Determining Patient Co-Pays
The following diagram describes how the application determines patient co-pay amounts:
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Determining Patient Co-Pays
Help Guide for NextGen® Enterprise PM 8
View Case Information for a Patient
You can view a patient's case information at any time. Access the patient chart. Select the Financial tab. The Financial tab displays Cases associated with Encounters by date. Parent topic: Creating a Case
Help Guide for NextGen® Enterprise PM 8
Co-Pays
When entering charges, a portion of the original charge amount breaks off into the Pat Amt column on the Charge Posting window. This amount is the patient’s co-pay for the service and it is the amount designated as the patient's responsibility in the Patient Responsibility master file. If you have a co-pay defined in a contract or in a patient's insurance maintenance record, you can see a portion of the original charge amount break off into the patient amount. Co-Pay Amount Hierarchy Co-pay amount hierarchy decides from where to derive the patient's co-pay. Co-Pays on Charges with Calculated Amounts Calculated co-pays on charges is derived on the Charge Posting window.
Help Guide for NextGen® Enterprise PM 8
Insurance Override Co-Pay
If a zero ($0.00) or positive amount is found in the Co-Pay for Patient field on the Insurance Maintenance window, the defined amount will be the patient’s co-pay for all encounters. If the Co-Pay for Patient field is blank, the system continues to the next step in the hierarchy to derive the co-pay amount. Note: The Co-Pay for Patient override field on the Insurance Maintenance window is available only if the Display override policy number and co-pay option is selected on the Defaults-2 tab of the Payers master file. This allows a patient level co-pay amount to be entered that overrides the subscriber/policy holder level co-pay amount. The policy holder parent may have a co-pay amount that is different from a dependent child that is covered under the policy. Parent topic: Co-Pay Amount Hierarchy
Help Guide for NextGen® Enterprise PM 8
Insurance Override Co-Pay
If a zero ($0.00) or positive amount is found in the Co-Pay for Patient field on the Insurance Maintenance window, the defined amount will be the patient’s co-pay for all encounters. If the Co-Pay for Patient field is blank, the system continues to the next step in the hierarchy to derive the co-pay amount. Note: The Co-Pay for Patient override field on the Insurance Maintenance window is available only if the Display override policy number and co-pay option is selected on the Defaults-2 tab of the Payers master file. This allows a patient level co-pay amount to be entered that overrides the subscriber/policy holder level co-pay amount. The policy holder parent may have a co-pay amount that is different from a dependent child that is covered under the policy. Parent topic: Co-Pay Amount Hierarchy
Help Guide for NextGen® Enterprise PM 8
Co-Pays
When entering charges, a portion of the original charge amount breaks off into the Pat Amt column on the Charge Posting window. This amount is the patient’s co-pay for the service and it is the amount designated as the patient's responsibility in the Patient Responsibility master file. If you have a co-pay defined in a contract or in a patient's insurance maintenance record, you can see a portion of the original charge amount break off into the patient amount. Co-Pay Amount Hierarchy Co-pay amount hierarchy decides from where to derive the patient's co-pay. Co-Pays on Charges with Calculated Amounts Calculated co-pays on charges is derived on the Charge Posting window. Parent topic: Billing
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Patient's Assessment
The Assessment panel displays details about the patient's assessments. Assessment Parent topic: Intake Template
