Attach a Claim Edits Library to a Practice

Help Guide for NextGen® Enterprise PM 8

Assign a Default Claim Edits Library

The default claim edits library is assigned on the Practice Preferences window. You can override the default library on the Libraries tab on the Practice tab under the Payers master file. You must assign a default Claim Edits Library on the Practice Preferences Libraries window. This enables users to bill encounters and generate claims. Access the Practice Preferences Libraries window. In the Claim Edits Library field, select the applicable library. Select OK. Libraries tab on the Practice tab Parent topic: Claim Edits Library

File Maintenance Help for NextGen® Enterprise 8

Attach a Claim Printing Library to a Practice

A Claim Printing library must be attached to a practice to bill an encounter and generate a claim within that practice. When a library is attached to a practice, that library becomes the default Claim Printing library for the practice. To access the Practice Preferences window, do one of the following: In NextGen® Enterprise PM, select the Admin menu > Preferences > Practices. In File Maintenance, select Master Files > System > Practices. Double-click a practice, and then select Preferences. The Practice Preferences window opens. Select the Libraries in the Preference List. Select a claim printing library from the Claim Print Library drop-down list. Select OK. Parent topic: Claim Print Options in Claim Printing Library

Help Guide for NextGen® Enterprise PM 8

Attach a Claim Printing Library to a Practice

A Claim Printing library must be attached to a practice to bill an encounter and generate a claim within that practice. When a library is attached to a practice, that library becomes the default Claim Printing library for the practice. To access the Practice Preferences window, do one of the following: In NextGen® Enterprise PM, select Admin > Preferences > Practice. In File Maintenance, on the Master Files list select System and then Practices. Double-click a practice, and then select Preferences. The Practice Preferences window opens. Select Libraries in the Preference List. Select a claim printing library from the Claim Print Library drop-down list. Select OK. Parent topic: Claim Printing Library

Help Guide for NextGen® Enterprise PM 8

Claim Edits Library

Claim edits are a set of conditions that must be (or are suggested to be) met when you generate a claim. For example, is the patient's zip code required in the claim? Must the referring physician's first name appear on the claim? These are the kinds of requirements you can set up to control the information that appears in the claims you generate. The Claim Edits Libraries enable you to select the claim edits to run when billing encounters and generating claims. A default Claim Edits Library must be created and attached at the Practice Preferences level before you can bill encounters and generate claims. After, a default library is created and attached at the Practice Preferences level, you can then create payer-specific Claim Edits Libraries and attach them at the Payer Master level. These payer-specific claim edits libraries override the default Claim Edits Library. The application maintains a list of available claim edits in the Claim Edits Library, which you can access within File M

File Maintenance Help for NextGen® Enterprise 8

Assign a Default Claim Edits Library

A default Claim Edits Library must be assigned to the practice from the Libraries Practice Preferences so that users can bill encounters and generate claims. Additional information is provided in the Practices Preferences documentation for Libraries. The Claim Edit Library option on the Payer Information window Practice > Libraries tab allows you to override the default Claim Edits library and use an alternate library for a specific payer. Parent topic: Claim Edits Library

Help Guide for NextGen® Enterprise PM 8

Select a Default Library for a Practice

A default library selected at the practice-level is used for all payers in the practice. Access NextGen® Enterprise PM. From the Admin menu, select Preferences, and then Practice. The Practice Preferences window opens. In the Preference List on the left, select Libraries. Practice Preferences window > Libraries tab In the Behavioral Health Billing Library field, select the default library to be used for the practice. In the Non-Coordinated SIM Library field, select the default library to be used for the practice. Note: To utilize the Non-Coordinated SIM functionality, a library must be selected for the practice. In the Claim Modifiers Library field, select the default library to be used for the practice. In the Claim Edits Library field, select the default library to be used for the practice. To save changes and close the window, select OK. Parent topic: Default Library Selection

Attach a Claim Edits Library to a Practice

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