Payer Listing Report

The Payer Listing Report includes information from the Payers master file in File Maintenance. Information on the report pulls from various tabs on the Modify Payer Information window. The report includes the following information:

Column Name	Description	Data Populates From
Payer Name	Group Payer Name	Payer Name field of the Payer Defaults-1 tab
NEIC/Pyr#	NEIC/Payer Number	NEIC/Payer Number field of the Payer Defaults-1 tab
Plan #	Plan Number	Plan Number field of the Payer Defaults-1 tab
Payer Alias Name	Payer Alias Name	Payer Alias Name field of the Payer Defaults-1 tab
Payer Mstr Exp Dt	Payer Master Expiration Date	Payer Expiration Date field of Payer Defaults-1 tab
Group Name	Group Name	Group Name field of the Payer Defaults-1 tab
Group #	Group Number	Group Number field of the Payer Defaults-1 tab
Plan Type	Payer Plan Type	Plan Type field of the Payer Defaults-1 tab
External ID	External ID	External ID field of the Payer Defaults-1 tab
Addr 1	Address 1	Address field of the Payer Defaults-1 tab
Addr 2	Address 2	Address field of the Payer Defaults-1 tab
City,State Zip	City, State Zip	City, State, Zip fields of the Payer Defaults-1 tab
Country	Country	Country field of the Payer Defaults-1 tab
County	County	County field of the Payer Defaults-1 tab
Cont	Contact Name	Contact Last Name, First Name, Middle Name fields of the Payer Defaults-1 tab
Cont Phone	Contact Phone	Contact Phone field of the Payer Defaults-1 tab
Contact Fax	Contact Fax	Contact Fax field of the Payer Defaults-1 tab
Email Addr	Email Address	E-Mail Address field of the Payer Defaults-1 tab
Source of Signature	Source of Signature	Source of Signature field of the Payer Defaults-1 tab
Claim Sub Type	Claim Submitter Type	Medicare Sub Type field of the Payer Defaults-1 tab Note: This fields displays only if the Process as Claim Type field is set to Medicare Part B (MB).
ERA Payer Nbr	ERA Payer Number	ERA Payer Numbers field of the Payer Defaults-1 tab
RTA Payer ID Nbr	RTA Payer ID Number	RTA Payer Number field of the Payer Defaults-1 tab
National Plan ID	National Plan ID	National Plan ID field of the Payer Defaults-1 tab
Payer Website	Payer Website	Payer Website field of the Payer Defaults-1 tab
Refer Auth Req	Referral Authorization Required	Refer Auth Req field of the Payer Defaults-1 tab
Referral Form	Referral Indicator	Referral Form field of the Payer Defaults-1 tab
NG RT Edits Payer ID	NextGen Real-Time Edits Payer ID	Real Time Edits Payer ID field of the Payer Defaults-1 tab
Diag Codes	Diagnosis Code Indicator	Diag Codes field of the Defaults-2 tab
Lab Fac	Laboratory Facility Used Indicator	Lab Fac field of the Defaults-2 tab
Rad Fac	Radiology Facility Used Indicator	Rad Fac field of the Defaults-2 tab
Def Accpt Asgn	Default Accept Assign	Def Accpt Asgn field of the Defaults-2 tab
Def Deduct	Default Deductible Amount	Def Deductible field of the Defaults-2 tab
Formulary Provider	Formulary Provider	Formulary Provider field of the Defaults-2 tab
Note	Notes	Notes field of the Defaults-2 tab
Cross-Over	ERA Crossover Flag Indicator	Cross-over check box of the Defaults-2 tab
Disable Diag Claim Break	Disable Diagnosis Claim Break Indicator	Disable diagnosis claim break check box of the Defaults-2 tab
Dental Payer Ind	Dental Payer Indicator	Dental payer check box of the Defaults-2 tab
NYHCRA Exempt Ind	NYHCRA Exempt Indicator
Req Pol Nbr	Require Policy Number Indicator	Require policy number check box of the Defaults-2 tab
Req Override Pol Nbr Ind	Require Override Policy Number Indicator	Require override policy number check box of the Defaults-2 tab
Disp Override Pol Nbr & Co-Pay Ind	Display Override Policy Number and Co-Pay Indicator	Display override policy number and co-pay check box of the Defaults-2 tab
Turn off edits	No Edit Indicator	Turn off edits check box of the Defaults-2 tab
Prevent modifying plan name on insurance maint	Prevent Modify Plan Name on Insurance Maintenance Indicator	Prevent modifying plan name on insurance maint check box of the Defaults-2 tab
Disable sliding fee adjustments when primary	Disable Sliding Fee Adjustments when Primary Indicator	Disable sliding fee adjustments when primary check box of the Defaults-2 tab
Claim charges limit	Maximum Claim Charges	Claim charges limit field of the Defaults-2 tab
Patient control number digits	Patient Control Number Digits	Patient control number digits field of the Defaults-2 tab
Anes Mins Per Unit	Anesthesia Minutes Per Unit	Anesthesia Minutes Per Unit field of the Defaults-2 tab
Pol Nbr Fmt	Policy Number Format Indicator	Policy Number Format field of the Defaults-2 tab
Grp Nbr Fmt	Group Number Format Indicator	Group Number Format field of the Defaults-2 tab
Anesthesia Rounding Method	Anesthesia Rounding Description	Anesthesia Rounding Method field of the Defaults-2 tab
SubGrouping One	Payer Subgrouping 1 Note: Subgrouping name is from	SubGrouping One field of the Defaults-2 tab
SubGrouping Two	Payer Subgrouping 2 Note: Subgrouping name is from General tab of the Enterprise Preferences.	SubGrouping Two field of the Defaults-2 tab
Payer Alert	Payer Alert	Payer Alert field of the Defaults-2 tab
Medication Payer Group	Medications Payer Group	Medication Payer Group field of the Defaults-2 tab
Default Resub Cd	Default Resubmission Code	Default Resubmission Code field of the Defaults-2 tab
Claim Type	Process as Claim Type	Process as Claim Type field in the Claims sub-tab of the System tab
Fin Class	Financial Class	System tab in the Claims sub-tab of the Financial Class field
Ins Type	Insurance Type Code	Insurance Type Code field in the Claims sub-tab of the System tab
Medigap ID #	Medi Gap ID Number	Medigap ID# field in the Claims sub-tab of the System tab Note: This fields displays only if the Insurance Type Code field is set to Medigap Part B.
Plan Code	Blue Cross Blue Shield Plan Code	Plan Code field in the Claims sub-tab of the System tab
Blue Choice Option	Blue Choice Option Indicator	Blue Choice Option check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Blue Cross/Blue Shield (BL).
Medipass	MediPass Indicator	Medipass check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
GA B Hlth	Georgia Better Health Indicator	GA Better Health check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
Health Partners	Health Partners Indicator	Health Partners check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
KidMed	KidMed Indicator	KidMed check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
Messa	Messa Indicator	Messa check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Blue Cross/Blue Shield (BL).
KenPAK	Kenpak Indicator	KenPAK check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
Patient 1st	Patient 1st Indicator	Patient 1st check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
Medica	Medica Indicator	Medica check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Commercial (CI).
Release of Information	Release of Information	Release of Information field in the Claims sub-tab of the System tab
TPL Code	TPL Code	TPL Code field in the Claims sub-tab of the System tab
NDC Coding Elec Ind	NDC Coding Electronic Indicator	Enable NDC coding for electronic claims check box in the Claims-2 sub-tab of the System tab
Pur Svc Elec Ind	Purchase Service Electronic Indicator	Populate 2400 PS1 purchase service segment check box in the Claims-2 sub-tab of the System tab
