Staff and Provider Permissions

DrChrono has a variety of permissions that can grant or restrict access to different areas of the system.

Permissions can be found under Account > Staff Permissions > Permissions tab.

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This article describes the permissions. Click on a permission in the table below to jump to that specific permission.

Create and Update Patients Access Scheduling Appointment Provider Selection Use iPad EHR Access to Message Center
Create and Update Contacts Access Clinical Notes Sign/Lock Clinical Notes Archived Signed Consent Forms Drug Interactions Check
Access to eRx Access Billing Access Patient Payments Access Patient Analytics Provider Dropdown
View Practice Group Share Patients Access Reports Settings Export Patients
Manage Permissions Manage Templates Manage Accounts Show Patient Balance Show Billing Tab
Show Billing Summary Add new referring sources Access Institutional Billing Access All Messages for Practice Group Billing Administrator
Access Balance/Ledger Access Patient Statements Emergency Access EHI Export Break the Glass Review
SAML SSO Admin Dashboard ePS Enrollment (Edit) ePS Enrollment (Read Only) Manage Form Tags Disable Send to All Patients Option

In most cases, when permission is not enabled for a user, they will receive a Permission Denied message when trying to access something they do not have permission to interact with.

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Create and Update Patients

When Enabled When Disabled
Allows users to create patients and grant access to patient charts. Without this permission, users will not be able to access ANY patient charts or add patients in the appointment window.

A user that does not have this permission will not see the add new patient, edit patient or send OnPatient invite icons (Add_Patient__Edit_patient_Send_Onpatient_icons.png) in the appointment window.

While the New Patient check box is visible, if a user, without this permission enabled, tries to add a patient, they will receive an error message. They will also receive a permission denied message if they try to click on a patient's name in the message center, nor will they be able to attach documents to a patient chart.

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Access Scheduling

When Enabled When Disabled
Allows users to access the schedule as well as view and schedule appointments.

If this permission is disabled for a user, they will not be able to see or access any appointments for the patient.

Note: Staff accounts will need to land on the Dashboard screen when they log in. Otherwise, the user will not be able to access DrChrono after logging in because they are unable to access the schedule.

To set this up, navigate to Account > Account Settings > General tab and make sure the Use new dashboard home screen is checked.

Appointment Provider Selection

When Enabled When Disabled
Allows users to schedule for all providers in the practice group. If this permission is disabled, the user will ONLY be able to schedule for the Primary Provider listed on their staff account settings.

Appointment_Provider_Selection_Permission.png

Use iPad EHR

When Enabled When Disabled
Allows users to log in and use the EHR App for iPhone and iPad. Without this permission enabled, users will receive an error message when attempting to log in to the app.

iPad_EHR_Permission_Error.jpg

Access to Message Center

When Enabled When Disabled

Grants the user access to the Message Center (Message_Center_Icon.png) along with faxing/messaging capabilities from the patient chart and clinical note, allowing them to:

  • view messages
  • fax documents
  • send referrals
If this permission is disabled for the user, they will not be able to access the Message Center (Message_Center_Icon.png) or complete any of the tasks mentioned in the Enabled description while in the message and/or the patient's chart.

Message_Center.png

Create and Update Contacts

When Enabled When Disabled

Allows the user to add contacts to the account in the Message Center (Message_Center_Icon.png) > Contacts and the Create New Contact option when sending a referral.

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Users will not be able to access the Contacts section in the account and will receive a Permission Denied error message. The user is also unable to add contacts when sending a referral through the Create New Contact option. The window to enter contact information will not open for the user.

Message_Center_Contacts.png

Access Clinical Notes

When Enabled When Disabled
Allows the user to access and view clinical notes in various areas of DrChrono.

Users will receive a Permission Denied message when trying to view clinical notes in:

  • The appointment window (both on the schedule and in the patient's chart)
  • Clinical > Clinical Notes
  • Live Claims Feed

Clinical_Note_Options.png

Sign/Lock Clinical Notes

When Enabled When Disabled

Allows the user to sign and lock clinical notes. The Sign & Lock button will appear when the note is previewed.

