System Tab

File Maintenance Help for NextGen® Enterprise 8

Defaults - 2 Tab

The Defaults-2 tab on the Add Payer Information and Modify Payer Information windows enable you to define various parameters and options for a payer. These are system-level settings that are used by all practices in all enterprises that utilize the payer. The Default-2 tab includes the following two sub-tabs: Defaults 2 Payer Rounding Rules Defaults 2 Sub-Tab Rounding Rules Sub-Tab Parent topic: Real-time Address Validation for a Payer

Help Guide for NextGen® Enterprise PM 8

System Tab

The System tab of the Add/Modify Payer Information window contains several tabs. The following sections explain each tab. Claims Sub-Tab Claims-2 Tab COB Electronic Claims Sub-Tab Health Safety Net Office (HSNO) Parent topic: Payers Master File

File Maintenance Help for NextGen® Enterprise 8

COB Electronic Claims Sub-Tab

The options on the COB Electronic Claims tab work only for electronic secondary claims and accommodate 837 COB requirements. CAUTION: These options should never be enabled unless the payer requires them. Claim rejections can occur if these segments are present and the payer does not want them. Field Description Populate 2400 CN1 contractual adjustment segment Select this option to add a service line CN1 segment (2400). This amount is also referred to as the OTAF (obligated to accept in full) amount. If this option is enabled and a service line contractual adjustment exists (CAS*CO), then the allowed amount is added as the 2400 CN1 amount. The presence of the CAS*CO segment causes the CN1 segment to create mimicking the allowed/approved amount in the AMT*AAE segment. Enable COB information popup in payment entry Select this option so that during transaction entry the Coordination of Benefits Information window automatically displays when the user tabs out of the Reason field for the las

Help Guide for NextGen® Enterprise PM 8

System Tab/Claims Tab/UB Claims Tab

The System Parameters tab has two UB Claims tabs used in the following sections of the window: Provider Secondary References Provider Paper Qualifiers Modify Payer Information Provider Secondary References Provider Paper Qualifiers Parent topic: Setting Up a Payer for UB Claims

File Maintenance Help for NextGen® Enterprise 8

Practice Tab

In the File Maintenance > Master Files > System > Payers, the Practice tab of the Add/Modify Payer Information window contains several tabs. The following topics provide information about the sub-tabs on the Practice tab. Claims Tab Secondary References Sub-Tab Other Sub-Tab UB Sub-Tab Transactions Sub-Tab Add Libraries to a Practice Parent topic: Payers Master File

Help Guide for NextGen® Enterprise PM 8

Practice Tab

In the File Maintenance > Master Files > System > Payers, the Practice tab of the Add/Modify Payer Information window contains several tabs. The following topics provide information about the sub-tabs on the Practice tab. Claims Tab Secondary References Sub-Tab Other Sub-Tab UB Sub-Tab Setting Up Claims to Print NextGen Document Management Images Transactions Sub-Tab Add Libraries to a Practice Post Multiple Transactions Parent topic: Payers Master File

System Tab

Recommendations

Defaults - 2 Tab

System Tab

COB Electronic Claims Sub-Tab

System Tab/Claims Tab/UB Claims Tab

Practice Tab

Practice Tab

Defaults - 2 Tab

System Tab

COB Electronic Claims Sub-Tab

System Tab/Claims Tab/UB Claims Tab

Practice Tab

Practice Tab