The code block below illustrates how one might use # and // as comments in your logic and calculations.
# Text can be put here to explain what the logic/calculation does and why.
if ([field1] = '1' and [field2] > 7,
// This comment can explain what the next line does.
[score] * [factor],
// Return '0' if the condition is False.
0
)
Working...
0% means
50% means
100% means
This value you provided is not a number. Please try again.
This value you provided is not an integer. Please try again.
The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.
The value you provided must be within the suggested range
The value you provided is outside the suggested range
This value is admissible, but you may wish to double check it.
The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).
This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.
This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.
This field must be a valid email address (like joe@user.com). Please re-enter it now.
The value you provided could not be validated because it does not follow the expected format. Please try again.
If you are interested in becoming a contracted provider please complete the form below. Please upload a full Provider Roster for your Practice (Full Names and NPIs) and a signed and dated W9.
Please note: Applicants are reviewed quarterly. Please allow a minimum of 90-120 days from your application to be reviewed. We will follow up with your practice via the email submitted on this form. Additionally; SHA/DCHA is not a payor. When you apply to join the ACO they should simultaneously apply to be in-network with our payors Aetna, BCBS, Medicare and SmartHealth. Each payor contracts and credentials separately with your practice.
***DO NOT SUBMIT THIS FORM IF YOUR PRACTICE IS ALREADY CONTRACTED WITH SHA & DCHA. IF YOUR GOAL IS TO ADD A PROVIDER TO THAT PRACTICE. TO SUBMIT A NEW PROVIDER ADD TO EXISTING CONTRACTED GROUP USE THIS LINK: https://redcap.ascension.org/txaus/surveys/?s=RDWWRKTWEH
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