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Charges Data Field Descriptions for Form and Label Templates
Data Repository lists data fields for
Charges
and data fields for sub category,
Diagnosis
.
Chrg 1 Deductible
Chrg 2 Deductible
Chrg 3 Deductible
Chrg 4 Deductible
Chrg 5 Deductible
Chrg 6 Deductible
Chrg1 Additional Provider
Chrg1 Additional Provider Address 1
Chrg1 Additional Provider Address 2
Chrg1 Additional Provider City
Chrg1 Additional Provider City, State Zip
Chrg1 Additional Provider State
Chrg1 Additional Provider Zip
Chrg1 Adjustments
Chrg1 Allowed Amounts
*Chrg1 Amount
*Chrg1 Amount ($$$$ cc)
Chrg1 Cpt4 Code
Chrg1 Cpt4 Description
*Chrg1 Date of Service
*Chrg1 Date of Service(mmddyy)
Chrg1 Diagnosis Code
Chrg1 Diagnosis Desc
Chrg1 End Date of Service
Chrg1 Line Notes
Chrg1 Location Zip
Chrg1 Modifier 1
Chrg1 Modifier 2
Chrg1 Modifier 3
Chrg2 Narrative
Chrg1 Occurrence Code
Chrg1 Payments
Chrg1 Place of Service
Chrg1 Quantity
Chrg1 Revenue Description
Chrg1 Service Item
Chrg1 Service Item Description
Chrg1 Total Tax Amount
Chrg1 UD1 Amount
Chrg1 UD2 Amount
Chrg1 Value Code
Chrg2 Additional Provider
Chrg2 Additional Provider Address1
Chrg2 Additional Provider Address2
Chrg2 Additional Provider City
Chrg2 Additional Provider City, State Zip
Chrg2 Additional Provider State
Chrg2 Additional Provider Zip
Chrg2 Adjustments
Chrg2 Allowed Amounts
*Chrg2 Amount
*Chrg2 Amount ($$$$ cc)
Chrg2 Cpt4 Code
Chrg2 Cpt4 Description
*Chrg2 Date of Service
*Chrg2 Date of Service(mmddyy)
Chrg2 Diagnosis Code
Chrg2 Diagnosis Desc
Chrg2 End Date of Service
Chrg2 Line Notes
Chrg2 Location Zip
Chrg2 Modifier 1
Chrg2 Modifier 2
Chrg2 Modifier 3
Chrg2 Narrative
Chrg2 Occurrence Code
Chrg2 Payments
Chrg2 Place of Service
Chrg2 Quantity
Chrg2 Revenue Description
Chrg2 Service Item
Chrg2 Service Item Description
Chrg2 Total Tax Amount
Chrg2 UD1 Amount
Chrg2 UD2 Amount
Chrg2 Value Code
Chrg3 Additional Provider
Chrg3 Additional Provider Address1
Chrg3 Additional Provider Address2
Chrg3 Additional Provider City
Chrg3 Additional Provider City, State Zip
Chrg3 Additional Provider State
Chrg3 Additional Provider Zip
Chrg3 Adjustments
Chrg3 Allowed Amounts
*Chrg3 Amount
*Chrg3 Amount ($$$$ cc)
Chrg3 Cpt4 Code
Chrg3 Cpt4 Description
*Chrg3 Date of Service
*Chrg3 Date of Service(mmddyy)
Chrg3 Diagnosis Code
Chrg3 Diagnosis Desc
Chrg3 End Date of Service
Chrg3 Line Notes
Chrg3 Location Zip
Chrg3 Modifier 1
Chrg3 Modifier 2
Chrg3 Modifier 3
Chrg3 Narrative
Chrg3 Occurrence Code
Chrg3 Payments
Chrg3 Place of Service
Chrg3 Quantity
Chrg3 Revenue Description
Chrg3 Service Item
Chrg3 Service Item Description
Chrg3 Total Tax Amount
Chrg3 UD1 Amount
Chrg3 UD2 Amount
Chrg3 Value Code
Chrg4 Additional Provider
Chrg4 Additional Provider Address1
Chrg4 Additional Provider Address2
Chrg4 Additional Provider City
Chrg4 Additional Provider City, State Zip
Chrg4 Additional Provider State
Chrg4 Additional Provider Zip
Chrg4 Adjustments
Chrg4 Allowed Amounts
*Chrg4 Amount
*Chrg4 Amount ($$$$ cc)
Chrg4 Cpt4 Code
Chrg4 Cpt4 Description
*Chrg4 Date of Service
*Chrg4 Date of Service(mmddyy)
Chrg4 Diagnosis Code
Chrg4 Diagnosis Desc
Chrg4 End Date of Service
Chrg4 Line Notes
Chrg4 Location Zip
Chrg4 Modifier 1
Chrg4 Modifier 2
Chrg4 Modifier 3
Chrg4 Narrative
Chrg4 Occurrence Code
Chrg4 Payments
Chrg4 Place of Service
Chrg4 Quantity
Chrg4 Revenue Description
Chrg4 Service Item
Chrg4 Service Item Description
Chrg4 Total Tax Amount
Chrg4 UD1 Amount
Chrg4 UD2 Amount
Chrg4 Value Code
Chrg5 Additional Provider
Chrg5 Additional Provider Address1
Chrg5 Additional Provider Address2
Chrg5 Additional Provider City
Chrg5 Additional Provider City, State Zip
Chrg5 Additional Provider State
Chrg5 Additional Provider Zip
Chrg5 Adjustments
Chrg5 Allowed Amounts
*Chrg5 Amount
*Chrg5 Amount ($$$$ cc)
Chrg5 Cpt4 Code
Chrg5 Cpt4 Description
*Chrg5 Date of Service
*Chrg5 Date of Service(mmddyy)
Chrg5 Diagnosis Code
Chrg5 Diagnosis Desc
Chrg5 End Date of Service