Note: If Sign/Lock Clinical Notes is enabled for a staff user, they are able to sign and lock clinical notes. However, ONLY the provider's name will appear on the note, not the user's.

The user will not have a Sign & Lock button available to them when they preview a note.

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Archived Signed Consent Forms

When Enabled When Disabled

Allows access to the user to archive signed consent forms.

Archiving Signed Consent Forms

The user will not be able to archive signed consent forms.

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Drug Interactions Check

When Enabled When Disabled
Allows access to the Drug Interactions section in the patient's chart or clinical note. N/A

Drug_Interactions_Check_Chart.png

Access to eRx

When Enabled When Disabled

Allows access to the Send eRx function in the patient's chart. Grants the ability to prescribe medications.

Note: If Send eRx is enabled for a staff user, they are able to send prescriptions. However, ONLY the provider's name will appear on the prescription, not the user's.

This setting also provides access to the eRx Settings under the account menu.

Access to the Send eRx and eRx Settings feature is restricted, and a Permission Denied message will be displayed.

eRX Settings.png

Access Billing

When Enabled When Disabled
Allows access to billing information Billing menu. Access to the Billing menu will result in error messages, and the options will not load. Users can still enter codes under the Billing tab in the appointment window and clinical notes.

Billing_menu_and_error_messages.png

Access Patient Payments

When Enabled When Disabled
Allows the user to enter and process payments in the appointment window, patient's chart/patient payments, the Live Claims Feed, and the EHR app.

Access to Patient Payments is denied when both Access Billing and Access Patient Payments are BOTH disabled. Users will receive a Permission Denied message or an error that states Cash Create Modal Component is Broken (see below).

Access_Billing_and_Acces_Payments_Disabled.png

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Access Patient Analytics

When Enabled When Disabled
Allows the user to access the Patient Report under the Reports menu. Access to the Patient Report under the Reports menu is restricted and a permission denied message is displayed.

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Provider Dropdown

When Enabled When Disabled
Allows the user access to multiple providers in a practice group. The user can easily navigate between provider accounts with this permission enabled. If this permission is disabled, the user will ONLY be able to access information for the Primary Provider listed on their staff account settings.

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View Practice Group

When Enabled When Disabled
The practice group dropdown allows you to view the collective information of the practice when the Practice Group option is selected. For more information on the practice group dropdown, see our article. If this permission is disabled, you will only be able to see the information for the individual providers you have access to.

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Share Patients

When Enabled When Disabled
Share patients allows users to view and interact with patients in the practice group whose primary provider is different from the primary provider selected on their staff account settings. Users can only view and interact with patients whose provider is the same as the primary provider selected in their staff account settings.

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Access Reports

When Enabled When Disabled
Allows users to access the Practice Reports under the Reports menu.

Restricts users from accessing the Practice Reports under the Reports menu. A permission denied message is displayed.

Reports_Menu.png

Settings

When Enabled When Disabled

Allows access to the Provider Settings and Offices under Practice Settings under the Account menu in addition to Patient Flags under the Patients menu.

Note: eRx Settings is controlled by the Access to eRx permission.

Does not allow users to access Provider Settings and Offices under Practice Settings under the Account menu. Restricts access to Patient Flags under the Patients menu.

Export Patients

When Enabled When Disabled

Allows the user to export patient data in bulk in a CSV or bulk export C-CDA files under Patients > Patients List.

The user will not have access to the Export (CSV) or the Export (C-CDA XML) buttons under Patients > Patients List.

Export_Patients_Permission_Side_By_Side.png

Manage Permissions

When Enabled When Disabled

Allows the user to add or remove permissions to staff or provider accounts under Account > Staff Permissions.

The user will not have access to Account > Staff Permissions and will receive a permission denied message.

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Manage Templates

When Enabled When Disabled

Allows the user to access the Form Tools to create and edit clinical forms under the Clinical menu.

The user will not have access to any of the Form Tools and will receive a permission denied message.

Clinical_Form_Tools_Manage_Templates_Permission.png

Manage Accounts

When Enabled When Disabled

Allows the user access to Account > Staff Members: giving the user the ability to create, edit, and inactivate accounts for staff members.

The user will not have access to Accounts > Staff Members and will receive a permission denied message.

