Attach an Alternate Type of Service Library to a Payer
From the
File Maintenance
window, select
Master Files - System
>
Payers
.
Double-click on the applicable payer.
The
Add/Modify Payer Information
window opens.
Select the
Practice
tab >
Libraries
tab.
Select the applicable Alternate Type of Service Library from the
Type of Service Library
field.
Select
OK
.
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File Maintenance Help for NextGen® Enterprise 8
Types of Service Library
The Types of Service library enables you to enter Alternate Type of Service codes that meet specific payer requirements. Alternate Type of Service codes can also be set up for specific CPT4 codes or CPT4 code ranges. In addition, Alternate Type of Service Codes can be specific, based on payer requirements, for the claim media type: either paper or electronic. After a Type of Service Library has been set up, it can be attached to a payer at the Payer Master level. When you view or print paper claims, any Alternate Type of Service codes that are set up and attached to the payer print in box 24c on the 1500 form. Set Up an Alternate Type of Service Codes Library Attach an Alternate Type of Service Library to a Payer
File Maintenance Help for NextGen® Enterprise 8
Assign a Reason Code Library to a Payer
The Reason Code Library field on the Modify Payer Information window enables you to create and attach a library with reason codes that are unique to a specific payer. In File Maintenance, select Master Files, then System, and then Payers. The Payers List window opens. Double-click the desired payer or right-click open menu , and select Open. Select the Practice tab and, then Transactions subtab. Select the desired Reason Code Library for the payer, and then select OK. Parent topic: Reason Codes Library
Help Guide for NextGen® Enterprise PM 8
Select a Default Library for a Payer
A library selected at the payer-level overrides the default library selected at the practice-level. Access File Maintenance. Select System Master Files, then PM, and then Payers. The Payer List window opens. Double-click to open the desired payer. The Modify Payer Information window opens. Select the Practice tab, and then the Libraries sub-tab. Modify Payer Information window; Practice tab; Libraries sub-tab In the Behavioral Health Billing Library field, select the library to be used for the payer. In the Modifiers Library field, select the library to be used for the payer. In the Claim Edit Library field, select the library to be used for the payer. To save changes and close the window, select OK. Parent topic: Default Library Selection
File Maintenance Help for NextGen® Enterprise 8
Add or Modify a Payer
From the Master Files - System list, select Payers. The Payers List window opens. To add a payer, select open menu , and then select New. The Add Payer Information window opens. Enter all the required information under the following tabs: Payer Defaults - 1 Defaults - 2 System Practice Alt Payer External Co-Pays Select OK to save the changes. To modify a payer, select the payer from the list, select open menu , and then select Open. The Modify Payer Information window opens. Do the required changes and then select OK. Parent topic: Payers Master File
Help Guide for NextGen® Enterprise PM 8
Add or Modify a Payer
From the Master Files - System list, select Payers. The Payers List window opens. To add a payer, select open menu , and then select New. The Add Payer Information window opens. Enter all the required information under the following tabs: Payer Defaults - 1 Defaults - 2 System Practice Alt Payer External Co-Pays Select OK to save the changes. To modify a payer, select the payer from the list, select open menu , and then select Open. The Modify Payer Information window opens. Do the required changes and then select OK. Parent topic: Payers Master File
File Maintenance Help for NextGen® Enterprise 8
Modify Alternate Payer Information
In File maintenance, select Master Files > System > PM, and then select Payers-Alt Payers. The Payers-Alt Payers List window opens. From the Payer-Alt Payers list, select an alternate payer and do one of the following: Select open menu and then select Open. Right-click an alternate payer and then select Open. Double-click an alternate payer. The Modify Alt Payer Information window opens. Modify the alternate payer information as required. To save the changes and close the window, select OK. Parent topic: Alternate Payers
