NextGen Knowledge Center

Co-Pays Tab

Because co-payments can vary among different departments and services, you can create multiple co-payments. When you enable multiple co-pays, co-pay settings display in the Payers master file in File Maintenance and in Insurance Maintenance in NextGen® Enterprise PM. The co-pay information created in the payers master file becomes the default for all insurance. However, you can change the co-pay settings when you modify insurance in NextGen® Enterprise PM.
To enable multiple co-pays:
  • On the General tab of the Enterprise Preferences window, select the Enable Multiple Co-Pays check box.

To create multiple co-pay information:

  1. Select Co-Pays tab on Modify Payer Information window in the Payers master file .

  2. Do one of the following:
    • To add a new item, select the open menu button, and then select New.
    • To modify an item, select the item in the list, select the open menu button, and then select Open. You can also double-click the item to open it.
    The Add/Modify Co-Pay Information window opens.

  3. Enter the following information:
    • Co-Pay Description - Enter a descriptive name for the co-pay.
    • Default Co-Pay Amount – Enter the co-pay amount.
    • Allow Override - Select this check box if you want to allow users to change the information when they modify insurance in Insurance Maintenance.
    • Default this Co-Pay into the Enc Co-Pay for these Specialities - Select the specialties for the co-pay. If any of the specialties on the co-pay matches the specialty of the rendering provider on the encounter, then the amount in the Default Co-Pay Amount field becomes the default amount used in the Enc Co-Payment field in Insurance Maintenance.
  4. Select OK.
  5. If you selected the Default this Co-Pay into the Enc Co-Pay for these Specialities check box, open the Chart Practice Preferences and select the Enable encounter payer copay check box to display the Encounter Co-pay Amt field on the Insurance Maintenance dialog box.