Default Location Setting for Provider & Group Numbers

File Maintenance Help for NextGen® Enterprise 8

Assign a Provider Number at a Practice/Location/Provider/CPT4 Code Level

You can set up a range of CPT4 codes at the practice/location/provider level. This range allows you to have a different provider number for each CPT4 code. Set Up CPT4 Codes at the Provider Master Level Rules for Claim Population Parent topic: Providers Practice Tab

File Maintenance Help for NextGen® Enterprise 8

Group Information Setup for a Provider

Group information is set up for the rendering provider for each service location. Each provider has a default group information record that is automatically included for generic use. However, you can set up specific information for a payer. If you have group information set up for a specific payer, then it becomes the default information for box 33 of the HCFA 1500. Note: If you do not have group information set up for the payer or the default level, then the provider information in the top half of the window is printed in box 33 of the HCFA 1500. To set up group information: On the Add/Modify Provider Information window, select the Practice tab. Under Service Location, select a location. A list of payers for that location displays in the Group Information section. If you want to copy the information for one payer to other locations in the Service Locations list, right-click the payer and then select one of the following: Copy to All Locations to copy the payer to all other locations.

File Maintenance Help for NextGen® Enterprise 8

Assigning Exceptions for the Provider, Payer, and Location

A provider can have exceptions to how charges are normally paid. To be able to apply these exceptions to a charge, you must assign them to the provider for each service location/payer combination. For each combination, you can assign one contract exception and one SIM exception. You can attach a SIM and a contract exception to the provider at a specific location for all payers or for specific payers. A SIM or contract exception for a specific payer overrides the default exception. To assign exceptions to the provider, payer, and location: From the Master Files - System list, select Providers. Double-click on a provider from the list or highlight the provider and select the Open Menu button. The Modify Provider Information dialog box displays. Select the Practice tab. Under Service Location, select the applicable location. A list of payers displays in the Group Information section. If you want to set the default for all payers, double-click the Default row in the Group Information secti

File Maintenance Help for NextGen® Enterprise 8

Set Up a Default Location for Provider Numbers

To set up a provider that has the same individual Provider number for payers at all or several practice locations: From the Master Files - System list, select Providers. Double-click a provider name. The Modify Provider Information dialog box displays. Select the Practice tab. In the Service Location field, select <Default>. Select one of the following options based on the information below: To set up the provider on the default payer, double-click on the Default row in the Group Information section. Because this is the setup for the default payer, the Payer Name field is disabled. To set up a specific payer for the provider, right-click in the Group Information section, then select New. Because this is the setup for a specific payer, a payer must be selected in the Payer Name field. If this is a new payer, select the arrow in the Payer Name field and select the payer. If this is the default payer, you cannot select a new payer. Enter the provider's number in the Provider Number field.

Help Guide for NextGen® Enterprise PM 8

Set Up a Default Location for Group Provider Numbers

To set up a group that has the same Group Provider number for payers at all or several practice locations, do the following: In File Maintenance, under Master Files, select Practice > Groups. The Groups List window opens. Double-click a group. The Group Information window opens. From the Service Location list, select the <Default> option. Select one of the following options based on the following information: To set up the group on the default payer, double-click the Default row listed under the Payer Name column. The Group Information window opens additional fields. This set up is for the default payer and the Payer Name field is disabled. To set up a specific payer for the group, right-click in the Group Information section, then select New. The Group Information window opens additional fields. Because this setup is for a specific payer, the Payer Name field is available. From the Payer Name list, select a payer. In the Group Number field, enter the group number. In the Opt Group Val

NextGen® Enterprise EHR Help

Select the Default Registry for a Location

If your practice has providers in multiple locations, you can select the default registry for each location. CAUTION: If you set up the default registry for a location, the systems uses this preference as the default over the practice default. In File Maintenance, select Master Files > System > EHR > Locations. Select and open a location. On the Location Information window, select the Order Module tab. In the Default Registry list, select a registry. Select OK. Parent topic: Setting up Immunizations Practice Preferences

Default Location Setting for Provider & Group Numbers

Recommendations

Assign a Provider Number at a Practice/Location/Provider/CPT4 Code Level

Group Information Setup for a Provider

Assigning Exceptions for the Provider, Payer, and Location

Set Up a Default Location for Provider Numbers

Set Up a Default Location for Group Provider Numbers

Select the Default Registry for a Location

Assign a Provider Number at a Practice/Location/Provider/CPT4 Code Level

Group Information Setup for a Provider

Assigning Exceptions for the Provider, Payer, and Location

Set Up a Default Location for Provider Numbers

Set Up a Default Location for Group Provider Numbers

Select the Default Registry for a Location