> ## Documentation Index
> Fetch the complete documentation index at: https://dso.getlemma.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Per-entity account & access checklist

> A repeatable setup checklist for every new PC: accounts, dental payer EFT enrollments, signers, bookkeeper access, invoicing, statements, and check stock.

Use this checklist for each new professional entity. A consistent sequence makes later setups easier to plan, review, and hand off.

## Phase 1, before the entity exists

* [ ] Entity name decided, satisfying professional entity naming rules
* [ ] Naming convention confirmed for accounts: `[Brand] [State] PC, [Purpose]`
* [ ] Chart of accounts template ready (**identical to every other PC**)
* [ ] Registered agent arranged
* [ ] Friendly dentist vetted: dental license verified, OIG LEIE and SAM.gov clear, documented

## Phase 2, formation

* [ ] Formation documents filed and state-stamped
* [ ] Board pre-approval obtained, if the state requires it
* [ ] Bylaws or operating agreement adopted
* [ ] Organizational consents adopted, **naming account signers**
* [ ] Shares or membership interests issued, with restrictive legend
* [ ] Transfer restriction agreement executed
* [ ] **EIN obtained; CP 575 legal name recorded exactly as printed**
* [ ] State tax and employer registrations complete
* [ ] DSO foreign-qualified in this state, if new
* [ ] DSO registration filed with the state, where required (Texas, Kansas, Nevada, Arizona, New Mexico, and others. See [Register a DSO](/guides/compliance/register-a-dso))

## Phase 3, identifiers

* [ ] **Type 2 NPI** obtained, with the NPPES legal name matching the CP 575 **exactly**
* [ ] Group **taxonomy** selected and recorded (`1223G0001X` general practice, or the specialty code. See [Taxonomy codes](/reference/edi/taxonomy-codes))
* [ ] Each dentist's **Type 1 NPI** confirmed (no duplicates created)
* [ ] CAQH profiles updated with this location and re-attested
* [ ] W-9 prepared with the exact CP 575 legal name

## Phase 4, banking

* [ ] **Operating account** opened, in the PC's name
* [ ] **Signer is the PC's licensed officer**, not a DSO executive
* [ ] **No DSO withdrawal authority**: no standing sweep, no ACH debit authorization, no DSO signer
* [ ] Read-only access provisioned: bookkeeper, controller, reconciler
* [ ] Naming convention applied
* [ ] Beneficial ownership answered **accurately** (the dentist, 100%)
* [ ] Routing and account numbers recorded for EFT enrollment
* [ ] **ACH addenda visibility confirmed**, you need the TRN to reconcile
* [ ] Payroll account opened, if segregating
* [ ] Refund/disbursement account opened, if applicable
* [ ] **Check stock ordered, drawn on this PC's account**, with this PC's signer
* [ ] Payment card issued for this entity, labeled

## Phase 5, payer enrollment

Per payer, and each Delta Dental member company is its own payer, contracted per state, so the new state means a new Delta relationship:

* [ ] Group contract executed **by the PC's officer**; effective date recorded
* [ ] Fee schedule obtained and reviewed **before** signing, including downgrade and network-leasing terms
* [ ] Timely filing limit and appeal deadline recorded
* [ ] Each dentist credentialed and linked; provider effective dates recorded
* [ ] Retro-effective dates requested **in writing**
* [ ] **EDI** enrollment approved (not merely submitted)
* [ ] **ERA** enrollment pointing at your **current** clearinghouse
* [ ] **EFT** enrollment pointing at the account authorized for the enrolled billing provider
* [ ] Any VCC-paying payer converted to EFT
* [ ] Test claim submitted and accepted at 277CA
* [ ] First 835 received and posted
* [ ] First EFT confirmed in the correct account, reassociating by TRN

Plus:

* [ ] Medicaid: the applicable state enrollment plus each current plan, administrator, contracting, credentialing, or affiliation step required by the state's delivery model
* [ ] Medicare, only if applicable: Part B entity, dentist, and reassignment records completed through PECOS or the current CMS-855B/CMS-855I workflow; CMS-588 EFT and PTANs recorded; separate CMS-855S supplier enrollment completed for each applicable DMEPOS location

## Phase 6, billing stack

* [ ] Entity configured in the PMS with its own Tax ID and group NPI
* [ ] **Separate submitter configuration** at the clearinghouse, so claims cannot go out under another entity's Tax ID
* [ ] Attachment service configured for this entity (NEA/Vyne or clearinghouse-integrated), so required radiographs and narratives are transmitted with the appropriate claims
* [ ] Fee schedules loaded, per payer, for underpayment and downgrade detection
* [ ] Scrubber edits configured, including the preauthorization-required edit for Medicaid and DHMO work
* [ ] ERA auto-posting configured, with group code mapping tested against a real 835

## Phase 7, accounting

* [ ] General ledger created from the **identical** chart of accounts template
* [ ] **Intercompany account pairs** created on both sides:
  * Management fee expense (PC) ↔ revenue (DSO)
  * Loan payable (PC) ↔ receivable (DSO)
  * Interest expense (PC) ↔ income (DSO)
* [ ] Added to the consolidation model with eliminations
* [ ] Added to the monthly close checklist
* [ ] Management fee invoice template configured for this entity
* [ ] **Uncashed-check ledger** started

## Phase 8, agreements

* [ ] **MSA** executed, drafted for **this state's** current law
* [ ] Transfer restriction agreement executed
* [ ] **BAA** executed (this PC ↔ DSO, a separate one per PC)
* [ ] IP/brand license extended to this entity
* [ ] Dentist employment agreements executed, with **state-appropriate** restrictive covenants
* [ ] Board and member consents adopted by both entities

## Phase 9, compliance calendar

* [ ] State annual report due date, with 60-day lead
* [ ] Franchise tax due date, with 30-day lead
* [ ] Registered agent renewal
* [ ] Owner's dental license renewal and DEA, with 60-day lead
* [ ] **CAQH re-attestation**, with 14-day lead
* [ ] Malpractice renewal, with 60-day lead
* [ ] DSO registration renewal, in the states that require one
* [ ] Medicare revalidation, with 90-day lead, if enrolled for crossover work
* [ ] Medicaid, plan, and dental-administrator revalidation as applicable to the current delivery model
* [ ] Payer recredentialing dates
* [ ] LEIE, SAM.gov, and state-list screening at the cadence required by applicable sources and the documented risk policy
* [ ] Annual MSA review
* [ ] Annual [CPOD self-audit](/guides/compliance/run-a-cpod-self-audit)

## Phase 10, verify before go-live

* [ ] Entity active and in good standing
* [ ] Legal name, TIN, NPI, and any permitted DBA reconcile across IRS, W-9, NPPES, bank, and payer records as each form requires
* [ ] Signers, approvers, delegates, and online roles match governing resolutions and state-law control requirements
* [ ] Every EFT enrollment points at the account authorized for the enrolled billing provider
* [ ] Every ERA enrollment points at your **current** clearinghouse
* [ ] Test claim accepted; test remittance posted; test deposit reconciled by TRN
* [ ] Entity added to the close checklist, consolidation model, and compliance calendar
* [ ] Per-entity setup runbook updated with anything learned

## Four checks before go-live

<Warning>
  Confirm these four items before the entity begins billing:

  1. **Identity fields reconcile across source records**; a legal-name, TIN, NPI, DBA, or account-holder mismatch can cause enrollment or payment failures
  2. **EFT to the account authorized for the enrolled billing provider**, with the legal name, TIN, ownership, and control matching payer and bank records
  3. **ERA pointing at your current clearinghouse**, otherwise you get money you cannot post
  4. **No unsupported unilateral manager control over a professional entity's account**; test the state's rule, resolutions, online permissions, sweeps, and actual approvals together
</Warning>
