NextGen Knowledge Center

Practice Preferences for Advance Patient Payments

You can set the following preferences for payment of patient services:
  • Specifying the percentage that the patient must pay for a service in advance.
  • Controlling the updating of co-pay and deductible components at the insurance maintenance level.
  • Obtaining the allowed and coinsurance amounts for cost estimation.
FieldDescription
Patient Payment %Enter the percentage of payment the patient must make in advance.
Update patient insurance with copay/deductible information from cost estimationSelect this option to update the co-pay and deductible amount in the patient insurance maintenance from cost estimation.
Search for Allowed Amount
Allowed Amount SourceSelect the source location to obtain the allowed amount.
You can select one of the following options:
  • Both: To get the allowed amount from the transaction history and contract library.
  • Transaction History: To get the allowed amount from the transaction history for cost estimation.
  • Contract: To get the allowed amount from the contract library for cost estimation.

If you select Both, select Search first by to search contract or transaction history first.

Transaction History DateThis field is available only if you selected Both or Transaction History as the allowed amount source.

Specify the date range for the transactions in which the system must search for the allowed amount.

Allowed AmountThis field is available only if you selected Both or Transaction History as the allowed amount source.

Determines the options to calculate the allowed amount and consider for cost estimation.

Search for Coinsurance
Coinsurance SourceSelect the source location to obtain the coinsurance amount.
  • Real Time Transaction: This option appears only if the practice has NextGen® Eligibility Verification license (real-time system). The system searches for the coinsurance amount in the response of real time transactions.
  • Transaction Details: The system searches for the coinsurance amount in the transaction details for cost estimation.
  • Contract: The system searches for the coinsurance amount in the contract library for cost estimation.
  • All: The system searches for the coinsurance amount in contract, transaction details, and real-time transactions. By default, the first source for searching is
    • Contract for practice working in a non-real-time system
    • Real time transactions for practices working in a real-time system.
Practice Preferences for Advance Patient Payments