Pop Country Code Ind	Populate Country Code Indicator	Populate foreign country code in subscriber loop check box in the Claims-2 sub-tab of the System tab
PCP 2310A Elec Ind	Populate PCP 2310A Electronic Indicator	Populate PCP in 2310A loop (professional only) check box in the Claims-2 sub-tab of the System tab
Pop Group Taxonomy Ind	Populate Group Taxonomy Indicator	Populate PRV in 2000A with group taxonomy for group claims check box in the Claims-2 sub-tab of the System tab
Add tax line per service line	Add Tax Line per Service Line Indicator	Add tax line item per service line check box of the Defaults-2 tab
Enable NPI on electronic claims	Enable NPI on Electronic Claims	Enable NPI on electronic claims field in the Claims-2 sub-tab of the System tab
Suppress Rendering/Attending Loop	Suppress Rendering/Attending Loop	Suppress Rendering/Attending Loop field in the Claims-2 sub-tab of the System tab
Populate 2400 CN1 contractual adjustment segment	Populate 2400 CN1 Contractual Adjustment Segment Indicator	Populate 2400 CN1 contractual adjustment segment check box in the COB Electronic Claims sub-tab of the System tab
Enable COB information popup in payment entry	Enable COB Information Popup in Payment Entry Indicator	Enable COB information popup in payment entry check box in the COB Electronic Claims sub-tab of the System tab
Claim Adj Dt Ind	Claim Adjudication Date Indicator	Populate 2330B DTP*573 claim-level adjudication date check box in the COB Electronic Claims sub-tab of the System tab
Suppress 2430 Loop Ind	Suppress 2430 Loop Indicator	Suppress other payer detail line 2430 loop check box in the COB Electronic Claims sub-tab of the System tab
Pat Resp AMT Ind	Patient Responsibility Amount Indicator	Populate 2320 AMT*F2 patient responsibility amount segment (4010 only) check box in the COB Electronic Claims sub-tab of the System tab
Pop 2320 Alwd/Appr Amt	Populate 2320 Allowed/Approved Amount	Populate 2320 claim level approved/allowed amounts (4010 only) check box in the COB Electronic Claims sub-tab of the System tab
Pop 2320 Adj Amt	Populate 2320 Adjustment Amount	Populate 2320 CAS claim level adjustment amount field in the COB Electronic Claims sub-tab of the System tab
Prac Payer Ind	Practice Payer Indicator
Form Temp	Form Template Description	Forms field in the Claims sub-tab of the Practice tab
Prac NG RT Edits ID	Practice NextGen Real-Time Edits ID	Real Time Edits Payer ID field in the Claims sub-tab of the Practice tab
HCFA Subm Profile	1500 Submitter Profile	Submitter Profile field in the Practcie > Claims > 1500 Claims
HCFA Trans ID	1500 Transmitter ID	Electronic Transmitter ID field in the Practic e > Claims > 1500 Claims Note: This field displays only if the Submitter Profile field is populated.
HCFA Payer Opt Value	1500 Payer Optional Value	Practice Payer Opt Val field in the Practic e > Claims > 1500 Claims
HCFA Payer Alias Nm	1500 Payer Alias Name	Payer Alias field in the Practice > Claims > 1500 Claims
HCFA Med	1500 Primary Media Type	Primary Media Type field in the Practice > Claims > 1500 Claims
HCFA Sec Med	1500 Secondary Media Type	Secondary Media Type field in the Practice > Claims > 1500 Claims
HCFA Ter Med	1500 Tertiary Media Type	Tertiary Media Type field in the Practice > Claims > 1500 Claims
HCFA Force 2nd To Paper Ind	1500 Force Secondary to Paper Indicator	When Primary, force Secondary claims to paper check box in the Practice > Claims > 1500 Claims
HCFA Force Ter To Paper Ind	1500 Force Tertiary to Paper Indicator	When Secondary, force Tertiary claims to paper check box in Practice > Claims > 1500 Claims
HCFA Suppress Claim	1500 Suppress Claims Indicator	Suppress Claim check box in the Practice > Claims > 1500 Claims
HCFA Exclude Pat Pd	1500 Exclude Patient Paid Indicator	Exclude Patient Paid Amount from Claims check box in the Practice > Claims > 1500 Claims
HCFA Rebill Ind	1500 Rebill Indicator	Flag All Prior Claim Line Items for Rebill check box in the Practice > Claims > 1500 Claims
HCFA Suppress Qualifying Enc	1500 Suppress Qualifying Encounter Indicator	Suppress Claim for Non-Qualifying Encounters check box in the Practice > Claims > 1500 Claims
UB Subm Profile	UB Submitter Profile	Submitter Profile field in the Practice > Claims > UB Claims
UB Trans ID	UB Transmitter ID	Electronic Transmitter ID field in the Practice > Claims > UB Claims Note: This field displays only if the Submitter Profile field is populated.
UB Fields Loc 51	UB Field Locator 51	Field Locator 51 field in the Practice > Claims > UB Claims
UB Payer Opt Value	UB Payer Optional Value	Practice Payer Opt Val field in the Practice > Claims > UB Claims
UB Payer Alias Nm	UB Payer Alias Name	Payer Alias field in the Practice > Claims > UB Claims
UB Med	UB Primary Media Type	Primary Media Type field in the Practice > Claims > UB Claims
UB Sec Med	UB Secondary Media Type	Secondary Media Type field in the Practice > Claims > UB Claims
UB Ter Med	UB Tertiary Media Type	Tertiary Media Type field in the Practice > Claims > UB Claims
UB Force 2nd To Paper Ind	UB Force Secondary to Paper Indicator	When Primary, force Secondary claims to paper check box in the Practice > Claims > UB Claims
UB Force Ter To Paper Ind	UB Force Tertiary to Paper Indicator	When Secondary, force Tertiary claims to paper check box in the Practice > Claims > UB Claims
UB Suppress Claim	UB Suppress Claims Indicator	Suppress Claim check box in the Practice > Claims > UB Claims
Force Medicare Part A Inst Clms	UB Force Medicare Part A Institutional Claims Indicator	Force Medicare Part B to Medicare Part A check box in the Practice > Claims > UB Claims Note: This check box displays only if the Process as Claim Type field is set to Medicare Part B (MB).
UB Exclude Pat Pd	UB Exclude Patient Paid Indicator	Exclude Patient Paid Amount from Claim check box in the Practice > Claims > UB Claims
UB Rebill Ind	UB Rebill Indicator	Flag All Prior Claim Line Items for Rebill check box in the Practice > Claims > UB Claims
UB Suppress Qualifying Enc	UB Suppress Qualifying Encounters Indicator	Suppress Claim for Non-Qualifying Encounters check box in the Practice > Claims > UB Claims
ADA Submitter Profile	ADA Submitter Profile	Submitter Profile field in the Practice > Claims > ADA Claims
ADA Transmitter Id	ADA Transmitter ID	Electronic Transmitter ID field in the Practice > Claims > ADA Claims Note: This field displays only if the Submitter Profile field is populated.
ADA Payer Opt Value	ADA Payer Optional Value	Practice Payer Opt Val field in the Practice > Claims > ADA Claims
ADA Payer Alias	ADA Payer Alias Name	Payer Alias field in the Practice > Claims > ADA Claims
ADA Media Type	ADA Primary Media Type	Primary Media Type field in the Practice > Claims > ADA Claims
ADA Sec Media Type	ADA Secondary Media Type	Secondary Media Type field in the Practice > Claims > ADA Claims
ADA Ter Media Type	ADA Tertiary Media Type	Tertiary Media Type field in the Practice > Claims > ADA Claims
ADA Force 2nd To Paper Ind	ADA Force Secondary to Paper Indicator	When Primary, force Secondary claims to paper check box in the Practice > Claims > ADA Claims
ADA Force Ter To Paper Ind	ADA Force Tertiary to Paper Indicator	When Secondary, force Tertiary claims to paper check box in the Practice > Claims > ADA Claims
ADA Suppress Claim	ADA Suppress Claims Indicator	Suppress Claim check box in the Practice > Claims > ADA Claims
ADA Exclude Pat Pd	ADA Exclude Patient Paid Indicator	Exclude Patient Paid Amount from Claim check box in the Practice > Claims > ADA Claims