Chrg5 Line Notes
Chrg5 Location Zip
Chrg5 Modifier 1
Chrg5 Modifier 2
Chrg5 Modifier 3
Chrg5 Narrative
Chrg5 Occurrence Code
Chrg5 Payments
Chrg5 Place of Service
Chrg5 Quantity
Chrg5 Revenue Description
Chrg5 Service Item
Chrg5 Service Item Description
Chrg5 Total Tax Amount
Chrg5 UD1 Amount
Chrg5 UD2 Amount
Chrg5 Value Code
Chrg6 Additional Provider
Chrg6 Additional Provider Address1
Chrg6 Additional Provider Address2
Chrg6 Additional Provider City
Chrg6 Additional Provider City, State Zip
Chrg6 Additional Provider State
Chrg6 Additional Provider Zip
Chrg6 Adjustments
Chrg6 Allowed Amounts
*Chrg6 Amount
*Chrg6 Amount ($$$$ cc)
Chrg6 Cpt4 Code
Chrg6 Cpt4 Description
*Chrg6 Date of Service
*Chrg6 Date of Service(mmddyy)
Chrg6 Diagnosis Code
Chrg6 Diagnosis Desc
Chrg6 End Date of Service
Chrg6 Line Notes
Chrg6 Location Zip
Chrg6 Modifier 1
Chrg6 Modifier 2
Chrg6 Modifier 3
Chrg6 Narrative
Chrg6 Occurrence Code
Chrg6 Payments
Chrg6 Place of Service
Chrg6 Quantity
Chrg6 Revenue Description
Chrg6 Service Item
Chrg6 Service Item Description
Chrg6 Total Tax Amount
Chrg6 UD1 Amount
Chrg6 UD2 Amount
Chrg6 Value Code
Diag1 Code
Diag1 Description
Diag2 Code
Diag2 Description
Diag3 Code
Diag3 Description
Diag4 Code
Diag4 Description
Charges Data Field Descriptions for Form and Label Templates
File Maintenance Help for NextGen® Enterprise
Account Information Data Field Descriptions for Form and Label Templates
The following table lists the Data Repository data fields for Account Information. Data Fields Description Account Information (only when printing from Account) Account All Insurance Balance Account All Insurance Balance Account Budget Created Date Account Budget Created Date Account Budget Delinquent Date Account Budget Delinquent Date Account Budget Number of Payments Account Budget Number of Payments Account Budget Payment Amount Account Budget Payment Amount Account Budget Termination Date Account Budget Termination Date Account Card Expiration Date Account Card Expiration Date Account Holder Name Account Holder Name Account Card Last 4Digits Account Card Last 4Digits Account Card Type Account Card Type Account Credit Card Transaction Repons... Account Credit Card Transaction Response Number Account Credit Rating Account Credit Rating Account Guarantor City Account Guarantor City Account Guarantor City, State Zip Account Guarantor City, State Zip Account Guarantor Country Account G
File Maintenance Help for NextGen® Enterprise
Encounter Information Data Field Descriptions for Form and Label Templates
The following table lists the Data Repository data fields and sub-data fields for encounter information. The sub-data fields are Encounter Primary, Encounter Secondary, and Encounter Tertiary. Encounter Information is represented by the data field icon. Data Fields Admitting Physician Enc Rendering Prov Address 1 Enc Rendering Prov Address 2 Enc Rendering Prov City Enc Rendering Prov City, State Zip Enc Rendering Prov State Enc Rendering Prov Zip Encounter Adjustments Encounter Admit Date Encounter Admit Time Encounter All Insurance Balance Encounter Attending Encounter Authorization Nbr Primary Encounter Authorization Nbr Secondary Encounter Authorization Nbr Tertiary Encounter Balance Encounter Balance (including unposted transactions) Encounter Charges Encounter Complaint Encounter Date Encounter Discharge Date Encounter Discharge Time Encounter Facility Address Encounter Facility Fax Number Encounter Facility Name Encounter Facility Phone Number Encounter ID (Barcode) Encounter Ins
File Maintenance Help for NextGen® Enterprise 8
Charges Data Field Descriptions for Form and Label Templates
