Copy Alternate Payer Details

File Maintenance Help for NextGen® Enterprise 8

Add an Alternate Payer

In File Maintenance, select Master Files > System > PM, and then select Payers-Alt Payers. The Payers-Alt Payers List window opens. To add an alternate payer, select open menu and then select New. The Add Alt Payer Information window opens. In the Alt Payer Details section, do the following: Enter the alternate payer name. Enter the NEIC/Payer Number, if applicable. You can enter the number for a specific clearing house and/or a specific payer. Enter the alternate payer alias name, if applicable. Enter the in-line edits payer ID, if applicable. Note: You must have a NextGen® In-Line Edits license to use this option. Note: The alternate payer details are system specific. In the Main Address section, enter the address of the alternate payer. To define the billing options for an alternate payer, do the following on the Alt Payer Billing Option tab: Select the applicable values for the fields in the Libraries section. In the Claim Details section, select the applicable media type (electron

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

Help Guide for NextGen® Enterprise PM 8

Copy Alternate Payer Details

You can copy the alternate payer details from an existing alternate payer master file to a new alternate payer master file. Note: When you copy an alternate payer, the billing options and transaction options (except ERA payer number and Require both payments before settling check box) are not copied. 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 Copy. Right-click an alternate payer and then select Copy. The Copy Master File window opens. Enter a new alternate payer name. To save the changes and close the window, select OK. The new alternate payer master file is added to the list. Parent topic: Alternate Payers

File Maintenance Help for NextGen® Enterprise 8

Alternate Payers

The Payers-Alt Payers master file allows you to create an alternate payer and associate the alternate payer to a payer in the Payers master file. You can associate the same alternate payer to multiple payers or associate multiple alternate payers to a payer. When you bill an encounter with a payer having alternate payers, separate claims can be generated simultaneously. For example, you set up a payer to bill medical services such as an office visit (99213). Now, when you bill a behavioral health service for substance abuse therapy, the claim may go to a trading partner where the diagnosis is F11.10. But when the same substance abuse therapy is rendered for a patient with a mental health disorder, such as depression, the claim goes to the Department of Mental Health. You can also hide or show an alternate payer by selecting open menu and then selecting Hide or Un-hide. You can generate Alternate Payer Listing report from the Payers-Alt Payers master file. For more information, go to Ne

Help Guide for NextGen® Enterprise PM 8

Enter the ERA Payer Number for an Alternate Payer

When you are using the alternate payer functionality, you might find that the main payer on the Payer master file and the alternate payer on the Payers-Alt Payers master file has different ERA payer numbers. In File Maintenance, select Master Files > System > PM > Payers-Alt Payers. The Alt-Payers List window opens. From the Alt-Payers List window , select and open the applicable payer. The Modify Alt Payer Information - Demo Payer window opens. Select the Alt Payer Transaction Option tab. The fields under the Alt Payer Transaction Option tab appear. For the ERA Payer Number , enter the payer number for the alternate payer. To save changes and close the window, SELECT OK. Parent topic: ERA Payer Number

Help Guide for NextGen® Enterprise PM 8

Add an Alternate Payer

In File Maintenance, select Master Files > System > PM, and then select Payers-Alt Payers. The Payers-Alt Payers List window opens. To add an alternate payer, select open menu and then select New. The Add Alt Payer Information window opens. In the Alt Payer Details section, do the following: Enter the alternate payer name. Enter the NEIC/Payer Number, if applicable. You can enter the number for a specific clearing house and/or a specific payer. Enter the alternate payer alias name, if applicable. Enter the in-line edits payer ID, if applicable. Note: You must have a NextGen® In-Line Edits license to use this option. Note: The alternate payer details are system specific. In the Main Address section, enter the address of the alternate payer. To define the billing options for an alternate payer, do the following on the Alt Payer Billing Option tab: Select the applicable values for the fields in the Libraries section. In the Claim Details section, select the applicable media type (electron

Copy Alternate Payer Details

Recommendations

Add an Alternate Payer

Modify Alternate Payer Information

Copy Alternate Payer Details

Alternate Payers

Enter the ERA Payer Number for an Alternate Payer

Add an Alternate Payer

Add an Alternate Payer

Modify Alternate Payer Information

Copy Alternate Payer Details

Alternate Payers

Enter the ERA Payer Number for an Alternate Payer

Add an Alternate Payer