ADA Rebill Ind	ADA Rebill Indicator	Flag All Prior Claim Line Items for Rebill check box in the Practice > Claims > ADA Claims
ADA Suppress Qualifying Enc	ADA Suppress Qualifying Encounters Indicator	Suppress Claim for Non-Qualifying Encounters check box in the Practice > Claims > ADA Claims
Nt Tmp Desc	Note Template Description	Note Template field in the Practice > Other
Del Rsn Cd	Delay Reason Code	Auto Delay Reason Code field in the Practice > Other
Del Rsn Days	Delay Reason Days	Auto Delay Reason Code Days field in the Practice > Other
Delay Bill Days	Delay Bill Days	Delay Billing [n] Days from Enc Date field in the Practice > Other
Practice Enable NPI on electronic claims	Practice Enable NPI on Electronic Claims	Enable NPI on electronic claims field in the Practice > Other
Patient Pmt Balance Reversal Reason Code	Reason/Remark Codes	Patient Pmt Balance Reversal Reason Code field in the Practice > Other Note: This field displays only if the Managed Care Contract field is populated and the Transfer non-participating charge to patient check box is selected on the Practice > Libraries
User Defined	User Defined Note: Payer User-Defined name is from General tab in the Practice Preferences window.	Payer User-Defined 1 field in the Practice > Other
Auth Required	Authorization Indicator	Authorization required check box in the Practice > Other
Ver Required	Verification Indicator	Verification required check box in the Practice > Other
Notification Required	Notification Indicator	Notification required check box from the Practice > Other
Copay Perc	Copay Percent Indicator	Copay percent calc check box in the Practice > Other
Referral Support	Referral Support Indicator	Referral support check box in the Practice > Other Note: This is used with NextGen® Eligibility Verification.
Eligibility support	Eligibility Support Indicator	Eligibility support check box in the Practice > Other Note: This is used with NextGen® Eligibility Verification.
Do not print statements	Do Not Print Statements Indicator	Do not print statements check box in the Practice > Other
Enc Copay Required	Encounter Co-Pay Required Indicator	Encounter copay required check box in the Practice > Other
Acpt Fin Resp Ind	Accept Financial Responsibility Indicator	Accept financial responsibility of primary copay amt check box in the Practice > Other
Frc Prim Rend on Sec	Force Primary Rendering on Secondary Indicator	Force rendering provider from primary claim as rendering on secondary claim check box in the Practice > Other
Med Necessity Ind	Medical Necessity Indicator	Enable medical necessity check at appointment check box in the Practice > Other
Use Alwd Amt	Use Allowed Amount Indicator	Use allowed amount on paper/electronic claims check box in the Practice > Other
Def Acpt No	Default Accept Assignment No Indicator	Default accept assignment to no check box in the Practice > Other
Prmpt For Note	Prompt for Note Indicator	Prompt for note during checkin of encounter check box in the Practice > Other
Req Case Mgmt	Require Case Management Indicator	Require case management check box in the Practice > Other
Pop 2400 CLIA ID	Populate 2400 CLIA ID	Populate 2400 CLIA (Professional only) field in the Practice > Other
Alwys Bill Primary	Always Bill as Primary Indicator	Always bill as primary check box in the Practice > Other
Bill W/Prior	Bill with Prior Payer Indicator	Bill with prior payer check box in the Practice > Other
Ignore Mods	Ignore Modifiers Indicator	Ignore modifiers on roll-up check box in the Practice > Other
Print ICS Img W/Claim	Print ICS Image with Claims Indicator	Print Doc Mgmt Images with Claim check box in the Practice > Other
Referral Required	Referral Required Indicator	Referral required check box in the Practice > Other
Def Pay Trans	Default Payment Transaction	Default Payment field in the Practice > Transactions
Def Adj Trans	Default Adjustment Transaction	Default Adjustment field in the Practice > Transactions
Rsn Cd Lib	Reason Code Library Name	Reason Code Library field in the Practice > Transactions
Default COB Reason Code	Default COB Reason Code	Default COB Reason Code field in the Practice > Transactions
Addtl Tran1	Additional Transaction 1	Additional Transaction 1 field in the Practice > Transactions
Addtl Tran2	Additional Transaction 2	Additional Transaction 2 field in the Practice > Transactions
Addtl Tran3	Additional Transaction 3	Additional Transaction 3 field in the Practice > Transactions
Addtl Tran4	Additional Transaction 4	Additional Transaction 4 field in the Practice > Transactions
Addtl Tran5	Additional Transaction 5	Additional Transaction 5 field in the Practice > Transactions
Addtl Tran6	Additional Transaction 6	Additional Transaction 6 field in the Practice > Transactions
Claim Edit Lib	Claim Edit Library	Claim Edit Library field in the Practice > Libraries
Type of Service Lib	Type of Service Library	Type of Service Library field in the Practice > Libraries
Place of Serv	Place of Service Library	Place of Service Library field in the Practice > Libraries
Clm Prnt Lib	Claim Print Library	Claim Print Library field in the Practice > Libraries
Enc Rate Lib	Encounter Rate Library	Encounter Rate Library field in the Practice > Libraries Note: This field displays only if Encounter Rate Billing is enabled in Enterprise Preferences.
Mgd Care Cont	Managed Care Contract	Managed Care Contract field in the Practice > Libraries
Elig Prof Lib	Eligibility Profile Library	Eligibility Profile Library field in the Practice > Libraries
Clm Status Prof Lib	Claim Status Profile Library	Claim Status Profile Library field in the Practice > Libraries
Remit Prof Lib	Remittance Profile Library	Remittance Profile Library field in the Practice > Libraries
Claim Modifiers Library	Claim Modifiers Library	Modifiers Library field in the Practice > Libraries
Stmt When Prime	Statement When Primary	Statement Library When Primary field in the Practice > Libraries
Stmt When Sec	Statement When Secondary	Statement Library When Secondary field in the Practice > Libraries
Stmt When Ter	Statement When Tertiary	Statement Library When Tertiary field in the Practice > Libraries
Prorate Ind	Prorate Indicator	Prorate insurance balance check box in the Practice > Libraries Note: This check box displays only if the Managed Care Contract field is populated.
Tranf Non Par Bal	Transfer Non-Par Balance Indicator	Transfer non-participating charges to patient check box in the Practice > Libraries Note: This check box displays only if the Managed Care Contract field is populated.
Def Non Par Acpt No	Default Non-Par Accept Indicator	Default non-participating provider's accept assignment to no check box in the Practice > Libraries Note: This check box displays only if the Managed Care Contract field is populated.
Suppress Svc Fac Loop Code	Suppress Service Facility Loop Code	Suppress Facility Loop field of the Alt Payer tab
Suppress Ref Prov Ind	Suppress Referring Provider Indicator
Hid	Delete Indicator	Hide check box
Created By	Created By	Who/When on the Modification Information window
Modified By	Last Modified By	Who/When on the Modification Information window
CPT on Rev Code Rollup Ind	CPT on Revenue Code Rollup Indicator	CPT on Rev Code Roll-up check box of the Defaults-2 tab
Do Not Sum CPT4 Units	Do Not Sum CPT4 Units Indicator	Do Not Sum Units for CPT4 Code check box of the Defaults-2 tab
