Non-Coordinated SIM Library with Payer Detail Report Columns

Column	Description	Data Populates From
Library Name	Library Name	Non-Coordinated SIM Library Name field
Eff Date	Effective Date	Effective Date field
Exp Date	Expiration Date	Expiration Date field
Description	Description	Description field
SIMs List	SIMs List	Service Item Configurations > Non-Coordinated SIM section
Payer List	Payer List	Service Item Configurations > Valid Payers section Multiple entries are separated by commas.
Prior Payer List	Prior Payer List	Service Item Configurations > Only for Selected Prior Payers section Multiple entries are separated by commas.
Provider Credentials List	Provider Credentials List	Service Item Configurations > Provider Credentialing section Multiple entries are separated by commas.
Crt Dt	Create Date	Who/When > Modification Information > Creation Date & Time field
Created By	Created By	Who/When > Modification Information > Creator field
Mod Dt	Last Modified Date	Who/When > Modification Information > Modified Date & Time field
Modified By	Last Modified By	Who/When > Modification Information > Last Modified By field
Move balance to valid payer, else patient	Move balance to valid payer, else patient	Non-Coordinated SIM Rules section > Balance Control section
Auto adjustment transaction code	Auto adjustment transaction code	Non-Coordinated SIM Rules section > Auto Adjustment section
Suppress Non-Coord SIM from claims for invalid payers	Suppress Non-Coord SIM from claims for invalid payers	Non-Coordinated SIM Rules section > Claims section
Only send Non-Coord line if other lines forwarded	Only send Non-Coord line if other lines forwarded	Non-Coordinated SIM Rules section > Claims section
Checkmark balances moved for billing	Checkmark balances moved for billing	Non-Coordinated SIM Rules section > Balance Control section
Create as Primary Claim	Create as Primary Claim	Non-Coordinated SIM Rules section > Claims section

File Maintenance Help for NextGen® Enterprise 8

Non-Coordinated SIM Library Listing Report Columns

The Non-Coordinated SIM Library Listing report includes information from the Non-Coordinated SIM Library in File Maintenance. Information on the report pulls from the Non-Coordinated Service Item Library Maintenance window. The report includes the following information: Column Description Data Populates From Description Description Description field Crt Dt Create Date Who/When > Modification Information > Creation Date & Time field Created By Created By Who/When > Modification Information > Creator field Mod Dt Last Modified Date Who/When > Modification Information > Modified Date & Time field Modified By Last Modified By Who/When > Modification Information > Last Modified By field Filter 2 Use columns to filter data on the report. Column filter options include the following: Between Equals Not Equals Greater Than Less Than Like Sorting Use columns to sort and group data on the report. Column sorting options include the following: Ascending Descending Group By Page Break Note: Columns

File Maintenance Help for NextGen® Enterprise 8

Generate a Non-Coordinated SIM Library Report

To generate the Non-Coordinated SIM Library reports, do the following: Open File Maintenance. Select Libraries, and then Non-Coordinated SIM Library. The Non-Coordinated SIM List window opens. Select open menu button and select Print. The Non-Coordinated SIM Library Reports menu opens. Select one of the following reports: Non-Coordinated SIM Library Listing Non-Coordinated SIM Libraries with Payer Detail The NextGen Report Filter window opens. Select the desired columns, filters and sorting for the report. To generate the report, select OK. The report opens. Non-Coordinated SIM Library Listing Report Columns Non-Coordinated SIM Library with Payer Detail Report Columns Parent topic: Non-Coordinated SIM Library Report

