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Electronic Send Report Columns

The following columns are available on the Electronic Send report.

Column NameDescriptionWindow Pulling FromDefault
GroupFunctional Group: The number that identifies the GS/GE segment that will be sent in the file.Automatically calculated by the application.X
TSetTransaction Sets: The number that identifies the ST/SE segment that will be sent in the file.Automatically calculated by the application.X
EMC ProviderElectronic Media Claim Provider (this is the provider number) Provider NPI X
UB92 Field Loc 51FL56 NPI  
Group NumberGroup Number  
EncounterEncounter NumberPatient ChartX
Claim ID NbrClaim ID Number  
Pat NamePatient NamePatient MaintenanceX
Payer NamePayer Name Insurance Information for Encounter in Patient ChartX
Policy #Policy NumberInsurance Information for Encounter in Patient ChartX
AmtAmountThe dollar amount of each claim individually and collectivelyX
Clm File StsClaim File Status: The Accepted to file and Rejected from file statusesAutomatically generated by the applicationX
Rej RsnRejection ReasonAutomatically generated by the applicationX
Prac IDPractice Identifier - internalPractice master file 
Rend NPIRendering NPI X
Grp NPIGroup NPI X
Prac NamePractice NamePractice master file 
Provider NameProvider name for claimRendering Provider on the encounter