Updates - New Upload - Expirables
There may be instances whereby the Client receives a Malpractice Insurance document requested by Gemini during the Expirables outreach process for a particular Provider, prior to Gemini's receipt. In addition, the Client may identify a new license/DEA number for a Provider that currently does not exist in the Provider's Gemini1 record. The Expirable Submission Upload page allows for a User to upload an Expirables service Malpractice Insurance document currently outstanding for a Provider that is currently NOT in the PSV process (Complete or Approved status). NOTE: Verifications that have not been obtained by the Client or Gemini directly from the verification source is not considered as primary source verification and will not be accepted as verification. Only upload a copy of a Provider's license or DEA certificate if this is a new license/DEA number for the Provider that currently does not exists in the Provider's Gemini1 record. Copies of a Provider's license or DEA certificate cannot be utilized as a primary source verification update.
Functionality available on the Client page are as follows:
** Expirable Submission page is defaulted for submission uploads related to a single Provider. Should the User wish to upload multiple Expirables verified element/document/missing information, the User must toggle ON the Bulk Upload.
Search - Within the "Search By:..." section on the Expirable Submission page, the User may search for an individual Provider for which the Provider's application is in process and verification element is being uploaded. Searches may be performed by Name, NPI Number, CAQH number, Client ID or Social Security Number. Upon entry of search criteria, once the correct Provider is found, the User will click on the Provider record which will then populate the required Provider Name field.
Verification (Entity) Type - The User will be required to classify the Expirable element being uploaded. The classification should directly correlate with the Verification (Entity) Type shown for the Provider on the Client's Outstanding Expirables report and/or the Provider's individual record accordingly.
The User may then drag and drop (or by browsing and selecting from the User's internal library) into the upload PDF file area and click the Upload bar. Thereafter, the User will have record of the uploaded outstanding verification details within the Updates-Upload History section of the Client Portal (See Updates-Upload History Article(s)).
** If there are multiple groups with which a Provider is affiliated within Alliance models, Managed Service Organizations (MSO) type Clients, the User may indicate the one uploaded Expirable element being uploaded to be submitted and processed for those multiple groups by clicking into the Clients drop down bar and selecting all applicable Client Groups. Therefore, it is not necessary for the User to upload the same Expirable element multiple times for each Client Group.
If a message appears indicating that a PDF file is too large, the PDF file can be saved as a Reduced Size PDF. In order to do so, select File, select Save as Other, and select Reduced Size PDF. It is recommended to consult Client internal IT resources to assist in the performance of the Reduce Size requirement.