File Maintenance Help for NextGen® Enterprise 8

Consolidated Services Claim Library Listing Reports

The Consolidated Services Claim Library Listing report includes information from the Consolidated Services Claim library in File Maintenance. Information on the report pulls from the Consolidated Services Claim Maintenance window. The report includes the following information: Column Description Data Populates From Lib Name Library Name Consolidated Services Claim Library Name field Description Consolidated Services Claim Rules Consolidated Services Claim Maintenance window > Description field Eff Dt Effective Date Consolidated Services Claim Maintenance window > Effective Date field Exp Dt Expiration Date Consolidated Services Claim Maintenance window > Expiration Date field Encounter with Greatest Dollar Value Select Responsible Attending with greatest dollar value across same-timespan encounters Displays Y or N Consolidated Services Claim Maintenance window > Claim Header Rules tab > Select Responsible Attending from Encounter with greatest dollar value when two providers of the sam

File Maintenance Help for NextGen® Enterprise 8

Set Up Non-Coordinated SIM Configurations

You can configure billing rules for SIM codes that are valid for specific payers, and are therefore considered invalid or non-coordinated for other payers on the Non-Coordinated SIM Maintenance window. The rules can be configured in a way that ensures a non-coordinated SIM code is billed only to a valid payer. The rules can also be configured to ensure that services rendered by a provider with a specific credential are billed only to a valid payer. You can define additional rules for balance control, auto-adjustments, and claims. In File Maintenance, select Libraries, and then select Non-Coordinated SIM Library. The Non-Coordinated SIM List window opens. Double-click a library. The Non-Coordinated Service Item Library Maintenance window opens. In the Payer SIM Configuration section, do one of the following: To create a new SIM configuration or row, select open menu and then select New. To modify an existing SIM configuration, select the row, select open menu and then select Open. The N

Help Guide for NextGen® Enterprise PM 8

Set Up Non-Coordinated SIM Configurations

You can configure billing rules for SIM codes that are valid for specific payers, and are therefore considered invalid or non-coordinated for other payers on the Non-Coordinated SIM Maintenance window. The rules can be configured in a way that ensures a non-coordinated SIM code is billed only to a valid payer. The rules can also be configured to ensure that services rendered by a provider with a specific credential are billed only to a valid payer. You can define additional rules for balance control, auto-adjustments, and claims. In File Maintenance, select Libraries, and then select Non-Coordinated SIM Library. The Non-Coordinated SIM List window opens. Double-click a library. The Non-Coordinated Service Item Library Maintenance window opens. In the Payer SIM Configuration section, do one of the following: To create a new SIM configuration or row, select open menu and then select New. To modify an existing SIM configuration, select the row, select open menu and then select Open. The N

Help Guide for NextGen® Enterprise PM 8

Claim Production Status Report Columns

The following columns are available on the Claim Production Status report. Column Name Description Data Populates From Chrg Amt SIM Total Charge Amount Charge Posting Claim Edit Billing Reviews the encounter for additional information needed: Validates if a line-item referral is required for the encounter and not present on the encounter. Checks the CPT code and verifies if a test result or test date is needed. Claim Edits Library COB COB Indicator 1 = Primary 2 = Secondary 3 = Tertiary Edit ID Claim Edit ID Claim Edits Library Enc Age Encounter Age Current Date - Create Date = Encounter Age Enc Referring Encounter Referring Provider Encounter Maintenance Encounter Source Number Encounter Maintenance Enc Created By Encounter Created By Encounter Maintenance Enc Create Dt Encounter Create Date Encounter Maintenance Err Number of Errors Encounters Claim Production Status Report Form Claim Form Payers Master File or SIM Library Help Text Claim Edit Help Text Claim Edits Library Insured In

Non-Coordinated SIM Library with Payer Detail Report Columns

Recommendations

Non-Coordinated SIM Library Listing Report Columns

Generate a Non-Coordinated SIM Library Report

Consolidated Services Claim Library Listing Reports

Set Up Non-Coordinated SIM Configurations

Set Up Non-Coordinated SIM Configurations

Claim Production Status Report Columns

Non-Coordinated SIM Library Listing Report Columns

Generate a Non-Coordinated SIM Library Report

Consolidated Services Claim Library Listing Reports

Set Up Non-Coordinated SIM Configurations

Set Up Non-Coordinated SIM Configurations

Claim Production Status Report Columns