Data Repository lists data fields for Charges and data fields for sub category, Diagnosis. Chrg 1 Deductible Chrg 2 Deductible Chrg 3 Deductible Chrg 4 Deductible Chrg 5 Deductible Chrg 6 Deductible Chrg1 Additional Provider Chrg1 Additional Provider Address 1 Chrg1 Additional Provider Address 2 Chrg1 Additional Provider City Chrg1 Additional Provider City, State Zip Chrg1 Additional Provider State Chrg1 Additional Provider Zip Chrg1 Adjustments Chrg1 Allowed Amounts *Chrg1 Amount *Chrg1 Amount ($$$$ cc) Chrg1 Cpt4 Code Chrg1 Cpt4 Description *Chrg1 Date of Service *Chrg1 Date of Service(mmddyy) Chrg1 Diagnosis Code Chrg1 Diagnosis Desc Chrg1 End Date of Service Chrg1 Line Notes Chrg1 Location Zip Chrg1 Modifier 1 Chrg1 Modifier 2 Chrg1 Modifier 3 Chrg2 Narrative Chrg1 Occurrence Code Chrg1 Payments Chrg1 Place of Service Chrg1 Quantity Chrg1 Revenue Description Chrg1 Service Item Chrg1 Service Item Description Chrg1 Total Tax Amount Chrg1 UD1 Amount Chrg1 UD2 Amount Chrg1 Value Code C
File Maintenance Help for NextGen® Enterprise 8
Account Information Data Field Descriptions for Form and Label Templates
The following table lists the Data Repository data fields for Account Information. Data Fields Description Account Information (only when printing from Account) Account All Insurance Balance Account All Insurance Balance Account Budget Created Date Account Budget Created Date Account Budget Delinquent Date Account Budget Delinquent Date Account Budget Number of Payments Account Budget Number of Payments Account Budget Payment Amount Account Budget Payment Amount Account Budget Termination Date Account Budget Termination Date Account Card Expiration Date Account Card Expiration Date Account Holder Name Account Holder Name Account Card Last 4Digits Account Card Last 4Digits Account Card Type Account Card Type Account Credit Card Transaction Repons... Account Credit Card Transaction Response Number Account Credit Rating Account Credit Rating Account Guarantor City Account Guarantor City Account Guarantor City, State Zip Account Guarantor City, State Zip Account Guarantor Country Account G
File Maintenance Help for NextGen® Enterprise 8
Encounter Information Data Field Descriptions for Form and Label Templates
The following table lists the Data Repository data fields and sub-data fields for encounter information. The sub-data fields are Encounter Primary, Encounter Secondary, and Encounter Tertiary. Encounter Information is represented by the data field icon. Data Fields Admitting Physician Enc Rendering Prov Address 1 Enc Rendering Prov Address 2 Enc Rendering Prov City Enc Rendering Prov City, State Zip Enc Rendering Prov State Enc Rendering Prov Zip Encounter Adjustments Encounter Admit Date Encounter Admit Time Encounter All Insurance Balance Encounter Attending Encounter Authorization Nbr Primary Encounter Authorization Nbr Secondary Encounter Authorization Nbr Tertiary Encounter Balance Encounter Balance (including unposted transactions) Encounter Charges Encounter Complaint Encounter Date Encounter Discharge Date Encounter Discharge Time Encounter Facility Address Encounter Facility Fax Number Encounter Facility Name Encounter Facility Phone Number Encounter ID (Barcode) Encounter Ins
Help Guide for NextGen® Enterprise PM 8
Payments by Line Item Report Columns
The following table describes the columns in the Daily by Line Item Payments report: Column Name Description Data Pulled From Prac Name Practice Name Practice associated with the patient's encounter Loc Name Service Location Name Encounter Maintenance Location SubGrp1 Location Subgrouping 1 Note: Subgrouping name is from Enterprise Preferences > General Tab. Locations Master File Location SubGrp2 Location Subgrouping 2 Note: Subgrouping name is from Enterprise Preferences > General Tab. Locations Master File Post Date Date the transaction posted. Transaction Detail Proc Date Date the transaction was processed. Charge Posting Ovr Proc Dt Override process date Charge Posting Bt Dt Batch date Batch Maintenance Bt Nbr Batch number Batch Maintenance Bt Desc Batch description Batch Maintenance Track Desc Tracking Description Payment Entry E/I/A/B Encounter Invoice Account Budget Transaction Detail Collection Agency Collection Agency Encounter Maintenance Dtl E/I/A/B Encounter Invoice Account
