Search for Payers Using Payer Number or NEIC Number
The
Payers List
window enables you to search for a payer.
In File Maintenance, select
Master Files
>
System
>
Payers
.
The
Payers List
window opens.
Select the
NEIC/Payer Number
column header, and enter the payer number or NEIC number in the
Payers List Search
field.
To view a payer, select the payer and select Enter.
The
Modify Payer Information
window for the selected payer opens.
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File Maintenance Help for NextGen® Enterprise 8
Add Duplicate NEIC Number to Existing Payers
You can add an NEIC number for a payer, that already exists for another payer. You can view such payers linked to the same NEIC number, and can easily make updates if needed. When you add a duplicate NEIC number for a payer, a message appears indicating the number of payers who already have the same NEIC number and giving you the option to save the duplicate NEIC number. If you save the duplicate NEIC number, it is linked to the payer. Parent topic: Payers Master File
File Maintenance Help for NextGen® Enterprise 8
Add or Modify a Payer
From the Master Files - System list, select Payers. The Payers List window opens. To add a payer, select open menu , and then select New. The Add Payer Information window opens. Enter all the required information under the following tabs: Payer Defaults - 1 Defaults - 2 System Practice Alt Payer External Co-Pays Select OK to save the changes. To modify a payer, select the payer from the list, select open menu , and then select Open. The Modify Payer Information window opens. Do the required changes and then select OK. Parent topic: Payers Master File
File Maintenance Help for NextGen® Enterprise 8
Prevent Plan Name Changes for Payers
You have the option to prevent a user from changing the Plan Name for a Patient by selecting an option in File Maintenance > Payers master file on the Defaults 2 tab of the Add/Modify Payer Information window. Open the Add/Modify Payer Information window, in File Maintenance > Payers > Payers List, select the applicable payer and double-click. The Modify Payer Information window appears. Select the Defaults-2 tab. To prevent a user from changing the Plan Name, select the Prevent modifying plan name on insurance maint check box. Select OK. Parent topic: Payers Master File
File Maintenance Help for NextGen® Enterprise 8
Hide a Payer
The payers hidden at the Payers master level in File Maintenance can now be hidden at the person/patient level for encounters in NextGen® Enterprise PM. This helps you associate only unhidden payers with encounters and avoid billing errors. To hide a payer, select the payer from the list, select open menu , and then select Hide. A message appears asking you to confirm if the payer should be hidden. Select Yes. The Hide Payer window opens showing the number of person/patient records associated with the payer. The Hide Payer window provides the following options: Yes: To hide the payer in the payer master record in File Maintenance and on the associated person/patient records in NextGen® Enterprise PM. No: To hide the payer in the payer master record in File Maintenance only. Parent topic: Payers Master File
Help Guide for NextGen® Enterprise PM 8
Enter the ERA Payer Number for a Payer
Access File Maintenance. Select on Master Files, then System, and then Payers. The Payers List window opens. From the list, select and open the desired payer. The Modify Payer Information window opens. Select the Payer Defaults-1 tab. In the ERA Payer Number field, enter the number for the payer. To save changes and close the window, select OK. Parent topic: ERA Payer Number
File Maintenance Help for NextGen® Enterprise 8
Payers Master File
Payers are the third-party entities, other than guarantors or employers, that you expect to receive reimbursement from. Some examples of payers are commercial insurance companies, Medicaid, and Medicare. In the Payers master file, you can specify the contract associated with the payer, the participating providers, how to submit claims, and other general payer information. You can generate Payers Master File reports from the Payers master file. For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Auditing Payers Master File Add or Modify a Payer Search for Payers Using Payer Number or NEIC Number You can search for a payer using NEIC number or payer number. Add Duplicate NEIC Number to Existing Payers You can add an NEIC number for a payer, that exists for other payers. Hide a Payer Payer Defaults - 1 Tab Real-time Address Validation for a Payer Practice Tab Configuring Alternate Payers You an use the Alt
