. If this option is enabled, the physician/vaccinator does not appear in the drop-down list on the patient demographics page.

Comments

Enter any additional comments, up to 254 characters.

Provider Tax ID

Enter the physician's provider tax ID number.

Provider Tax ID Type

Enter the physician's provider tax ID type.

Provider Taxonomy

Select the physician's taxonomy from the drop-down list.

Type

Select Physician, Vaccinator, or Physician and Vaccinator from the drop-down list. This field is required.

Edit a Physician/Vaccinator

Authorized users can edit existing physicians and vaccinators. Electronic signatures can be edited if the electronic signature pad is connected and the software is installed.

To edit a physician/vaccinator's information, search for the physician/vaccinator and click on the arrow button in the Select column for that physician/vaccinator in the Search Results list. On the Physician/Vaccinator Maintenance [Detail] page that opens, click Edit. Make any necessary changes on the Physician/Vaccinator Maintenance [Update] page and click Save.

The fields available on the Physician/Vaccinator Maintenance [Update] page are the same as detailed in the Add a New Physician/Vaccinator section.

Edit an Electronic Signature

To edit the electronic signature using the signature pad, have the authorized person sign and click one of these buttons:

Edit - Edit the form data (date given, re-sign)
Clear - Erase the signature
Done - Save and store the signature
Cancel - Abort the signature process