CMS1500 Box17a Qual	Paper 1500 Box 17a Qualifier	17a Referring Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
CMS1500 Box 24i Qual	Paper 1500 Box 24i Qualifier	24i Rendering Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
CMS1500 Box32b Qual	Paper 1500 Box 32b Qualifier	32b Facility Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
CMS1500 Box33b Qual	Paper 1500 Box 33b Qualifier	33b Billing Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
CMS1500 Box19 Qual	Paper 1500 Box 19 Qualifier	19 Reserved for Local Use Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
UB Loc76 Qual	Paper UB Field Locator 76 Qualifier	FL76 Attending Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > UB Claims
UB Loc77 Qual	Paper UB Field Locator 77 Qualifier	FL77 Operating Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > UB Claims
UB Loc78 Qual	Paper UB Field Locator 78 Qualifier	FL78 Other Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > UB Claims
UB Loc81 Qual	Paper UB Field Locator 81 Qualifier	FL81 CC Code Qualifier field of the System > Claims > Providers Paper Qualifiers > UB Claims
Bill Enc Diag Ind	Bill Encounter Diagnoses Indicator	Bill encounter diagnoses check box in the Practice > Other
2300 CN1 Group billing	2300 CN1 Group Billing Indicator	Populate 2300 CN1 if group billing check box of the System > Claims-2
Elec CLIA Ind	Electronic CLIA Indicator	Populate CLIA number on claims check box of the System > Claims-2
MSP Payer ID	MSP Payer ID	Payer Defaults-1 tab > MSP Payer ID field of the MSP Payer ID tab
Use MSP Payer ID	Use MSP Payer ID Indicator	Populate 2320 SBR04 with primary MSP payer ID or name check box of the System > COB Electronic Claims
Drug Clm Break Ind	Drug Claims Break Indicator	Force drug code claim break check box of the Defaults-2 tab
Default Rx Nbr Ind	Default Rx Number Indicator	Populate claim prescription number with claim id number check box of the Defaults-2 tab
HSNO Ind
Elec Sub SSN Ind	Electronic Subscriber SSN Indicator	System tab > Claims-2 sub-tab > Populate subscriber secondary ID with SSN check box in the Claims-2 sub-tab of the System tab
Elec Pat as Sub Ind	Electronic Patient as Subscriber Indicator	Send patient as subscriber check box of the System > Claims-2
Elec Dent Diags Ind	Electronic Dental Diagnosis Indicator	Send diagnosis codes on dental claims check box of the System > Claims-2
Enable Chart MRN Ind	Enable Chart MRN Indicator	Enable Chart MRN for 2300 REF*EA check box of the System > Claims-2
Elec Pur Svc Prov Ind	Electronic Purchased Service Provider Indicator	Populate 2420B Purchased Service Provider (5010 only) check box of the System > Claims-2
Elect Def Admit Dt Ind	Electronic Default Admit Date Indicator	Default admit date to encounter date (5010 only) check box of the System > Claims-2
Elec Rsn For Visit Ind	Electronic Reason for Visit Indicator	Populate Reason for Visit Diagnosis (5010 only) check box System > Claims-2
Elec Inst Clm Diags Ind	Electronic Institutional Claim Diagnosis Indicator	Allow [n] dx codes on 837I claims (5010 only) check box of the System > Claims-2
Elec Inst Clm Diags Cnt	Electronic Institutional Claim Diagnosis Count	Allow [n] dx codes on 837I Claims (5010 only) field of the System > Claims-2
ERA Bill ALL Ind	ERA Bill All Indicator	ERA - If any line is selected for bill, select all lines for bill to next insurance check box of the Practice > Other
Def Resub Cd	Default Resubmission Code	Default Resubmission Code field of the Defaults-2 tab
Elig/Ref Ind	Eligibility/Referral Indicator	Eligibility\Referral Support check box of the Defaults-2 tab Note: This is used with NextGen® Eligibility Verification.
Force COB Form Ind	Force COB Form Indicator	Force claim form (1500/UB) primary claim form for secondary/tertiary claims for financial class check box of the Practice > Other
Usr Def Clm Price	User Defined Claim Price	User-defined claims override price field of the Practice > Other
Pregnancy Indicator	Populate Pregnancy Indicator on 837P	Populate Pregnancy Indicator on 847P (5010 only) check box of the System > Claims-2
Behavioral Health Rounding	Behavioral Health Rounding	Behavioral Health Base Minute Rounding Methods fields of the Defaults-2 tab
BH Billing Library	Behavioral Health Library	Behavioral Health Billing Library field of the Practice > Libraries
Disable Provider Claim Break	Disable Provider Claim Break - setting for provider on claim	Disable rendering claim break field of the Practice > Other
Disable Location Claim Break	Disable Location Claim Break use Encounter Location for Claim Service Location	Disable location claim break and use the encounter location on the claim field of the Practice > Other
REF 2U TPL Cd	Populate 2330B REF with Primary Carrier/TPL Code	Populate 2330B REF*2U with primary Carrier / TPL Code check box of the System > COB Electronic Claims
Prop and Cas	Populate Property and Casualty 2010BA/2010CA	Populate the Property and Casualty Claim Number in 2010BA / 2010CA check box of the System > Claims-2
Property Casualty Claim Ind	Property Casualty Claim Indicator	Populate the Property and Casualty Claim Number in 2010BA / 2010CA check box of the System > Claims-2
Prevent COB Billing	Prevent COB Claims from being created until all line items have payments posted from previous payer	Prevent COB Claims from being created until all line items have zero balances from previous payer check box of the System > COB Electronic Claims
AMT A8 Non Cov	Populate 2320 AMT*A8 with Non Covered	Populate AMT*A8 for prior payer non-covered services check box of the System > COB Electronic Claims
Alternate Claim Send Methods for Auth/Referrals	Alternate Claim Send Methods for Authorizations/Referrals	Alternate Claims Send method for Auth/Referrals field of the System > Claims-2
Send Mappings on Claims	Send Mappings on Claims	Send Diagnosis Mappings on Claims field of the Defaults-2 tab
Send Prior Payer ICN on COB Claims	Send Prior Payer ICN on COB Claims	Send Prior Payer ICS on COB claims check box of the Defaults tab
Send ICN on Resubmission	Send ICN on Resubmission	Send ICN on Resubmission check box of the Defaults-2 tab
Ordering Physician Ind	Ordering Physician Indicator	Populate ordering phys 2420E loop (prof only) check box of the System > Claims-2
APG Ind	APG Expected Reimbursement Indicator	Enable APG check box
Source of Payment Typology	Source of Payment Typology	Source of Payment Typology field of the System tab
Practice Source of Payment Typology	Practice Source of Payment Typology	Source of Payment Typology field of the Practice tab
Reversal Pmt Tran Code	Reversal Payment Transaction Code	Reversals & Corrections Payment field of the Practice > Transactions
Reversal Adj Tran Codes	Reversal Adjustment Transaction Code	Reversals & Corrections Adjustment field of the Practice > Transactions
Alt Reversal Pmt Tran Code	Alt Payer Reversal Payment Transaction Code	Reversals & Corrections Payment field of the Alt Payer tab
Alt Reversal Adj Tran Code	Alt Payer Reversal Adjustment Transaction Code	Reversals & Corrections Adjustment field of the Alt Payer tab
Medicare Replacement	Payer Medicare Replacement Indicator	Payer is a Medicare Replacement Payer check box of the Payer Defaults-1 tab
Alt EDI Claim Profile	Alt EDI Claim Profile	EDI Claim Profile Library field of the Alt Payer tab
Authorization support	Enable Real Time Authorization	Authorization support check box of the Practice > Other Note: This is used with NextGen® Eligibility Verification.

