Bad Debt Transaction Codes and the ERA Process

File Maintenance Help for NextGen® Enterprise

Setting up of Payer-Level Default Bad Debt Transaction Codes

You can set payer-level bad debt transaction codes to be used as the default codes when insurance payments are processed for bad debt encounters. To set the default transaction codes for encounters with Bad Debt status, perform the following steps: If you want to set the transaction code as the default used for payments or adjustments, open the Payers master file. Do one of the following: For the main payer, select the Practice > Transactions. For the alternate payer, select the Alt Payer tab. In the Default Payment for Bad Debt and Default Adjustment for Bad Debt fields, select the default transaction codes to use for ERA and manual transaction entry when the encounter is in Bad Debt status. These fields list the codes designated in the Transaction Codes master file as Third Party and Bad Debt Only. Open the Transactions Practice Preferences, and then select the Use payer default bad debt tran codes check box to enable the use of the default transaction codes set up in the Payers mast

File Maintenance Help for NextGen® Enterprise 8

Bad Debt Transaction Codes and the ERA Process

The ERA process can use the default bad debt transaction codes from the Payers master file for auto-posted transactions for bad debt encounters. If the Remittance Profile posting rules allow posting to bad debt encounters, the ERA process uses these default codes to generate the payment. Note: If a reason code associated with a transaction has a specific transaction code set in the Reason Codes library, then the bad debt transaction ignores the transaction associated with the reason code. To allow the ERA process to use the default transaction codes, perform the following steps: Open the Remittance Profiles library. Under Posting Rules, make sure the Do not post to encounters in Bad Debt option is not selected. Parent topic: Setting Up of Bad Debt Transaction Codes

File Maintenance Help for NextGen® Enterprise

Setting Up of Bad Debt Transaction Codes

Transaction codes are set up in the Transaction Codes master file as Bad Debt transaction codes only. When payments and adjustments are posted against encounters that are in Bad Debt status, the Bad Debt transaction codes are the only ones that are available to use. To set up bad debt transaction codes: In File Maintenance > Master Files > System select Transaction Codes. Do one of the following: Double-click the applicable transaction code. Select the Open Menu button, then select New. The Add/Modify Transaction Code Information window displays. In the Type field, select Payment. In the Source field, select Patient. Select the Bad Debt Only check box. Select the Allow sign over ride check box. Select OK. To prevent out-of-balance conditions from occurring between the accounts receivable and the general ledger with regard to bad debt, open the Transactions Practice Preferences, and then select the Show bad debt charges (Account Level) check box. Users will not be able to use unapplied

File Maintenance Help for NextGen® Enterprise 8

Setting Up of Bad Debt Transaction Codes

Transaction codes are set up in the Transaction Codes master file as Bad Debt transaction codes only. When payments and adjustments are posted against encounters that are in Bad Debt status, the Bad Debt transaction codes are the only ones that are available to use. To set up bad debt transaction codes: In File Maintenance > Master Files > System select Transaction Codes. Do one of the following: Double-click the applicable transaction code. Select the Open Menu button, then select New. The Add/Modify Transaction Code Information window displays. In the Type field, select Payment. In the Source field, select Patient. Select the Bad Debt Only check box. Select the Allow sign over ride check box. Select OK. To prevent out-of-balance conditions from occurring between the accounts receivable and the general ledger with regard to bad debt, open the Transactions Practice Preferences, and then select the Show bad debt charges (Account Level) check box. Users will not be able to use unapplied

File Maintenance Help for NextGen® Enterprise

Set Up Default Payment/Adjustment Transaction Codes

Access File Maintenance. Select System Master Files > PM > Payers. The Payers List window opens. From the list, select and open the desired payer.The Modify Payer Information window opens. Select the Practice tab, and then select the Transactions sub-tab. Use the following table to select Transactions parameters for the payer. To save changes and close the window, select OK. Field Description Default Payment Select a third-party payment transaction code for the payer. The code defaults to the Pay Code field on the Payment Entry screen for manually entered payments and for ERA payments received from the payer. This field is required. Default Adjustment Select a third-party adjustment transaction code for the payer. The code defaults to the Adj Code field on the Payment Entry screen for manually entered adjustments and for ERA adjustments received from the payer. This field is required. Default Payment for Bad Debt Select a third-party bad debt payment transaction code for the payer. The

Help Guide for NextGen® Enterprise PM 8

Set Up Default Payment/Adjustment Transaction Codes

Access File Maintenance. Select System Master Files > PM > Payers. The Payers List window opens. From the list, select and open the desired payer.The Modify Payer Information window opens. Select the Practice tab, and then select the Transactions sub-tab. Use the following table to select Transactions parameters for the payer. To save changes and close the window, select OK. Field Description Default Payment Select a third-party payment transaction code for the payer. The code defaults to the Pay Code field on the Payment Entry screen for manually entered payments and for ERA payments received from the payer. This field is required. Default Adjustment Select a third-party adjustment transaction code for the payer. The code defaults to the Adj Code field on the Payment Entry screen for manually entered adjustments and for ERA adjustments received from the payer. This field is required. Default Payment for Bad Debt Select a third-party bad debt payment transaction code for the payer. The

Bad Debt Transaction Codes and the ERA Process

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Setting up of Payer-Level Default Bad Debt Transaction Codes

Bad Debt Transaction Codes and the ERA Process

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Set Up Default Payment/Adjustment Transaction Codes

Set Up Default Payment/Adjustment Transaction Codes

Bad Debt Transaction Codes and the ERA Process

Setting up of Payer-Level Default Bad Debt Transaction Codes

Bad Debt Transaction Codes and the ERA Process

Setting Up of Bad Debt Transaction Codes

Setting Up of Bad Debt Transaction Codes

Set Up Default Payment/Adjustment Transaction Codes

Set Up Default Payment/Adjustment Transaction Codes