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277 File
This section explains the 277 file.
The basic steps in working with the 277 file include:
Download the file from the payer or clearing house.
Select the
File
menu and select
Processes
>
Claim Status Import
.
Print the report.
Import 277 Claim Status Updates
View Claim Status Results on the Patient Chart
COB Balancing Using the 5010 Format
Set Up a COB Imbalance Warning
277 File
Help Guide for NextGen® Enterprise PM 8
997/999 File
This section explains the 997/999 file. The basic steps in working with the 997 and 999 file include: Download the file from the payer or clearing house. Select the File menu and select Processes > Claim Acknowledgement Import. Print the report. Functional Acknowledgements Parent topic: Claims Processing
Help Guide for NextGen® Enterprise PM 8
277 File
This section explains the 277 file. The basic steps in working with the 277 file include: Download the file from the payer or clearing house. Select the File menu and select Processes > Claim Status Import. Print the report. Import 277 Claim Status Updates View Claim Status Results on the Patient Chart COB Balancing Using the 5010 Format Set Up a COB Imbalance Warning Parent topic: Claims Processing
Help Guide for NextGen® Enterprise PM 8
Import 277 Claim Status Updates
You can receive and view solicited and unsolicited 277 claim status updates. Payers, with whom you have arranged to send you claim status updates, periodically send you status files that you can locate and import using the Import Claim Status window. Select the File menu and select Processes > Claim Status Import. The Import Claim Status window appears. Do one of the following: To save the import to a folder, enter the path of the folder in the Claim Status Filename field. To view the claim status information, without importing the results, select Display Only. When you import the status result, the application checks to see if the status is associated with a current claim request. If it is, the application updates that claim request status with the newly imported status. The application displays the contents of the imported claim status in the Claim Status Import report. This report displays automatically immediately after you import the status file. Parent topic: 277 File
Help Guide for NextGen® Enterprise PM 8
997/999 File
This section explains the 997/999 file. The basic steps in working with the 997 and 999 file include: Download the file from the payer or clearing house. Select the File menu and select Processes > Claim Acknowledgement Import. Print the report. Functional Acknowledgements Parent topic: Claims Processing
Help Guide for NextGen® Enterprise PM 8
View Claim Status Results on the Patient Chart
Quicknotes are automatically added to the patient chart when the claim status is run. You can track and view solicited and unsolicited claim status results from the claim status import in a quicknote, which is attached to an encounter. Quicknotes are only created if the referenced 277 finds the encounter ID and the patient ID. Open the patient chart and select the Clinical History/Notes tab. The Clinical History/Notes window appears the Topics section on the left and the Description section on the right. In the Topics section, expand the Notes folder under the Chart Notes folder. Double-click on the note you want to access or right-click and select Open from the shortcut menu. The Quicknote window appears. Parent topic: 277 File
Help Guide for NextGen® Enterprise PM 8
Import 277 Claim Status Updates
You can receive and view solicited and unsolicited 277 claim status updates. Payers, with whom you have arranged to send you claim status updates, periodically send you status files that you can locate and import using the Import Claim Status window. Select the File menu and select Processes > Claim Status Import. The Import Claim Status window appears. Do one of the following: To save the import to a folder, enter the path of the folder in the Claim Status Filename field. To view the claim status information, without importing the results, select Display Only. When you import the status result, the application checks to see if the status is associated with a current claim request. If it is, the application updates that claim request status with the newly imported status. The application displays the contents of the imported claim status in the Claim Status Import report. This report displays automatically immediately after you import the status file. Parent topic: 277 File
