Generate Alternate Payer Configuration Report

File Maintenance Help for NextGen® Enterprise 8

Alternate Payer Configuration Report

You can generate a Alternate Payer Listing report from File Maintenance. The columns on the report displays the alternate payer configuration details associated with a payer. Generate Alternate Payer Configuration Report The Alt Payer Configuration report displays the alternate payer configuration details associated with a payer. Parent topic: File Maintenance Master Files Reports

File Maintenance Help for NextGen® Enterprise 8

Alternate Payer Configuration Report Columns

You can choose the following columns to appear on the Alt Payer Configuration report. Column Description Data Populates From Payer Name The name of the payer. Payer Name field on the Payer Defaults-1 tab. Alt Payer Name The name of the alternate payer. Alt Payer field on the Alt Payer Carve Out Criteria window Eff Date The effective date of the alternate payer. Eff Date field on the Alt Payer Carve Out Criteria window Exp Date The expiration date of the alternate payer. Exp Date field on the Alt Payer Carve Out Criteria window Desc The description of the alternate payer carve-out criteria. Description field on the Alt Payer Carve Out Criteria window Locations The valid service locations for the alternate payer. Valid Locations field on the Alt Payer Carve Out Criteria window SIM Ranges The service code ranges for the alternate payer. SIM Ranges section on the Alt Payer Carve Out Criteria window Diag Ranges The diagnosis code ranges for the alternate payer. ICD Ranges section on the Alt

File Maintenance Help for NextGen® Enterprise 8

Column Filters in Alternate Payer Configuration Report

The column conditional options include the following: Between Equals Not Equals Greater Than Less Than Like The column sorting options include the following: Ascending Descending Group By Page Break The column totals options include the following: Sum Average Count TotalsNote: The columns that are not available for totals are marked as n/a. Parent topic: Generate Alternate Payer Configuration Report

File Maintenance Help for NextGen® Enterprise 8

Generate Alternate Payer Listing Report

To generate the Alt Payer Listing report, do the following: In File maintenance, select Master Files > System > PM and then select Payers-Alt Payers. The Payers-Alt Payers List window opens. From the Payers-Alt Payers list, select an alternate payer and do one of the following: Select open menu and then select Print. Right-click an alternate payer and then select Print. The NextGen Report Filter: Alt Payer Listing window opens. From the Settings list, select the required columns, and filters options for the Alt Payer Listing report. To generate the report, select OK. The Alt Payer Listing report opens. For information on customizing header/footer, memorized reports, report options, and report toolbars, go toNextGen Healthcare Success Communityand download the latestReports User Guide for NextGen Enterprise PM. Alternate Payer Listing Report Columns You can select the columns to appear on the Alt Payer Listing report. Column Filters in Alternate Payer Listing Report You can select the r

Help Guide for NextGen® Enterprise PM 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

File Maintenance Help for NextGen® Enterprise 8

Post a Payment to an Alternate Payer

When you post a payment for an encounter having multiple alternate payers associated with a payer, all the payers are listed in the Payer field. Note: You can apply a payment to the alternate payer even if the alternate payer was not billed during the billing process. In NextGen® Enterprise PM, selec the Posting icon. The Batch Posting window opens. Double-click an existing batch. The Payment Entry window opens. Select the applicable patient or encounter number. In the Payer field, select an alternate payer associated with a payer. Enter the payment amount and adjustment amount. Select the payment code and adjustment code. Note: If you have set up the default payment and default adjustment code in the Payers-Alt Payers master file for the alternate payer, then the payment code and adjustment code automatically appears when you enter the payment and adjustment amount. If you have not set up the default payment and default adjustment code in the Payers-Alt Payers master file, then the al

Generate Alternate Payer Configuration Report

Recommendations

Alternate Payer Configuration Report

Alternate Payer Configuration Report Columns

Column Filters in Alternate Payer Configuration Report

Generate Alternate Payer Listing Report

Alternate Payers

Post a Payment to an Alternate Payer

Alternate Payer Configuration Report

Alternate Payer Configuration Report Columns

Column Filters in Alternate Payer Configuration Report

Generate Alternate Payer Listing Report

Alternate Payers

Post a Payment to an Alternate Payer