Claim Print Options in Claim Printing Library

Payer Type	Description
Common	Enables you to set the claim print options that apply to all payers regardless of whether they are primary, secondary, or tertiary payers.
Primary	Enables you to set the claim print options that apply only to the primary payers.
Secondary	Enables you to set the claim print options that apply only to the secondary payers.
Tertiary	Enables you to set the claim print options that apply only to the tertiary payers.

Help Guide for NextGen® Enterprise PM 8

Attach a Claim Printing Library to a Payer

You can override the default Claim Printing library for a practice by specifying a default Claim Printing library for a specific payer. The default Claim Printing library for a payer overrides the default Claim Printing library for a practice when you generate a claim. In File Maintenance, on the Master Files list select System and then Payers. The Payers List window opens. Double-click the applicable payer or select the open menu button and select Open. Select the Practice Parameters tab and then the Libraries sub-tab. Select a claim printing library from the Claim Print Library drop-down list. Click OK. Parent topic: Claim Printing Library

File Maintenance Help for NextGen® Enterprise 8

Claim Print Options in Claim Printing Library

The Claim Printing window displays the claim print options based on the paper claims and the payer type you select. The following paper claims appear in the Claim Printing library: 1500 Claims enables you to select CMS 1500 (2005) or CMS 1500 (2012) claim form. The options for the form you select appear under 1500 in the Option column. UB Claims enables you to select UB04 (2004) or UB92 (1992) claim form. The options for the form you select appear under UB in the Option column. ADA Claims enables you to select ADA (2019) or ADA (2024) claim form. The options for the form you select appear under ADA in the Option column. ADA (2024) is the default claim form when you set up a new Claim Printing library. The following types of payers appear in the Claim Printing library: Payer Type Description Common Enables you to set the claim print options that apply to all payers regardless of whether they are primary, secondary, or tertiary payers. Primary Enables you to set the claim print options t

Help Guide for NextGen® Enterprise PM 8

Set Up Exceptions for a Secondary Payer

The Claim Printing options available for the 1500 form on the Exceptions: When Payer is Secondary tab apply only when the payer associated with the library is the secondary payer. In File Maintenance, select Libraries and then Claim Printing. The Claim Printing List window opens. Double-click the applicable library or select open menu button and select New. Select the Exceptions: When Payer is Secondary tab. Select the claim type in the 1500 Claims, UB Claims, or the ADA Claims fields. Choose the settings for the options you want to use and then select OK. Parent topic: Claim Print Options in Claim Printing Library

Help Guide for NextGen® Enterprise PM 8

Set Up Exceptions for the Primary Payer

The Claim Printing options available for the 1500 form on the Exceptions: When Payer is Primary tab apply only when the payer associated with the library is the primary payer. In File Maintenance, select Libraries and then Claim Printing. The Claim Printing List window opens. Double-click the applicable library or select Open Menu and select New. Select the Exceptions: When Payer is Primary tab. Select the claim type in the 1500 Claims, UB Claims, or the ADA Claims fields. Choose the settings for the options you want to use and then select OK. Parent topic: Claim Print Options in Claim Printing Library

Help Guide for NextGen® Enterprise PM 8

Set Up Exceptions for a Tertiary Payer

The Claim Printing options available for the 1500 form on the Exceptions: When Payer is Tertiary tab apply only when the payer associated with the library is the tertiary payer. In File Maintenance, select Libraries and then Claim Printing. The Claim Printing List window opens. Double-click the applicable library or select open menu button and select New. Select the Exceptions: When Payer is Tertiary tab. Select the claim type in the 1500 Claims, UB Claims, or the ADA Claims fields. Choose the settings for the options you want to use and then select OK. Coordination of Benefits Options Field Coordination of Benefits Options Description Exceptions: When Payer is Tertiary Tab Print EOB(s) when printing tertiary claim Select this option to print all EOBs when printing the tertiary claim. Parent topic: Claim Print Options in Claim Printing Library

Help Guide for NextGen® Enterprise PM 8

Set Up Claim Print Options for All Payers

The Common Rules tab lists the Claim Printing options that apply to all payers. In File Maintenance, select Libraries > Claim Printing. The Claim Printing List window opens. Select the applicable library or select open menu and select New. The Claim Printing window opens, displaying the Common Rules tab. Select the claim type in the 1500 Claims, UB Claims, or the ADA Claims fields. Select the settings for the print options in the Option and Setting columns you want to use and then select OK. Parent topic: Claim Print Options in Claim Printing Library

Claim Print Options in Claim Printing Library

Recommendations

Attach a Claim Printing Library to a Payer

Claim Print Options in Claim Printing Library

Set Up Exceptions for a Secondary Payer

Set Up Exceptions for the Primary Payer

Set Up Exceptions for a Tertiary Payer

Set Up Claim Print Options for All Payers

Claim Print Options in Claim Printing Library

Attach a Claim Printing Library to a Payer

Claim Print Options in Claim Printing Library

Set Up Exceptions for a Secondary Payer

Set Up Exceptions for the Primary Payer

Set Up Exceptions for a Tertiary Payer

Set Up Claim Print Options for All Payers