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Setting Up Provider Search for Siebel Insurance eService


A user with the responsibility of Healthcare Member can search for providers that contract with the health plan by clicking the Provider Search hyperlink in the Customer Services applet, selecting the enrolled product, and clicking the Find Provider icon. The customer can set search criteria, such as specialty or location. The resulting list includes providers that meet all of the criteria.

Only providers that are contracted providers for a health product are included in the list of providers or in the provider search list for that product.

Criteria that customers enter into text fields must not contain quotes. Text strings in a field can use AND, OR, or NOT as connectors. Criteria can contain wildcards. The asterisk (*) is a wildcard for any string, and the question mark (?) is a wildcard for any character. For example, searching on dat* finds records containing date, database, data source, and so on. Searching on dat? finds records containing date, data, and so on.

Set up provider search. For detailed instructions about setting up provider search, see Siebel Healthcare Guide.

The general steps, along with information specific to Siebel Insurance eService, follow:

  1. Add a provider. Add a provider in the Providers screen of Siebel Finance.
  2. Add addresses. Add one or more addresses for the provider in the Addresses view of the Providers screen and click Update Geo Code. If geocode data exists in the Zip Code Administration view of the Administration - Data screen, then the longitude and latitude information are automatically entered.
  3. Associate products. Add one or more contracted products for the provider in the Contracts view of the Providers screen.
  4. Associate specialty. Add a specialty for the provider in the Specialties view of the Providers screen.

    If you want to add a new type of specialty, then you must add a new List of Values record with a Type field of FINS_AGDESG_HLTHSPEC_MLOV. For the Order field, select a value between 60 and 155 to display the value in the Specialty drop-down list. In Siebel Tools, set a search specification for the associated picklist (FINS PickList Health Provider/Facility Specialty).

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