Electronic Send Report

Help Guide for NextGen® Enterprise PM 8

Process Generated Reports

There are specific processes in NextGen® Enterprise PM that automatically generate a report. These include the Batch Transaction Report, Claim Production Status, Electronic Send Report, Encounters Pending Bad Debt, Statements Exception Report and the ERA Posting Report. Address Change Report Batch Listing Report Budget Process Status Report Claim Production Status Report Consolidated Services Claim Report Electronic Send Report Encounters Pending Bad Debt Report ERA Import Posting Report Outsource Charges Report Columns Statement Run Report The Statement Run report automatically generates when an individual demand statement or a batch of statements is printed or exported in NextGen® Enterprise PM. Statement Exceptions Report You can generate Statement Exception report for exceptions. Parent topic: Reports

Help Guide for NextGen® Enterprise PM 8

Electronic Send Report

When pending claims are processed and the 837 electronic file is created, the Electronic Send report automatically displays if the Report results check box on the 837 Electronic File Creation window is enabled. The report separates claims that were accepted from those that were rejected. In addition, you can use the drill-down arrow to double-click on information in the report, and the editable claim view displays. After the Electronic Send report displays you can click the filter button and further filter the report. Electronic Send Report Columns The claims related data is available on the Electronic Send report. Electronic Send Report - Filter 2 Parent topic: Processing Electronic Claims - 837 Files

Help Guide for NextGen® Enterprise PM 8

Create an EDI File by Payer, Patient Name, Rendering Physician, Financial Class, or Location

Click the EDI File toolbar button. The 837 Electronic File Creation window opens. Complete the following required fields: Submitter Profile Library Claim Form Send File Name Batch Type Click the Advanced tab. To refine your search by payer, patient name, provider, financial class, or location, complete any of the following fields: Payer Last/First Name of the patient Rendering- select or search for the rendering provider Report Transmission Code Financial Class Location To search for claims by the primary, secondary, tertiary payer, or for ERA Posted Charges, enable the following check boxes: Primary Secondary Tertiary ERA Posted Charges Only Enable any of the following check boxes to update claims, automatically create a report, or send a test file: Update claim requests as processed Report results - to display the report after it is processed. Use test code in REF02 trans type segment Click Find. In the Pending Electronic Claims section select the claims to include in the EDI file. C

Help Guide for NextGen® Enterprise PM 8

837 Electronic File Creation Window

Use the 837 Electronic File Creation window to identify search criteria for claims that you want to send in an electronic file. This window has the following tabs: General, Advanced, and Practices. Each tab contains the File Options and Electronic Claims sections. File Options and Pending Electronic Claims Sections These sections display on each of the tabs for the 837 Electronic File Creation window. File Options - you can select the file for data transfer, identify the batch type, create a report, update claim requests, and send a test file. Pending Electronic Claims - displays the claims that match the search criteria on the active tab. General, Advanced, Practices, File Options, and Pending Electronic Claims Refer to the following topics for information about the fields on this window: 837 Electronic File Creation - General Tab 837 Electronic File Creation - Advanced Tab 837 Electronic File Creation Window Practices Tab 837 Electronic File Creation - File Options and Pending Electr

Help Guide for NextGen® Enterprise PM 8

Create an EDI File by Practice

Select the EDI File toolbar button. The 837 Electronic File Creation window opens. Complete the following required fields: Submitter Profile Library Claim Form Send File Name Batch Type Select the Practices tab. You can search for claims by a single practice, multiple practices, or all practices within your enterprise. To search for claims by single or multiple practices go to Step 5. To search for claims for All Practices in your enterprise go to Step 7. To search for pending claims associated with a single or multiple practices, select the open record icon. The Practices window opens. Select the Flashlight icon to search for practices. Move the applicable practices to the Included section. Select OK. To search for pending claims across all practices, enable the All Practices check box. Enable any of the following check boxes to update claims, create a report, or send a test file. Update claim requests as processed Report results - to display the report after it is processed. Use test

NextGen® Therapy Suite Help 30.3.13.0

Facility Building in NextGen® Enterprise EHR

In the NextGen® Enterprise PM application, all facility billing encounters are filed under the first encounter of the month. When it is time to send the claim, the claim shows all encounter dates and codes billed under the therapist who first saw the patient in that month. Facility billing encounters in NextGen Enterprise PM When a new month begins, the first encounter of that new month begins accumulating all following visit charges underneath it. All prior month charges are then ready to drop to the UB form and bill out together. Configure a Financial Category for Facility Billing Parent topic: Billing Provider Override & Facility Billing Panel

Electronic Send Report

Recommendations

Process Generated Reports

Electronic Send Report

Create an EDI File by Payer, Patient Name, Rendering Physician, Financial Class, or Location

837 Electronic File Creation Window

Create an EDI File by Practice

Facility Building in NextGen® Enterprise EHR

Process Generated Reports

Electronic Send Report

Create an EDI File by Payer, Patient Name, Rendering Physician, Financial Class, or Location

837 Electronic File Creation Window

Create an EDI File by Practice

Facility Building in NextGen® Enterprise EHR