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Add Organizations |
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Purpose |
Through Add Organizations, an administrator will have the ability to add an ImmTrac2 profile for a provider organization. If a user is an administrator for a parent organization, the option to modify information for the parent or any of the parent’s sub-site organizations will be available, with some limitations.
Add Organizations
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Add ImmTrac2 Profile |
The following fields are available when adding an organization:
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Field Name |
Description |
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Name |
Required. The name of the organization that will be added. |
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Org Type |
Required. The type of organization that will be added. Drop-down menu pre-populated with Organization Types. |
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Org Intent |
Required. The types of clients the organization serves. Select from the drop-down menu (Adult, Pediatrics or both). |
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TVFC |
This tells whether or not this organization participates in a VFC. The IR Help Desk will not manually enter in orders which came by fax for VFC only providers. Select Yes or No |
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Deputizing Agreement |
Appears if the organization is a VFC organization. Default is "No". Select "Yes" if there is a Deputizing Agreement. |
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Public Org |
This tells whether the organization is public. This influences which vaccines the organization can order. Select Yes or No |
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State Reminder/Recall |
The State Reminder Recall determines if the Organization can run a Statewide reminder recall report. Default value = No. If "Yes" is selected the organization will have the option to run statewide reminder recall reports. |
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County Org |
This tells whether the organization is a county health department or county health program. If you choose Yes, make sure to select one or more counties in the Assigned County field for the organization. This will enable you to run Reminder Recall and Assessment reports for patients living in the county specified. Select Yes or No |
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Return Clients without Imms |
This tells whether or not to include clients that don't have immunization when running reports. |
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County |
Required. Drop-down menu pre-populated with TX counties. |
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Responsible Entity |
Required. Select from the drop-down menu. Each provider site will be assigned/associated with a state-defined region known as a Responsible Entity. |
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Birthing Facility ID/TER Code |
The ID assigned to birthing facilities. |
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Import Code |
The code used to import files/data. Automatically generated by the system. |
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Site Registration Date |
MM/YY/YYYY format. The date the initial site agreement was signed. |
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Site Agreement Date |
MM/YY/YYYY format. The date of the most recent site agreement. |
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Org Medicaid ID |
The organization’s Medicaid ID number. |
| VACCINES OFFERED section | |
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All ACIP Recommended Vaccines |
All vaccines listed on ACIP schedule are offered by the organization. |
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Offers Select Vaccines |
Vaccines that are selected are offered by the organization. Check the boxes to select the appropriate vaccines that are offered. |
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Data Source |
Required. From the drop-down menu, select who will be submitting immunization information for this organization, self, parent, or vendor. Default is Self. |
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Data Source Relationships |
Required. From the drop down menu, select the organization that will be submitting immunization information for this organization if it is something other than “Self”. |
| Data Exchange Selections | |
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Source Type |
Required. From the drop-down menu, select whether the parent or subsite will submit data. Primary=Parent site, Secondary=Subsite. Default is Unknown/None. |
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Submission Type |
From the drop-down menu, select how the organization will submit data. |
| State Supplied Vaccines Profile section | |
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VFC PIN |
State supplied PIN |
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Varicella Certified |
Select from the "Yes" or "No" radio buttons. |
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VFC Status |
Select from the drop-down menu. |
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VFC Only |
Select whether or not the organization participates only I the TVFC inventory portion of ImmTrac2. Select from the "Yes" or "No" radio buttons |
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Billing Begin Date |
MM/YY/YYYY format |
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End Date |
MM/YY/YYYY forma |
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Tier/Frequency |
Select from the drop-down menu. |
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Original Certification Date |
MM/YY/YYYY format |
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Recertification Date |
MM/YY/YYYY format |
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Delivery Days and Times |
Times at which vaccines should be delivered. Select Delivery Window 1 times and Delivery Window 2 times (optional) |
| Organization Contact Information section | |
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Phone |
Phone number of point of contact |
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Fax |
Fax number of contact |
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Organization Email |
Email address for the organization (optional) |
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Physical Address |
Enter Address 1, Address 2, PO Box, City, State, Zip(+4) as applicable |
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Mailing Address |
Click box to populate with physical address or enter Address 1, Address 2, PO Box, City, State, Zip(+4) as applicable |
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Vaccine Delivery Address |
Click box to populate with physical address or enter Address 1, Address 2, PO Box, City, State, Zip(+4) as applicable |
| Organization's Client Demographic Information section | |
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Which age groups does the Organization vaccinate? |
Survey of immunization given by age within organization |
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Does the Organization Vaccinate Privately insured clients? |
Survey of immunization given by age for clients who are privately insured. |
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Does the Organization bill Medicaid for admin fees? |
Indicates if the org bills Medicaid for admin fees. |
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Does the Organization bill for CHIP admin fees? |
Indicates if the org bills CHIP for admin fees. |
| Individual Contacts section | |
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Contact Type |
Required. From the drop-down menu, select the role the contact has. |
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Last Name |
Required. Contact Last Name. |
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First Name |
Required. Contact First Name. |
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Middle Name |
Contact Middle Name. |
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Required. Must be a unique email. One email for multiple users is not allowed. |
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Job Title |
The job title that the contact holds. |
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Telephone |
Contact Phone number |
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Ext |
Contact extension |
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Complete Annual Training |
Required. Select Yes or No depending on whether or not the contact completed their annual training. |
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Type of Training Received |
Required. Enter the type of training the contact received. |
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Comments |
Comments entered by the administrator. This section will be available only for the State staff. |
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Clicking on Save will validate the information entered on the screen. A message will appear at the top indicating if the organization details were saved or if there are missing required fields. |
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Clicking on Apply will validate the information entered on the screen. A message will appear at the top indicating if the user was saved or if there are missing required fields. |
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Clicking on Cancel will discard any changes made on the screen. A confirmation message box will appear asking if you want to continue. Pressing OK on the message box will discard any changes made to the contact information. Cancel will keep you on the screen without discarding changes. |
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