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Create a Consolidated Services Claim
Open the
Claim Request Lookup
window.
In the
Request Status
field select
HOLD - H
.
Set any additional search criteria on the
General
tab.
Select
Find
.
The filtered claim data displays in the
Claim Requests
section of the window.
To select the claims for consolidation, enable the check box.
Right-click and select
Consolidate Same Day Claims
.
The
Consolidated Services Claim
report opens.
The alerts may appear when you try to close the
Consolidated Services Claim
report.
Alert Messages
Create a Consolidated Services Claim
Help Guide for NextGen® Enterprise PM 8
Consolidated Services Claim
The claims services consolidation process is activated from the Claim Request Lookup window. The user will select the applicable claims to consolidate and then the application automatically consolidates the candidate claims into a Consolidated Services Claim (CSC). This process produces a Consolidated Services Claim report and alerts the user to any further actions that need to be taken before a CSC claim can be created. Note: The Consolidate Same Day Claims option is active when a CSC library is selected on the Practice Preferences Library window. Only claims with a Hold status can be consolidated by the CSC process. Parent topic: Consolidated Service Claims
Help Guide for NextGen® Enterprise PM 8
Consolidated Services Claim Library
The Consolidated Services Claim (CSC) library enables you to establish rules for consolidating multiple encounter charges into a single consolidated services claim (CSC). The purpose of this library is to configure billing and claim form type rules for payers. This section includes the following topics: Security rights for user groups Consolidated Services Claim library CSC configuration rules for the consolidation of daily, weekly, monthly, and case related claims Provider hierarchy for claim headers Bill for eligible patient days You can generate the Consolidated Services Claim Library Listing report and the CSC Library with Timespan Details report from the Consolidated Services Claim library. For more information go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Set Up Security Access Rights for Consolidated Services Claims Consolidated Services Claim Library Setup Create a CSC Library Access a Consolidated Services Cla
Help Guide for NextGen® Enterprise PM 8
Create a Consolidated Services Claim
Access the Claim Request Lookup window. In the Request Status field select HOLD - H. Set any additional search criteria on the General tab. Click Find.The filtered claim data displays in the Claim Requests section of the window. To select the claims for consolidation, enable the check box. Right-click and select Consolidate Same Day Claims.The Consolidated Services Claim report opens. Consolidated Services Claim Report The alerts may appear when you try to close the Consolidated Services Claim report. Alert Messages Parent topic: Consolidated Service Claims
Help Guide for NextGen® Enterprise PM 8
Run the Consolidation Same Day Claims Process
You activate this process from the Claims Request Lookup window. On the Claims Request Lookup window, in the Request Status field select Hold. Note: When Hold is not selected in the Request Status field, the Consolidate Same Day Claims option is not available on the right-click menu. Set the applicable search criteria on the Claim Request Lookup window and select the Find button. The Claim Requests list box displays with the claims that meet the search criteria. A green check mark in the CSC column indicates a consolidated service claim. Select the same day of service claims that you want to consolidate. Right-click and select Consolidate Same Day Claims. Parent topic: Generating Secondary Electronic Claims
Help Guide for NextGen® Enterprise PM 8
Run the Consolidation Same Day Claims Process
You activate this process from the Claims Request Lookup window. On the Claims Request Lookup window, in the Request Status field select Hold. Note: When Hold is not selected in the Request Status field, the Consolidate Same Day Claims option is not available on the right-click menu. Set the applicable search criteria on the Claim Request Lookup window and select the Find button. The Claim Requests list box displays with the claims that meet the search criteria. A green check mark in the CSC column indicates a consolidated service claim. Select the same day of service claims that you want to consolidate. Right-click and select Consolidate Same Day Claims. Parent topic: Generating Secondary Electronic Claims
Help Guide for NextGen® Enterprise PM 8
Consolidated Services Claim
The claims services consolidation process is activated from the Claim Request Lookup window. The user will select the applicable claims to consolidate and then the application automatically consolidates the candidate claims into a Consolidated Services Claim (CSC). This process produces a Consolidated Services Claim report and alerts the user to any further actions that need to be taken before a CSC claim can be created. Note: The Consolidate Same Day Claims option is active when a CSC library is selected on the Practice Preferences Library window. Only claims with a Hold status can be consolidated by the CSC process. Parent topic: Consolidated Service Claims
