Workflow for Alternate Payer
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File Maintenance Help for NextGen® Enterprise 8
Modify Alternate Payer Information
In File maintenance, select Master Files > System > PM, and then select Payers-Alt Payers. The Payers-Alt Payers List window opens. From the Payer-Alt Payers list, select an alternate payer and do one of the following: Select open menu and then select Open. Right-click an alternate payer and then select Open. Double-click an alternate payer. The Modify Alt Payer Information window opens. Modify the alternate payer information as required. To save the changes and close the window, select OK. Parent topic: Alternate Payers
Help Guide for NextGen® Enterprise PM 8
Workflow for Alternate Payer
Parent topic: Alternate Payers
File Maintenance Help for NextGen® Enterprise 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
Modifier Reimbursement Setup
Parent topic: Modifier Reimbursement Tab
File Maintenance Help for NextGen® Enterprise 8
Alternate Payer Listing Report
You can generate a Alternate Payer Listing report from File Maintenance. The columns on the report display information related to the alternate payer. Generate Alternate Payer Listing Report The Alt Payer Listing report displays a list of alternate payers. Parent topic: File Maintenance Master Files Reports
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