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 that are not available for Group By or Page Break are indicated by 'n/a'.

Totals

Use columns to sub-total and total data on the report. Column total options include the following:

Sum
Average
Count
Totals

Note: Columns that are not available for totals are indicated by 'n/a'.

Payer Listing Report

Column Name	Description	Data Populates From
Payer Name	Group Payer Name	Payer Name field of the Payer Defaults-1 tab
NEIC/Pyr#	NEIC/Payer Number	NEIC/Payer Number field of the Payer Defaults-1 tab
Plan #	Plan Number	Plan Number field of the Payer Defaults-1 tab
Payer Alias Name	Payer Alias Name	Payer Alias Name field of the Payer Defaults-1 tab
Payer Mstr Exp Dt	Payer Master Expiration Date	Payer Expiration Date field of Payer Defaults-1 tab
Group Name	Group Name	Group Name field of the Payer Defaults-1 tab
Group #	Group Number	Group Number field of the Payer Defaults-1 tab
Plan Type	Payer Plan Type	Plan Type field of the Payer Defaults-1 tab
External ID	External ID	External ID field of the Payer Defaults-1 tab
Addr 1	Address 1	Address field of the Payer Defaults-1 tab
Addr 2	Address 2	Address field of the Payer Defaults-1 tab
City,State Zip	City, State Zip	City, State, Zip fields of the Payer Defaults-1 tab
Country	Country	Country field of the Payer Defaults-1 tab
County	County	County field of the Payer Defaults-1 tab
Cont	Contact Name	Contact Last Name, First Name, Middle Name fields of the Payer Defaults-1 tab
Cont Phone	Contact Phone	Contact Phone field of the Payer Defaults-1 tab
Contact Fax	Contact Fax	Contact Fax field of the Payer Defaults-1 tab
Email Addr	Email Address	E-Mail Address field of the Payer Defaults-1 tab
Source of Signature	Source of Signature	Source of Signature field of the Payer Defaults-1 tab
Claim Sub Type	Claim Submitter Type	Medicare Sub Type field of the Payer Defaults-1 tab Note: This fields displays only if the Process as Claim Type field is set to Medicare Part B (MB).
ERA Payer Nbr	ERA Payer Number	ERA Payer Numbers field of the Payer Defaults-1 tab
RTA Payer ID Nbr	RTA Payer ID Number	RTA Payer Number field of the Payer Defaults-1 tab
National Plan ID	National Plan ID	National Plan ID field of the Payer Defaults-1 tab
Payer Website	Payer Website	Payer Website field of the Payer Defaults-1 tab
Refer Auth Req	Referral Authorization Required	Refer Auth Req field of the Payer Defaults-1 tab
Referral Form	Referral Indicator	Referral Form field of the Payer Defaults-1 tab
NG RT Edits Payer ID	NextGen Real-Time Edits Payer ID	Real Time Edits Payer ID field of the Payer Defaults-1 tab
Diag Codes	Diagnosis Code Indicator	Diag Codes field of the Defaults-2 tab
Lab Fac	Laboratory Facility Used Indicator	Lab Fac field of the Defaults-2 tab
Rad Fac	Radiology Facility Used Indicator	Rad Fac field of the Defaults-2 tab
Def Accpt Asgn	Default Accept Assign	Def Accpt Asgn field of the Defaults-2 tab
Def Deduct	Default Deductible Amount	Def Deductible field of the Defaults-2 tab
Formulary Provider	Formulary Provider	Formulary Provider field of the Defaults-2 tab
Note	Notes	Notes field of the Defaults-2 tab
Cross-Over	ERA Crossover Flag Indicator	Cross-over check box of the Defaults-2 tab
Disable Diag Claim Break	Disable Diagnosis Claim Break Indicator	Disable diagnosis claim break check box of the Defaults-2 tab
Dental Payer Ind	Dental Payer Indicator	Dental payer check box of the Defaults-2 tab
NYHCRA Exempt Ind	NYHCRA Exempt Indicator
Req Pol Nbr	Require Policy Number Indicator	Require policy number check box of the Defaults-2 tab
Req Override Pol Nbr Ind	Require Override Policy Number Indicator	Require override policy number check box of the Defaults-2 tab
Disp Override Pol Nbr & Co-Pay Ind	Display Override Policy Number and Co-Pay Indicator	Display override policy number and co-pay check box of the Defaults-2 tab
Turn off edits	No Edit Indicator	Turn off edits check box of the Defaults-2 tab
Prevent modifying plan name on insurance maint	Prevent Modify Plan Name on Insurance Maintenance Indicator	Prevent modifying plan name on insurance maint check box of the Defaults-2 tab
Disable sliding fee adjustments when primary	Disable Sliding Fee Adjustments when Primary Indicator	Disable sliding fee adjustments when primary check box of the Defaults-2 tab
Claim charges limit	Maximum Claim Charges	Claim charges limit field of the Defaults-2 tab
Patient control number digits	Patient Control Number Digits	Patient control number digits field of the Defaults-2 tab
Anes Mins Per Unit	Anesthesia Minutes Per Unit	Anesthesia Minutes Per Unit field of the Defaults-2 tab
Pol Nbr Fmt	Policy Number Format Indicator	Policy Number Format field of the Defaults-2 tab
Grp Nbr Fmt	Group Number Format Indicator	Group Number Format field of the Defaults-2 tab
Anesthesia Rounding Method	Anesthesia Rounding Description	Anesthesia Rounding Method field of the Defaults-2 tab
SubGrouping One	Payer Subgrouping 1 Note: Subgrouping name is from	SubGrouping One field of the Defaults-2 tab
SubGrouping Two	Payer Subgrouping 2 Note: Subgrouping name is from General tab of the Enterprise Preferences.	SubGrouping Two field of the Defaults-2 tab
Payer Alert	Payer Alert	Payer Alert field of the Defaults-2 tab
Medication Payer Group	Medications Payer Group	Medication Payer Group field of the Defaults-2 tab
Default Resub Cd	Default Resubmission Code	Default Resubmission Code field of the Defaults-2 tab
Claim Type	Process as Claim Type	Process as Claim Type field in the Claims sub-tab of the System tab
Fin Class	Financial Class	System tab in the Claims sub-tab of the Financial Class field
Ins Type	Insurance Type Code	Insurance Type Code field in the Claims sub-tab of the System tab
Medigap ID #	Medi Gap ID Number	Medigap ID# field in the Claims sub-tab of the System tab Note: This fields displays only if the Insurance Type Code field is set to Medigap Part B.
Plan Code	Blue Cross Blue Shield Plan Code	Plan Code field in the Claims sub-tab of the System tab
Blue Choice Option	Blue Choice Option Indicator	Blue Choice Option check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Blue Cross/Blue Shield (BL).
Medipass	MediPass Indicator	Medipass check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
GA B Hlth	Georgia Better Health Indicator	GA Better Health check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
Health Partners	Health Partners Indicator	Health Partners check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
KidMed	KidMed Indicator	KidMed check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
Messa	Messa Indicator	Messa check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Blue Cross/Blue Shield (BL).
KenPAK	Kenpak Indicator	KenPAK check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
Patient 1st	Patient 1st Indicator	Patient 1st check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Medicaid (MC).
Medica	Medica Indicator	Medica check box in the Claims sub-tab of the System tab Note: This check box displays only if the Process as Claim Type field is set to Commercial (CI).
Release of Information	Release of Information	Release of Information field in the Claims sub-tab of the System tab
TPL Code	TPL Code	TPL Code field in the Claims sub-tab of the System tab
NDC Coding Elec Ind	NDC Coding Electronic Indicator	Enable NDC coding for electronic claims check box in the Claims-2 sub-tab of the System tab
Pur Svc Elec Ind	Purchase Service Electronic Indicator	Populate 2400 PS1 purchase service segment check box in the Claims-2 sub-tab of the System tab
Pop Country Code Ind	Populate Country Code Indicator	Populate foreign country code in subscriber loop check box in the Claims-2 sub-tab of the System tab
