Electronic Health Records
Avatar Implementation
Credentialing Information and FAQ
All CCP myAvatar/PCNX Users
- SARF Completion Directions
- BHSD System Access Request Form rev. 07/07/22
- Attachment A Remote Access 09/2010
- IT User Responsibility Statement 05/2020
- Termination Form 06/09/22
Providers
- BHSD Credentialing Request rev. 08/24/22
- BHSD CSCPPA Application Instructions 08/12/22
- BHSD CSCPPA Application Trainees, Intern, MHRS, and Paraprofessionals 08/31/22
- CSCPPA Application - Addendum A Attestation Questions 09/06/22
- MHRS Application rev. 04/27/22
- Professional License Waiver Request Form 05/10/22
- Electronic Signature agreement 02/13/22
- CAQH Checklist for CCPs 05/04/23
- CCP Process for CAQH Application 05/04/23
- Network Change Request Form
- 274 Process Map 05/08/23
- 274 File Upload Instructions 05/2023
- 274 Spreadsheet Guide 05/2023
- Provider Manual Revisions Summary 07/18/23
- BHSD Provider Manual 07/18/2023
- CalAim Diagnosis 07/27/23
- CalAim Questions and Answers 09/15/23
- County of Santa Clara Service Code Crosswalk rev. 03/28/23
- County of Santa Clara CalAim CPT Code Set rev. 09/05/23
- Outreach Services Guide rev. 06/17/22
- Provider Disclosure Instructions rev. 04/10/23
- Provider Disclosure Form rev. 03/23/23
- Type of Discharge Dictionary 02/01/22
- Contact List rev. 05/03/23
Correction Documents
All Implementations:
- ALOC Final to Draft Override 01/27/22
- Client Missing MRN 08/24/22
- Client Missing MRN Template 08/24/22
- Retroactive Medi-Cal rev. 11/02/22
- Unicare/PCNX Login Issues 12/27/22
PCE Implementation:
- Delete/Merge Multiple MRNs - PCE 03/09/22
- Incorrect Admission/Discharge rev.01/27/23
- Order of Operations for Overlapping Service Programs in an Admission Program - PCE 07/15/22
- Unable to Map Clients 09/08/22
- Unable to Map Clients Template 09/08/22
PCNX Implementation:
- Delete/Merge Multiple MRNs - PCNX 03/09/22
- Edit Admission/Discharge rev. 08/08/22
- Order of Operations for Overlapping Service Programs in an Admission Program - PCNX 07/06/22
Recovery Residence & Step:
Supporting Documents
ProviderConnect Enterprise
ProviderConnect NX
General:
- Admission rev. 09/07/23
- CC Inbox - Accepting Referrals 11/07/22
- Diagnosis rev. 04/05/23
- Financial Eligibility rev 09/07/23
- Real Time Inquiry (270) Request 11/15/22
Mental Health:
- Admission Pre-Admit MH rev. 11/14/22
- AOT Form 05/10/23
- CSI Admission rev. 08/30/23
- CSI Assessment rev. 02/03/23
- Discharge rev. 08/22/22
- Wellness Group CWS 07/11/22
- Stigma Trauma Group CWS 06/17/22
Substance Use Treatment:
Manual Billing:
Recovery Residence - SUTS:
STEP:
- Master Reports Guide 08/15/23
- ALOC Report 07/06/23
- CalOMS Errors by Programs Report 07/31/23
- CCP Admission Program Audit 07/31/23
- CSI Reports 06/21/23
- EOB Report rev. 08/10/23
- MH Facesheet Report rev. 07/05/23
- Provider Credentialing Report Guide 08/08/23
- Recovery Residence Reports 07/06/23
- Referral File Extract 07/05/23
- Service Reports (MH91) - Summary and Details 08/11/23
MSO Claims
Vendor Specific
Need assistance?
PCNX Login Access:
[email protected]
- New staff PCNX login
- Access to county network not working
- Practitioner Data Validation
Credentialing:
[email protected]
- Status of credentialing application
- Staff termination from a CCP
- Performing practitioner not in Provider Credentialing report
PCE/PCNX Support/Questions:
[email protected]
- General PCE/PCNX inquiry
Document Correction:
[email protected]
- Request corrections to PCNX forms
- Refer to Correction Documents
CCP Claims Support:
SCCBillingquestions@ntst.com
- Questions regarding claims
- 837/835/EOB Questions
Finance:
[email protected]
- Invoices
- MH-91
Site Certification:
[email protected]
- Moving Offices
- NPI & State Code Changes
Client Management – HIMS:
[email protected]
- Report duplicate MRNs to merge/delete
- Refer to Correction Document - Delete/Merge Multiple MRNs
Client Management – Call Center:
(800) 704-0900
- Unable to locate client in PCNX
- Refer to Correction Document - Client Not in PCNX
PCNX Support:
[email protected]
(408) 970-2222
- User unable to login to PCNX
- System access errors
- Refer to Provider Resources - Contact List
or Unicare/PCNX Login Issues
PCE Technical Support:
https://support.netsmartconnect.com/solutionsupport
- Issues that cannot be resolved by CCP or County