Fee Ticket Options Data Fields for Form and Label Templates

File Maintenance Help for NextGen® Enterprise 8

Financial Information Data Fields for Form and Label Templates

Data Repository data fields for Financial Information. Chart Balance Insurance Balance Last Payment Amount Last Payment Date Patient Bad Debt Patient Self Balance Patient Self Balance less B... Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates

File Maintenance Help for NextGen® Enterprise 8

Appointment/Encounter Information Data Field Descriptions for Form and Label Templates

The following table lists the Data Repository data fields for appointment/encounter information. Appointment/Encounter Information is represented by the data field icon. Data Fields Description Encounter Appointment Date Encounter Appointment Date Location Address Appointment Location Location Address 2 Location Address 2 Location City, State Zip Appointment Location City, State Zip *Location Name Appointment Location Name Location Phone Appointment Location Phone Number Referring Physician Referring Physician Rendering Physician Rendering Physician Rendering Provider Address 1 Rendering Provider Address 1 Rendering Provider Address 2 Rendering Provider Address 2 Rendering Provider Business Phone Rendering Provider Business Phone Rendering Provider City, State Zip Rendering Provider City, State Zip Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates

File Maintenance Help for NextGen® Enterprise 8

Recall Information Data Fields for Form and Label Templates

Data Repository data fields for Recall Information. Recall Plan Event Recall Plan Expected Retur… Recall Plan Location Address Recall Plan Location City, S… Recall Plan Location Name Recall Plan Location Phone Recall Plan Name Recall Plan Physician Name Recall Plan Resource Desc… Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates

File Maintenance Help for NextGen® Enterprise 8

Employer Information Data Fields for Form and Label Templates

Data Repository lists data fields for Employer Information. The data fields use the information from NextGen® Enterprise PM on the General tab of the Employer Maintenance window. Employee Occupation Employee Work Extension Employee Work Phone Employer Address 1 Employer Address 2 Employer Billing Address 1 Employer Billing Address 2 Employer Billing City Employer Billing State Employer Billing Zip Employer City Employer City, State Zip Employer Corp Address 1 Employer Corp Address 2 Employer Corp City Employer Corp State Employer Corp Zip Employer Full Name Employer Phone Employer State Employer Zip Sec Employer Address 1 Sec Employer Address 2 Sec Employer City, State Zip Sec Employer Full Name Sec Employer Phone Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates

File Maintenance Help for NextGen® Enterprise 8

System Information Data Fields for Form and Label Templates

Data Repository data fields for System Information. *System Date *System Date(mmddyy) System Date/Time System Esignature System Master File Text (Barcode) System Time System User Name System User-Defined Message Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates

File Maintenance Help for NextGen® Enterprise 8

Encounter UB-92 Data Field Descriptions for Form and Label Templates

Data Repository data fields for Encounter UB-92. Bill Class Frequency Hold Date Occur Code 32a Occur Code 32b Occur Code 33a Occur Code 33b Occur Code 34a Occur Code 34b Occur Code 35a Occur Code 35b Occur Date 32a Occur Date 32b Occur Date 33a Occur Date 33b Occur Date 34a Occur Date 34b Occur Date 35a Occur Date 35b Source of Admission Type of Facility Value Amount 39a Value Amount 39b Value Amount 39c Value Amount 39d Value Amount 40a Value Amount 40b Value Amount 40c Value Amount 40d Value Amount 41a Value Amount 41b Value Amount 41c Value Amount 41d Value Code 39a Value Code 39b Value Code 39c Value Code 39d Value Code 40a Value Code 40b Value Code 40c Value Code 40d Value Code 41a Value Code 41b Value Code 41c Value Code 41d Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates

Fee Ticket Options Data Fields for Form and Label Templates

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Financial Information Data Fields for Form and Label Templates

Appointment/Encounter Information Data Field Descriptions for Form and Label Templates

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Employer Information Data Fields for Form and Label Templates

System Information Data Fields for Form and Label Templates

Encounter UB-92 Data Field Descriptions for Form and Label Templates

Financial Information Data Fields for Form and Label Templates

Appointment/Encounter Information Data Field Descriptions for Form and Label Templates

Recall Information Data Fields for Form and Label Templates

Employer Information Data Fields for Form and Label Templates

System Information Data Fields for Form and Label Templates

Encounter UB-92 Data Field Descriptions for Form and Label Templates