PCP 2310A Elec Ind	Populate PCP 2310A Electronic Indicator	Populate PCP in 2310A loop (professional only) check box in the Claims-2 sub-tab of the System tab
Pop Group Taxonomy Ind	Populate Group Taxonomy Indicator	Populate PRV in 2000A with group taxonomy for group claims check box in the Claims-2 sub-tab of the System tab
Add tax line per service line	Add Tax Line per Service Line Indicator	Add tax line item per service line check box of the Defaults-2 tab
Enable NPI on electronic claims	Enable NPI on Electronic Claims	Enable NPI on electronic claims field in the Claims-2 sub-tab of the System tab
Suppress Rendering/Attending Loop	Suppress Rendering/Attending Loop	Suppress Rendering/Attending Loop field in the Claims-2 sub-tab of the System tab
Populate 2400 CN1 contractual adjustment segment	Populate 2400 CN1 Contractual Adjustment Segment Indicator	Populate 2400 CN1 contractual adjustment segment check box in the COB Electronic Claims sub-tab of the System tab
Enable COB information popup in payment entry	Enable COB Information Popup in Payment Entry Indicator	Enable COB information popup in payment entry check box in the COB Electronic Claims sub-tab of the System tab
Claim Adj Dt Ind	Claim Adjudication Date Indicator	Populate 2330B DTP*573 claim-level adjudication date check box in the COB Electronic Claims sub-tab of the System tab
Suppress 2430 Loop Ind	Suppress 2430 Loop Indicator	Suppress other payer detail line 2430 loop check box in the COB Electronic Claims sub-tab of the System tab
Pat Resp AMT Ind	Patient Responsibility Amount Indicator	Populate 2320 AMT*F2 patient responsibility amount segment (4010 only) check box in the COB Electronic Claims sub-tab of the System tab
Pop 2320 Alwd/Appr Amt	Populate 2320 Allowed/Approved Amount	Populate 2320 claim level approved/allowed amounts (4010 only) check box in the COB Electronic Claims sub-tab of the System tab
Pop 2320 Adj Amt	Populate 2320 Adjustment Amount	Populate 2320 CAS claim level adjustment amount field in the COB Electronic Claims sub-tab of the System tab
Prac Payer Ind	Practice Payer Indicator
Form Temp	Form Template Description	Forms field in the Claims sub-tab of the Practice tab
Prac NG RT Edits ID	Practice NextGen Real-Time Edits ID	Real Time Edits Payer ID field in the Claims sub-tab of the Practice tab
HCFA Subm Profile	1500 Submitter Profile	Submitter Profile field in the Practcie > Claims > 1500 Claims
HCFA Trans ID	1500 Transmitter ID	Electronic Transmitter ID field in the Practic e > Claims > 1500 Claims Note: This field displays only if the Submitter Profile field is populated.
HCFA Payer Opt Value	1500 Payer Optional Value	Practice Payer Opt Val field in the Practic e > Claims > 1500 Claims
HCFA Payer Alias Nm	1500 Payer Alias Name	Payer Alias field in the Practice > Claims > 1500 Claims
HCFA Med	1500 Primary Media Type	Primary Media Type field in the Practice > Claims > 1500 Claims
HCFA Sec Med	1500 Secondary Media Type	Secondary Media Type field in the Practice > Claims > 1500 Claims
HCFA Ter Med	1500 Tertiary Media Type	Tertiary Media Type field in the Practice > Claims > 1500 Claims
HCFA Force 2nd To Paper Ind	1500 Force Secondary to Paper Indicator	When Primary, force Secondary claims to paper check box in the Practice > Claims > 1500 Claims
HCFA Force Ter To Paper Ind	1500 Force Tertiary to Paper Indicator	When Secondary, force Tertiary claims to paper check box in Practice > Claims > 1500 Claims
HCFA Suppress Claim	1500 Suppress Claims Indicator	Suppress Claim check box in the Practice > Claims > 1500 Claims
HCFA Exclude Pat Pd	1500 Exclude Patient Paid Indicator	Exclude Patient Paid Amount from Claims check box in the Practice > Claims > 1500 Claims
HCFA Rebill Ind	1500 Rebill Indicator	Flag All Prior Claim Line Items for Rebill check box in the Practice > Claims > 1500 Claims
HCFA Suppress Qualifying Enc	1500 Suppress Qualifying Encounter Indicator	Suppress Claim for Non-Qualifying Encounters check box in the Practice > Claims > 1500 Claims
UB Subm Profile	UB Submitter Profile	Submitter Profile field in the Practice > Claims > UB Claims
UB Trans ID	UB Transmitter ID	Electronic Transmitter ID field in the Practice > Claims > UB Claims Note: This field displays only if the Submitter Profile field is populated.
UB Fields Loc 51	UB Field Locator 51	Field Locator 51 field in the Practice > Claims > UB Claims
UB Payer Opt Value	UB Payer Optional Value	Practice Payer Opt Val field in the Practice > Claims > UB Claims
UB Payer Alias Nm	UB Payer Alias Name	Payer Alias field in the Practice > Claims > UB Claims
UB Med	UB Primary Media Type	Primary Media Type field in the Practice > Claims > UB Claims
UB Sec Med	UB Secondary Media Type	Secondary Media Type field in the Practice > Claims > UB Claims
UB Ter Med	UB Tertiary Media Type	Tertiary Media Type field in the Practice > Claims > UB Claims
UB Force 2nd To Paper Ind	UB Force Secondary to Paper Indicator	When Primary, force Secondary claims to paper check box in the Practice > Claims > UB Claims
UB Force Ter To Paper Ind	UB Force Tertiary to Paper Indicator	When Secondary, force Tertiary claims to paper check box in the Practice > Claims > UB Claims
UB Suppress Claim	UB Suppress Claims Indicator	Suppress Claim check box in the Practice > Claims > UB Claims
Force Medicare Part A Inst Clms	UB Force Medicare Part A Institutional Claims Indicator	Force Medicare Part B to Medicare Part A check box in the Practice > Claims > UB Claims Note: This check box displays only if the Process as Claim Type field is set to Medicare Part B (MB).
UB Exclude Pat Pd	UB Exclude Patient Paid Indicator	Exclude Patient Paid Amount from Claim check box in the Practice > Claims > UB Claims
UB Rebill Ind	UB Rebill Indicator	Flag All Prior Claim Line Items for Rebill check box in the Practice > Claims > UB Claims
UB Suppress Qualifying Enc	UB Suppress Qualifying Encounters Indicator	Suppress Claim for Non-Qualifying Encounters check box in the Practice > Claims > UB Claims
ADA Submitter Profile	ADA Submitter Profile	Submitter Profile field in the Practice > Claims > ADA Claims
ADA Transmitter Id	ADA Transmitter ID	Electronic Transmitter ID field in the Practice > Claims > ADA Claims Note: This field displays only if the Submitter Profile field is populated.
ADA Payer Opt Value	ADA Payer Optional Value	Practice Payer Opt Val field in the Practice > Claims > ADA Claims
ADA Payer Alias	ADA Payer Alias Name	Payer Alias field in the Practice > Claims > ADA Claims
ADA Media Type	ADA Primary Media Type	Primary Media Type field in the Practice > Claims > ADA Claims
ADA Sec Media Type	ADA Secondary Media Type	Secondary Media Type field in the Practice > Claims > ADA Claims
ADA Ter Media Type	ADA Tertiary Media Type	Tertiary Media Type field in the Practice > Claims > ADA Claims
ADA Force 2nd To Paper Ind	ADA Force Secondary to Paper Indicator	When Primary, force Secondary claims to paper check box in the Practice > Claims > ADA Claims
ADA Force Ter To Paper Ind	ADA Force Tertiary to Paper Indicator	When Secondary, force Tertiary claims to paper check box in the Practice > Claims > ADA Claims
ADA Suppress Claim	ADA Suppress Claims Indicator	Suppress Claim check box in the Practice > Claims > ADA Claims
ADA Exclude Pat Pd	ADA Exclude Patient Paid Indicator	Exclude Patient Paid Amount from Claim check box in the Practice > Claims > ADA Claims
ADA Rebill Ind	ADA Rebill Indicator	Flag All Prior Claim Line Items for Rebill check box in the Practice > Claims > ADA Claims
ADA Suppress Qualifying Enc	ADA Suppress Qualifying Encounters Indicator	Suppress Claim for Non-Qualifying Encounters check box in the Practice > Claims > ADA Claims
Nt Tmp Desc	Note Template Description	Note Template field in the Practice > Other
