837 File Structure
This section provides a detailed description of the 837 file structure.
837 File Structure
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Help Guide for NextGen® Enterprise PM 8
Claim Edits Library
This section contains a listing of all of the available claim edits in the application. Claim Edit Columns Claim Edit Descriptions This section describes the various claim edits available. System-Level Claim Edit Descriptions Parent topic: Claims
Help Guide for NextGen® Enterprise PM 8
Processing Electronic Claims - 837 Files
This section explains how electronic claims (837 files) are processed. The basic steps include: Select the EDI file button. The 837 Electronic File Creation window opens. Select a Submitter Profile library. Select options applicable to the types of claims that you want to send electronically. Select the Process button. Electronic Claims File Structure Control Segments Application Setup for the 837 File 837 Electronic File Creation Window Electronic Send Report Set Up Automatic Task Completion for Clean Claims Submitting Electronic Claims Archiving and Retrieving 837 Electronic Files Tracking Records of Reprinted Archived Claims Parent topic: Claims Processing
Help Guide for NextGen® Enterprise PM 8
Application Setup for the 837 File
The structure of the 837 electronic file is important to understand because much of the information that is required in the 837 file must be set up in File Maintenance. The following areas of the application must be set up to support the creation of 837 electronic files: In File Maintenance Access... For more information refer to... Libraries Submitter Profiles File Maintenance Libraries Guide for NextGen® Enterprise PM Master Files Locations Payers Providers File Maintenance Master Files Guide for NextGen® Enterprise PM Practice Preferences File Maintenance Preferences Guide for NextGen® Enterprise PM Parent topic: Processing Electronic Claims - 837 Files
NextGen® Enterprise EHR Template Editor Help 8
Template Caching Workflows
This section provides flowcharts that show how the most recent cache file is identified and how the Template Server Cache option is used. Parent topic: Template Caches
Help Guide for NextGen® Enterprise PM 8
837 Electronic File Creation Window
Use the 837 Electronic File Creation window to identify search criteria for claims that you want to send in an electronic file. This window has the following tabs: General, Advanced, and Practices. Each tab contains the File Options and Electronic Claims sections. File Options and Pending Electronic Claims Sections These sections display on each of the tabs for the 837 Electronic File Creation window. File Options - you can select the file for data transfer, identify the batch type, create a report, update claim requests, and send a test file. Pending Electronic Claims - displays the claims that match the search criteria on the active tab. General, Advanced, Practices, File Options, and Pending Electronic Claims Refer to the following topics for information about the fields on this window: 837 Electronic File Creation - General Tab 837 Electronic File Creation - Advanced Tab 837 Electronic File Creation Window Practices Tab 837 Electronic File Creation - File Options and Pending Electr
NextGen® Enterprise EHR Template Editor Help 8
Functions and Macro Functions
This section explains how to set up and use functions and macro functions in trigger conditions and value calculations. Functions Macro Functions Template Caches
