Coordination of Benefits Options
Field
Coordination of Benefits Options Description
Exceptions: When Payer is Secondary Tab
Print EOB(s) when printing secondary claim
Select this option to print all EOBs when printing the secondary claim.
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Help Guide for NextGen® Enterprise PM 8
ADA (2019 and 2024) Form Options for Secondary Payer
ADA Options Description [4] Other Dental or Medical Coverage One of the following options display the payer details when the patient has coverage under any dental or medical plan: BlankNote: If you select Blank, then nothing prints in Boxes 5-11. Dental/Medical Checks Dental box, if other coverage is the non-primary payer and the Payer Defaults 2 tab is selected. Checks Medical box when payer is primary. Note: Boxes 5-11 print with correct data for both types of coverage. [31a] Other Fee(s) – Line 1 – When zero dollar amount, display One of the following options display the fee of the other charges applicable to dentist services when the amount is zero-dollar: 0.00 Blank [31a] Other Fee(s) – Line 1 One of the following options display the fee of the other charges applicable to dentist services: Adjustments onlyIncludes all previous adjustments (payer or contractual) from all COB levels. All payer paymentsIncludes all previous payer payments from all COB levels. All payer payments + Adj
File Maintenance Help for NextGen® Enterprise 8
Coordination of Benefits Options
Field Coordination of Benefits Options Description Exceptions: When Payer is Secondary Tab Print EOB(s) when printing secondary claim Select this option to print all EOBs when printing the secondary claim. Parent topic: Set Up Exceptions for a Secondary Payer
Help Guide for NextGen® Enterprise PM 8
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 When the Payer is Tertiary
File Maintenance Help for NextGen® Enterprise 8
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: Set Up Exceptions for a Tertiary Payer
Help Guide for NextGen® Enterprise PM 8
Claim Print Options When the Payer is Secondary
This following sections consist of the Claim Printing options in the Exceptions: When Payer is Secondary tab: CMS 1500 (2012) UB04 & UB92 Options ADA (2019 and 2024) Form Options for Secondary Payer Coordination of Benefits Option CMS 1500 (2012) UB04 & UB92 Options ADA (2019 and 2024) Form Options for Secondary Payer There are several common claim print options applicable to ADA 2019 and ADA 2024 claim forms for the secondary payer. Coordination of Benefits Options Parent topic: Claim Printing Options
Help Guide for NextGen® Enterprise PM 8
Claim Printing Options
Claim Printing options enable you to control what information prints in each box of a paper claim. Claim Print Options in Common Rules Tab This section contains the claim prints options in common rules tab. Claim Print Options When the Payer is Primary This section contains the claim prints options when the payer is primary. Claim Print Options When the Payer is Secondary This section contains the claim print options when the payer is secondary. Claim Print Options When the Payer is Tertiary This section contains the claim prints options when the payer is tertiary. Parent topic: Claims