Del Rsn Cd	Delay Reason Code	Auto Delay Reason Code field in the Practice > Other
Del Rsn Days	Delay Reason Days	Auto Delay Reason Code Days field in the Practice > Other
Delay Bill Days	Delay Bill Days	Delay Billing [n] Days from Enc Date field in the Practice > Other
Practice Enable NPI on electronic claims	Practice Enable NPI on Electronic Claims	Enable NPI on electronic claims field in the Practice > Other
Patient Pmt Balance Reversal Reason Code	Reason/Remark Codes	Patient Pmt Balance Reversal Reason Code field in the Practice > Other Note: This field displays only if the Managed Care Contract field is populated and the Transfer non-participating charge to patient check box is selected on the Practice > Libraries
User Defined	User Defined Note: Payer User-Defined name is from General tab in the Practice Preferences window.	Payer User-Defined 1 field in the Practice > Other
Auth Required	Authorization Indicator	Authorization required check box in the Practice > Other
Ver Required	Verification Indicator	Verification required check box in the Practice > Other
Notification Required	Notification Indicator	Notification required check box from the Practice > Other
Copay Perc	Copay Percent Indicator	Copay percent calc check box in the Practice > Other
Referral Support	Referral Support Indicator	Referral support check box in the Practice > Other Note: This is used with NextGen® Eligibility Verification.
Eligibility support	Eligibility Support Indicator	Eligibility support check box in the Practice > Other Note: This is used with NextGen® Eligibility Verification.
Do not print statements	Do Not Print Statements Indicator	Do not print statements check box in the Practice > Other
Enc Copay Required	Encounter Co-Pay Required Indicator	Encounter copay required check box in the Practice > Other
Acpt Fin Resp Ind	Accept Financial Responsibility Indicator	Accept financial responsibility of primary copay amt check box in the Practice > Other
Frc Prim Rend on Sec	Force Primary Rendering on Secondary Indicator	Force rendering provider from primary claim as rendering on secondary claim check box in the Practice > Other
Med Necessity Ind	Medical Necessity Indicator	Enable medical necessity check at appointment check box in the Practice > Other
Use Alwd Amt	Use Allowed Amount Indicator	Use allowed amount on paper/electronic claims check box in the Practice > Other
Def Acpt No	Default Accept Assignment No Indicator	Default accept assignment to no check box in the Practice > Other
Prmpt For Note	Prompt for Note Indicator	Prompt for note during checkin of encounter check box in the Practice > Other
Req Case Mgmt	Require Case Management Indicator	Require case management check box in the Practice > Other
Pop 2400 CLIA ID	Populate 2400 CLIA ID	Populate 2400 CLIA (Professional only) field in the Practice > Other
Alwys Bill Primary	Always Bill as Primary Indicator	Always bill as primary check box in the Practice > Other
Bill W/Prior	Bill with Prior Payer Indicator	Bill with prior payer check box in the Practice > Other
Ignore Mods	Ignore Modifiers Indicator	Ignore modifiers on roll-up check box in the Practice > Other
Print ICS Img W/Claim	Print ICS Image with Claims Indicator	Print Doc Mgmt Images with Claim check box in the Practice > Other
Referral Required	Referral Required Indicator	Referral required check box in the Practice > Other
Def Pay Trans	Default Payment Transaction	Default Payment field in the Practice > Transactions
Def Adj Trans	Default Adjustment Transaction	Default Adjustment field in the Practice > Transactions
Rsn Cd Lib	Reason Code Library Name	Reason Code Library field in the Practice > Transactions
Default COB Reason Code	Default COB Reason Code	Default COB Reason Code field in the Practice > Transactions
Addtl Tran1	Additional Transaction 1	Additional Transaction 1 field in the Practice > Transactions
Addtl Tran2	Additional Transaction 2	Additional Transaction 2 field in the Practice > Transactions
Addtl Tran3	Additional Transaction 3	Additional Transaction 3 field in the Practice > Transactions
Addtl Tran4	Additional Transaction 4	Additional Transaction 4 field in the Practice > Transactions
Addtl Tran5	Additional Transaction 5	Additional Transaction 5 field in the Practice > Transactions
Addtl Tran6	Additional Transaction 6	Additional Transaction 6 field in the Practice > Transactions
Claim Edit Lib	Claim Edit Library	Claim Edit Library field in the Practice > Libraries
Type of Service Lib	Type of Service Library	Type of Service Library field in the Practice > Libraries
Place of Serv	Place of Service Library	Place of Service Library field in the Practice > Libraries
Clm Prnt Lib	Claim Print Library	Claim Print Library field in the Practice > Libraries
Enc Rate Lib	Encounter Rate Library	Encounter Rate Library field in the Practice > Libraries Note: This field displays only if Encounter Rate Billing is enabled in Enterprise Preferences.
Mgd Care Cont	Managed Care Contract	Managed Care Contract field in the Practice > Libraries
Elig Prof Lib	Eligibility Profile Library	Eligibility Profile Library field in the Practice > Libraries
Clm Status Prof Lib	Claim Status Profile Library	Claim Status Profile Library field in the Practice > Libraries
Remit Prof Lib	Remittance Profile Library	Remittance Profile Library field in the Practice > Libraries
Claim Modifiers Library	Claim Modifiers Library	Modifiers Library field in the Practice > Libraries
Stmt When Prime	Statement When Primary	Statement Library When Primary field in the Practice > Libraries
Stmt When Sec	Statement When Secondary	Statement Library When Secondary field in the Practice > Libraries
Stmt When Ter	Statement When Tertiary	Statement Library When Tertiary field in the Practice > Libraries
Prorate Ind	Prorate Indicator	Prorate insurance balance check box in the Practice > Libraries Note: This check box displays only if the Managed Care Contract field is populated.
Tranf Non Par Bal	Transfer Non-Par Balance Indicator	Transfer non-participating charges to patient check box in the Practice > Libraries Note: This check box displays only if the Managed Care Contract field is populated.
Def Non Par Acpt No	Default Non-Par Accept Indicator	Default non-participating provider's accept assignment to no check box in the Practice > Libraries Note: This check box displays only if the Managed Care Contract field is populated.
Suppress Svc Fac Loop Code	Suppress Service Facility Loop Code	Suppress Facility Loop field of the Alt Payer tab
Suppress Ref Prov Ind	Suppress Referring Provider Indicator
Hid	Delete Indicator	Hide check box
Created By	Created By	Who/When on the Modification Information window
Modified By	Last Modified By	Who/When on the Modification Information window
CPT on Rev Code Rollup Ind	CPT on Revenue Code Rollup Indicator	CPT on Rev Code Roll-up check box of the Defaults-2 tab
Do Not Sum CPT4 Units	Do Not Sum CPT4 Units Indicator	Do Not Sum Units for CPT4 Code check box of the Defaults-2 tab
CMS1500 Box17a Qual	Paper 1500 Box 17a Qualifier	17a Referring Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
CMS1500 Box 24i Qual	Paper 1500 Box 24i Qualifier	24i Rendering Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
CMS1500 Box32b Qual	Paper 1500 Box 32b Qualifier	32b Facility Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
CMS1500 Box33b Qual	Paper 1500 Box 33b Qualifier	33b Billing Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
CMS1500 Box19 Qual	Paper 1500 Box 19 Qualifier	19 Reserved for Local Use Qualifier field of the System > Claims > Providers Paper Qualifiers > 1500 Claims
UB Loc76 Qual	Paper UB Field Locator 76 Qualifier	FL76 Attending Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > UB Claims
