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What is a provider?

In Effra, a provider is the clinic, location or practitioner whose details are used when submitting invoices to insurers. Depending on how you are registered with each insurer, you may bill under:
  • a clinic provider number
  • a location-specific provider number
  • an individual practitioner’s provider number

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How many providers do I need to set up?

You need a provider in Effra for each clinic, location or practitioner whose details you use to bill insurers. If you bill an insurer using your clinic provider number, you can add that provider number to your clinic profile. Your clinic profile is automatically created when your Effra account is set up. If an insurer recognises different locations separately, you may also have separate provider profiles for those locations, each with its relevant provider number. If you bill an insurer using individual practitioner provider numbers, you should create a separate provider for each practitioner you bill under. For each practitioner, you should also For example, you might bill Bupa using a clinic provider number, but bill Aviva using individual practitioner provider numbers. In this case, the Bupa number would sit against the relevant clinic or location profile, while each Aviva-recognised practitioner would need their own provider profile in Effra.