Reason Codes Library Report

Column	Description	Data Originates From
Library Name	Reason Code library name	Reason Code Library field
Code Desc	Standard description	Description field
Code	Code	Code field
Type	Indicates the code type and how the code is applied ( D = Line Item, T = Transaction, A = Adjudication).	Code Type options ( Line Item, Transaction, or Adjudication)
Seq #	Charge sequence number
NYHCRA Exempt
Hid	Indicates with Y or N whether the code is hidden.	Hide Reason Code check box
Force Item Rebill		Force Item Rebill field
Writeoff Rem Bal		Write Off Remaining Balance field
Disp on Pt Statmt		Display on Patient Statement field
Def Contract Allowed	Difference between the contractual allowed amount and payment allowed amount.	Default for Contract <> Payment Allowed Amount check box
Def Contract Reimbursement	Difference between the contractual reimbursement amount and Electronic Remittance Advice (ERA) payment amount	Default for Contract <> ERA Payment Amount check box
ERA Auto Adjust	Indicates whether an adjustment generates when the reason code is used.	Skip Adjustment Code field
Trans Detail Status	Reason code transaction detail status	Trans Detail Status field
Ovr Ln Itm		Override Line Item Codes check box
Tran Adj Cd		Adjustment Code field
NYHCRA

File Maintenance Help for NextGen® Enterprise 8

Reason Codes Library Report

The Reason Code Master report uses the information from the Reason Codes Library Maintenance window to list the following information for all Reason Codes list: Column Description Data Originates From Library Name Reason Code library name Reason Code Library field Code Desc Standard description Description field Code Code Code field Type Indicates the code type and how the code is applied ( D = Line Item, T = Transaction, A = Adjudication). Code Type options ( Line Item, Transaction, or Adjudication) Seq # Charge sequence number NYHCRA Exempt Hid Indicates with Y or N whether the code is hidden. Hide Reason Code check box Force Item Rebill Force Item Rebill field Writeoff Rem Bal Write Off Remaining Balance field Disp on Pt Statmt Display on Patient Statement field Def Contract Allowed Difference between the contractual allowed amount and payment allowed amount. Default for Contract <> Payment Allowed Amount check box Def Contract Reimbursement Difference between the contractual reimbu

Help Guide for NextGen® Enterprise PM 8

Reason Codes Library Report

The Reason Code Master report uses the information from the Reason Codes Library Maintenance window to list the following information for all Reason Codes list: Column Description Data Originates From Library Name Reason Code library name Reason Code Library field Code Desc Standard description Description field Code Code Code field Type Indicates the code type and how the code is applied ( D = Line Item, T = Transaction, A = Adjudication). Code Type options ( Line Item, Transaction, or Adjudication) Seq # Charge sequence number NYHCRA Exempt Hid Indicates with Y or N whether the code is hidden. Hide Reason Code check box Force Item Rebill Force Item Rebill field Writeoff Rem Bal Write Off Remaining Balance field Disp on Pt Statmt Display on Patient Statement field Def Contract Allowed Difference between the contractual allowed amount and payment allowed amount. Default for Contract <> Payment Allowed Amount check box Def Contract Reimbursement Difference between the contractual reimbu

Help Guide for NextGen® Enterprise PM 8

Reason Code Options

The following table lists each option available in the Reason Codes Library with a description of how it works and how it may be used. Reason Code Option How it Works How it is Used Force Item Rebill Select this check box to flag line items with the reason code to "Rebill" to the current payer. Note: This option applies to Line Item reason codes only. When trends are identified for a reason code that always require rebilling. Write Off Remaining Balance Select this check box to adjust the remaining balance to $0.00 for line items with the reason code. The adjustment occurs when the transaction batch is posted. Note: This option applies to Line Item reason codes only. Sometimes used with payers of last resort, such as Medicaid. Note: ERA uses the Adjustment Code selected below to make the adjustment. Manual payment entry uses the Write Off Remaining Payer Balance adjustment code selected in Practice Preferences > Transactions to make the adjustment. Display on Patient Statements Select

Help Guide for NextGen® Enterprise PM 8

Reason Code Options

The following table lists each option available in the Reason Codes Library with a description of how it works and how it may be used. Reason Code Option How it Works How it is Used Force Item Rebill Select this check box to flag line items with the reason code to "Rebill" to the current payer. Note: This option applies to Line Item reason codes only. When trends are identified for a reason code that always require rebilling. Write Off Remaining Balance Select this check box to adjust the remaining balance to $0.00 for line items with the reason code. The adjustment occurs when the transaction batch is posted. Note: This option applies to Line Item reason codes only. Sometimes used with payers of last resort, such as Medicaid. Note: ERA uses the Adjustment Code selected below to make the adjustment. Manual payment entry uses the Write Off Remaining Payer Balance adjustment code selected in Practice Preferences > Transactions to make the adjustment. Display on Patient Statements Select

Help Guide for NextGen® Enterprise PM 8

ERA Import Posting Report Columns

The following columns are available on the ERA Import Posting report. Column Name Description File ERA file Prac Name Practice name Chk Nbr Check number Auto Balance Batch Whether auto balance batch activity has been enabled or disabled Posted Sts Posted status Pat Name Patient name Clm Nbr Claim number Enc Nbr Encounter number Svc Date Service date CPT4 CPT4 code M1 Modifier 1 M2 Modifier 2 Clm Sts Cod Claim status code description Trx Status Transaction status Description Description Bill Amt Bill amount Pd Amt Paid amount Adj Amt Adjustment amount. Displays the adjustment amount for an encounter where the billed amount is equal to the ERA allowed amount and the reason code requiring discrepancy transaction was not applied. Discrepancy Amt Appears when the Calculate discrepancy adjustment related to Advanced SIM option is enabled in Remittance Profile library Ded Amt Deductible amount. Amount paid by the patient before the payer's payment. Disallow Amt Disallow amount Chg-All Amt Cha

Help Guide for NextGen® Enterprise PM 8

ERA Import Posting Report Columns

The following columns are available on the ERA Import Posting report. Column Name Description File ERA file Prac Name Practice name Chk Nbr Check number Auto Balance Batch Whether auto balance batch activity has been enabled or disabled Posted Sts Posted status Pat Name Patient name Clm Nbr Claim number Enc Nbr Encounter number Svc Date Service date CPT4 CPT4 code M1 Modifier 1 M2 Modifier 2 Clm Sts Cod Claim status code description Trx Status Transaction status Description Description Bill Amt Bill amount Pd Amt Paid amount Adj Amt Adjustment amount. Displays the adjustment amount for an encounter where the billed amount is equal to the ERA allowed amount and the reason code requiring discrepancy transaction was not applied. Discrepancy Amt Appears when the Calculate discrepancy adjustment related to Advanced SIM option is enabled in Remittance Profile library Ded Amt Deductible amount. Amount paid by the patient before the payer's payment. Disallow Amt Disallow amount Chg-All Amt Cha

Reason Codes Library Report

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ERA Import Posting Report Columns

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Reason Codes Library Report

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ERA Import Posting Report Columns

ERA Import Posting Report Columns