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Electronic Send Report - Filter 2
Column Name
Description
Window Pulling From
Default
Amt
Amount
Charge Entry
X
Electronic Send Report - Filter 2
Help Guide for NextGen® Enterprise PM 8
Electronic Send Report Columns
The following columns are available on the Electronic Send report. Column Name Description Window Pulling From Default Group Functional Group: The number that identifies the GS/GE segment that will be sent in the file. Automatically calculated by the application. X TSet Transaction Sets: The number that identifies the ST/SE segment that will be sent in the file. Automatically calculated by the application. X EMC Provider Electronic Media Claim Provider (this is the provider number) Provider NPI X UB92 Field Loc 51 FL56 NPI Group Number Group Number Encounter Encounter Number Patient Chart X Claim ID Nbr Claim ID Number Pat Name Patient Name Patient Maintenance X Payer Name Payer Name Note: The report displays the alternate payer name for a carve-out claim. Insurance Information for Encounter in Patient Chart X Policy # Policy Number Insurance Information for Encounter in Patient Chart X Amt Amount The dollar amount of each claim individually and collectively X Clm File Sts Claim File S
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
Electronic Send Report
When creating an electronic claims file in NextGen® Enterprise PM, if you select the Report Results check box on the 837 Electronic File Creation window, an Electronic Send Report generates showing each encounter included in the file and the total amount being billed on each claim. Columns on the report include batch number (generated during the claim build), EMC (Electronic Media Claims) provider number, encounter number, patient name, payer name, policy number, and the amount being billed. For more information on 837 Electronic File Creation and the Electronic Send Report, refer to the Claims User Guide for NextGen Enterprise PM. Parent topic: Process Generated Reports
Help Guide for NextGen® Enterprise PM 8
Using Report Filter 2
You can use Filter 2 on the Report Filter window to define additional criteria using any column on the report. Each column listed can be filtered using: Between Equals Not Equals Greater than Less than Like For example, if you select Great than and then enter $100.00 in the Self Pay Balance column on Filter 2, then only data that meets the criteria appears on the report (only patient balances greater than $100.00). Parent topic: Setting Report Columns and Filters
File Maintenance Help for NextGen® Enterprise 8
Open Report Filter
Do one of the following: In NextGen® Enterprise PM select a report from the Reports menu. Right-click on an open report, and select Filter. The NextGen Report Filter window for the selected report opens. Parent topic: Setting Report Columns and Filters
File Maintenance Help for NextGen® Enterprise 8
Encounter Rate Library with Claim Detail Rules Report
The Encounter Rate Library with Claim Detail Rules report includes information from the Encounter Rate Billing library in File Maintenance. Information on the report pulls from the Encounter Rate Billing Library Maintenance window > Claims tab. The report includes the following information: Column Description Data Populates From Description Library Name Encounter Rate Billing Library field ER Claim Detail Rule ER Claim Detail Rules Description Encounter Rate Claim Detail Rules window > Description field Eff Dt Effective Date Encounter Rate Claim Detail Rules window > Effective Date field Exp Dt Expiration Date Encounter Rate Claim Detail Rules window > Expiration Date field Prim Include Copay Ind Include Copay in Primary Electronic Claim Encounter Rate Claim Detail Rules window > Primary Electronic Claims section (Y/N) Prim ER SIM on the Claim Do you send the ER SIM on the Claim? Encounter Rate Claim Detail Rules window > Primary Electronic Claims section (Y/N) Prim Display narr on ER