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Show Patient Balance

When Enabled When Disabled

Displays the patient's balance in the appointment window and provides access to the Balance tab in the patient's chart.

The patient's balance in the appointment window and the Balance tab in the patient's chart will not be visible.

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Show Billing Tab

When Enabled When Disabled

Allows the user to access the Billing tab in the Appointment window and Clinical Note.

The user will not see the Billing tab in the Appointment window or Clinical Note.

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Show Billing Summary

When Enabled When Disabled

Allows the user to access the Billing Summary report in the Billing menu.

The user will not see the Billing Summary report in the Billing menu.

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Add new referring sources

When Enabled When Disabled

Allows the user to add referring/ordering provider information to a patient's chart.

N/A

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Access Institutional Billing

When Enabled When Disabled

If your account has Institutional Billing enabled, this permission allows you to enter information for institutional UB04 forms.

The user is unable to enter information for UB04 forms. They will still see the switch for Institutional Claims on the Billing Details screen. However, if they try to activate the Institutional Claim switch, they will receive an Access Denied message.

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Access All Messages for Practice Group

When Enabled When Disabled
Allows users to view and interact with messages in the practice group whose primary provider is different from the primary provider selected on their staff account settings. Users can only view and interact with messages whose provider is the same as the primary provider selected in their staff account settings.

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Billing Administrator

When Enabled When Disabled

Allows the user to delete patient payments and unallocate line item payments in the Patient Payments section by selecting the lock icon (Patient_Payments_Lock_Icon.png).

Additionally, the Billing Administrator permission allows the user to access Square setup and settings under Account > Account Settings > Patient Payments.

The user will not have the ability to delete payments or unallocate line item payments. The lock icon (Patient_Payments_Lock_Icon.png) will not appear on their screen when they are in the Patient Payments menu.

Users will be unable to complete any Square functions under Account > Account Settings > Patient Payments. They will receive an error message.

Billing_Admin_Square_Operations_Message.png

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Access Balance/Ledger

When Enabled When Disabled
Allows the user to access the Patient Balance Ledger report under the Billing menu. N/A

Billing_Balance_Ledger.png


Access Patient Statements

When Enabled When Disabled
Allows the user to access the Patient Statements section under the Billing menu. N/A

Billing_Patient_Statements.png


Emergency Access

When Enabled When Disabled

Allow the user to temporarily request emergency access to Create and Update Patients, Access Scheduling, and Access Clinical Notes system permissions.

The user would not be able to request emergency access. Permission denied.

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Break the Glass Review

*Please note this permission is part of a larger feature enhancement that is not yet available to users. We will have more information in the future about how to use this permission and best practices once it's made available.

When Enabled When Disabled

Allows the user to review and approve Break the Glass Requests.

The user would not be able to view or approve Break the Glass Requests.

"EHR Break the Glass" refers to a security feature implemented in Electronic Health Record (EHR) systems. This feature is designed to protect sensitive patient information by requiring additional authentication steps before access is granted to certain highly confidential or restricted parts of a patient's medical records. The term "break the glass" metaphorically represents an emergency situation, similar to breaking the glass to access a fire extinguisher in case of fire. In the context of EHR systems, it means that a user (usually a healthcare provider) must take extra, deliberate actions to access the information, acknowledging the sensitivity and agreeing to the terms of accessing such data.

SAML SSO Admin Dashboard

When Enabled When Disabled

Allows the user to view the SAML SSO Dashboard to review and approve SSO Requests.

The user would not be able to view the SAML SSO Dashboard to review and approve SSO requests.

ePS Enrollment (Edit)

When Enabled When Disabled
The user can access Billing > Enrollment to see, modify, submit, and/or delete EDI, ERA, and RTE, requests with ePS.

The user cannot access Billing > Enrollment to see, modify, submit, and/or delete EDI, ERA, and RTE requests with ePS.

ePS Enrollment (Read Only)

When Enabled When Disabled
The user can access Billing > Enrollment to see EDI, ERA, and RTE requests with ePS and their current status, but cannot make any changes or updates. The user cannot access Billing > Enrollment to see EDI, ERA, and RTE requests with ePS and their current statuses.