UB Loc77 Qual	Paper UB Field Locator 77 Qualifier	FL77 Operating Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > UB Claims
UB Loc78 Qual	Paper UB Field Locator 78 Qualifier	FL78 Other Prov Qualifier field of the System > Claims > Providers Paper Qualifiers > UB Claims
UB Loc81 Qual	Paper UB Field Locator 81 Qualifier	FL81 CC Code Qualifier field of the System > Claims > Providers Paper Qualifiers > UB Claims
Bill Enc Diag Ind	Bill Encounter Diagnoses Indicator	Bill encounter diagnoses check box in the Practice > Other
2300 CN1 Group billing	2300 CN1 Group Billing Indicator	Populate 2300 CN1 if group billing check box of the System > Claims-2
Elec CLIA Ind	Electronic CLIA Indicator	Populate CLIA number on claims check box of the System > Claims-2
MSP Payer ID	MSP Payer ID	Payer Defaults-1 tab > MSP Payer ID field of the MSP Payer ID tab
Use MSP Payer ID	Use MSP Payer ID Indicator	Populate 2320 SBR04 with primary MSP payer ID or name check box of the System > COB Electronic Claims
Drug Clm Break Ind	Drug Claims Break Indicator	Force drug code claim break check box of the Defaults-2 tab
Default Rx Nbr Ind	Default Rx Number Indicator	Populate claim prescription number with claim id number check box of the Defaults-2 tab
HSNO Ind
Elec Sub SSN Ind	Electronic Subscriber SSN Indicator	System tab > Claims-2 sub-tab > Populate subscriber secondary ID with SSN check box in the Claims-2 sub-tab of the System tab
Elec Pat as Sub Ind	Electronic Patient as Subscriber Indicator	Send patient as subscriber check box of the System > Claims-2
Elec Dent Diags Ind	Electronic Dental Diagnosis Indicator	Send diagnosis codes on dental claims check box of the System > Claims-2
Enable Chart MRN Ind	Enable Chart MRN Indicator	Enable Chart MRN for 2300 REF*EA check box of the System > Claims-2
Elec Pur Svc Prov Ind	Electronic Purchased Service Provider Indicator	Populate 2420B Purchased Service Provider (5010 only) check box of the System > Claims-2
Elect Def Admit Dt Ind	Electronic Default Admit Date Indicator	Default admit date to encounter date (5010 only) check box of the System > Claims-2
Elec Rsn For Visit Ind	Electronic Reason for Visit Indicator	Populate Reason for Visit Diagnosis (5010 only) check box System > Claims-2
Elec Inst Clm Diags Ind	Electronic Institutional Claim Diagnosis Indicator	Allow [n] dx codes on 837I claims (5010 only) check box of the System > Claims-2
Elec Inst Clm Diags Cnt	Electronic Institutional Claim Diagnosis Count	Allow [n] dx codes on 837I Claims (5010 only) field of the System > Claims-2
ERA Bill ALL Ind	ERA Bill All Indicator	ERA - If any line is selected for bill, select all lines for bill to next insurance check box of the Practice > Other
Def Resub Cd	Default Resubmission Code	Default Resubmission Code field of the Defaults-2 tab
Elig/Ref Ind	Eligibility/Referral Indicator	Eligibility\Referral Support check box of the Defaults-2 tab Note: This is used with NextGen® Eligibility Verification.
Force COB Form Ind	Force COB Form Indicator	Force claim form (1500/UB) primary claim form for secondary/tertiary claims for financial class check box of the Practice > Other
Usr Def Clm Price	User Defined Claim Price	User-defined claims override price field of the Practice > Other
Pregnancy Indicator	Populate Pregnancy Indicator on 837P	Populate Pregnancy Indicator on 847P (5010 only) check box of the System > Claims-2
Behavioral Health Rounding	Behavioral Health Rounding	Behavioral Health Base Minute Rounding Methods fields of the Defaults-2 tab
BH Billing Library	Behavioral Health Library	Behavioral Health Billing Library field of the Practice > Libraries
Disable Provider Claim Break	Disable Provider Claim Break - setting for provider on claim	Disable rendering claim break field of the Practice > Other
Disable Location Claim Break	Disable Location Claim Break use Encounter Location for Claim Service Location	Disable location claim break and use the encounter location on the claim field of the Practice > Other
REF 2U TPL Cd	Populate 2330B REF with Primary Carrier/TPL Code	Populate 2330B REF*2U with primary Carrier / TPL Code check box of the System > COB Electronic Claims
Prop and Cas	Populate Property and Casualty 2010BA/2010CA	Populate the Property and Casualty Claim Number in 2010BA / 2010CA check box of the System > Claims-2
Property Casualty Claim Ind	Property Casualty Claim Indicator	Populate the Property and Casualty Claim Number in 2010BA / 2010CA check box of the System > Claims-2
Prevent COB Billing	Prevent COB Claims from being created until all line items have payments posted from previous payer	Prevent COB Claims from being created until all line items have zero balances from previous payer check box of the System > COB Electronic Claims
AMT A8 Non Cov	Populate 2320 AMT*A8 with Non Covered	Populate AMT*A8 for prior payer non-covered services check box of the System > COB Electronic Claims
Alternate Claim Send Methods for Auth/Referrals	Alternate Claim Send Methods for Authorizations/Referrals	Alternate Claims Send method for Auth/Referrals field of the System > Claims-2
Send Mappings on Claims	Send Mappings on Claims	Send Diagnosis Mappings on Claims field of the Defaults-2 tab
Send Prior Payer ICN on COB Claims	Send Prior Payer ICN on COB Claims	Send Prior Payer ICS on COB claims check box of the Defaults tab
Send ICN on Resubmission	Send ICN on Resubmission	Send ICN on Resubmission check box of the Defaults-2 tab
Ordering Physician Ind	Ordering Physician Indicator	Populate ordering phys 2420E loop (prof only) check box of the System > Claims-2
APG Ind	APG Expected Reimbursement Indicator	Enable APG check box
Source of Payment Typology	Source of Payment Typology	Source of Payment Typology field of the System tab
Practice Source of Payment Typology	Practice Source of Payment Typology	Source of Payment Typology field of the Practice tab
Reversal Pmt Tran Code	Reversal Payment Transaction Code	Reversals & Corrections Payment field of the Practice > Transactions
Reversal Adj Tran Codes	Reversal Adjustment Transaction Code	Reversals & Corrections Adjustment field of the Practice > Transactions
Alt Reversal Pmt Tran Code	Alt Payer Reversal Payment Transaction Code	Reversals & Corrections Payment field of the Alt Payer tab
Alt Reversal Adj Tran Code	Alt Payer Reversal Adjustment Transaction Code	Reversals & Corrections Adjustment field of the Alt Payer tab
Medicare Replacement	Payer Medicare Replacement Indicator	Payer is a Medicare Replacement Payer check box of the Payer Defaults-1 tab
Alt EDI Claim Profile	Alt EDI Claim Profile	EDI Claim Profile Library field of the Alt Payer tab
Authorization support	Enable Real Time Authorization	Authorization support check box of the Practice > Other Note: This is used with NextGen® Eligibility Verification.

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 that are not available for Group By or Page Break are indicated by 'n/a'.

Totals

Use columns to sub-total and total data on the report. Column total options include the following:

Sum
Average
Count
Totals

Note: Columns that are not available for totals are indicated by 'n/a'.

Payer Listing Report

Filter 2

Sorting

Totals

Recommendations

Alternate Payer Listing Report Columns

Eligibility Referral Report Columns

Locations Master File Report

Employer Maintenance - Employer Defaults Tab Field Descriptions

Policy Holder Report Columns

Address Change Report Columns

Payer Listing Report

Filter 2

Sorting

Totals

Alternate Payer Listing Report Columns

Eligibility Referral Report Columns

Locations Master File Report

Employer Maintenance - Employer Defaults Tab Field Descriptions

Policy Holder Report Columns

Address Change Report Columns