| Svc Dates | Defaults to the Billable Date found on the Encounter Maintenance window. The From and To dates can be modified, by entering the date (MM/DD/YYYY) or by selecting the date from the Calendar  button.
Note: The encounter Billable Date and the charge Service Date are typically the same.
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| Svc Item | You can do one of the following:
- Enter or select the SIM code from the list.
- Enter or select the SIM description from the list. You can leave this field blank and press the Tab key to move to the SIM description field on the right.
Note: The Service Item code is not sent on claims.
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| CPT4 | Shows the CPT4 code linked to the selected SIM code. This field cannot be modified.
Note: The CPT4 code is sent on claims.
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| Modifiers 1 - 4 | In the Modifier fields to the right of CPT4, you can enter up to four 2-digit modifiers for the charge, if needed. |
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| Quantity | Defaults to 1 and can be modified, if needed. This indicates the number of units for the charge. If the Quantity is changed for the charge, the Extended amount is also changed.
Note: This field cannot be modified when entering a time-based charge. This includes SIM codes that are flagged as Anesthesia SIM or Behavioral Health in the Service Items Library.
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| Unit | Shows the price per unit for the selected SIM code. This field cannot be modified. |
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| Override | Defaults to the price per Unit for the selected SIM code. An Override price can be entered, if needed.
Note: This field is available for modification only if the user has Charge Price Override security access rights in System Administrator.
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| Extended | Shows the total Extended amount for the charge. This field cannot be modified and is calculated as follows: Quantity x Override = Extended
The Calculate extended amount on overridden charges option in affects the Extended amount field as follows:
- When Calculate extended amount on overridden charges is selected in the Practice Preferences and the Quantity is greater than 1 and an Override price is entered, the Extended amount is recalculated for the charge.
For example, if Quantity = 2 and Override price = $50.00, then Extended amount = $100.00.
- When Calculate extended amount on overridden charges is selected in the Practice Preferences and the Quantity is greater than 1 and an Override price is entered, the Extended amount is not recalculated for the charge.
For example, if Quantity = 2 and Override price = $50.00, then Extended amount = $50.00.
Note: The Extended amount cannot exceed the Maximum extended charge amount defined in , if applicable.
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| Tooth | You can select a Tooth for the charge as needed for dental billing.
Note: This field appears only if the Display tooth, surface, quadrant option is enabled in .
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| Surface | You can select a Surface for the charge as needed for dental billing. Multiple surfaces can be selected if the Allow multiple tooth surfaces option is enabled in .
Note: This field appears only if the Display tooth, surface, quadrant option is enabled in .
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| Quadrant | You can select a Quadrant for the charge as needed for dental billing.
Note: This field appears only if the Display tooth, surface, quadrant option is enabled in .
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| Time: Start / Stop / Total | Start: You can enter the start time for the charge in HH:MM format. Stop: You can enter the stop time for the charge in HH:MM format. Total: shows the total time in minutes. This field cannot be modified and is calculated as follows: Stop - Start = Total.
Note: These fields appears only if the SIM code is flagged as either Anesthesia SIM or Behavioral Health in the Service Items Library.
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| Base Min | Shows the Behavioral Health Base Minutes defined for the Behavioral Health SIM code in the Service Items Library. This field cannot be modified. |
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| Base Unit | Shows the Base Units defined for the Anesthesia SIM code in the Service Items Library. This field cannot be modified. |
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| UD1 Price UD2 Price | Shows the User-Defined 1 Price and/or User-Defined 2 Price for the selected SIM code and can be modified, if needed.
Note: These fields display only if the Enable Advanced Service Item Library Mode option is enabled in . The fields can be modified only if the user has Charge Price Override security access rights in System Administrator.
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| Process Dt | You can leave it blank if the charge should have a Process Date in the current month on financial reports. Or enter an override date (backdate) if the charge should have a Process Date in the previous month for financial reports.
Note: This field appears only if the user has Charge Process Date Override security access rights in System Administrator.
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| Diagnosis COB1 Alt Dx COB2 Alt Dx COB3 Alt Dx | You can enter upto four diagnosis codes for a charge. The Diagnosis option is selected by default.
After entering and saving a charge, do one of the following:
- You can select the COB1 Alt Dx option to display ICD-10 to ICD-9 General Equivalence Mappings (GEMs) for the primary payer.
- You can select the COB2 Alt Dx option to display ICD-10 to ICD-9 GEMs for the secondary payer.
- You can select the COB3 Alt Dx option to display ICD-10 to ICD-9 GEMs for the tertiary payer.
Note: The COB Alt Dx options are available only if the Send Diagnosis Mappings on Claims option is enabled for the payer on the tab.
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| Diag 1 - 4 (Code / Description) | You can enter up to four ICD codes for the charge. To enter codes, you can do one of the following:
- You can enter the ICD code, and then select the desired code from the displayed drop-down menu.
- You can enter the entire ICD code.
- You can leave blank and press the Tab key to move to the ICD description field on the right. You can enter the ICD description and then select the desired code from the list.
- You can select the Search
 icon to access the Diagnosis Lookup window. Search by code, description, favorites, categories or legacy mapping, and then you can select the desired code.
Note: Diagnosis codes must be entered in numerical order. For example, Diag 3 cannot be entered unless Diag 2 has been entered.
If a diagnosis code is deleted, then all codes following the deleted code move up. For example, if Diag 2 is deleted, then Diag 3 moves up to the Diag 2 position.
If encounter-level diagnosis codes exist prior to entering charges, the codes default to the first charge entered.
Up to 12 diagnosis codes can be attached to a procedure in NextGen® Enterprise EHR. In NextGen® Enterprise PM, codes 1-4 are linked to the charge (charge-level) and codes 5-12 are linked to the encounter (encounter-level).
If the Differentiate Risk Adjusted diagnoses option is enabled in , and an ICD code has the Risk Adjust Indicator check box selected in the ICDCM Codes master file, the code displays a Risk  icon to the left of the code.
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| Rendering | Defaults to the Rendering provider found on the Encounter Maintenance window. The rendering provider can be modified for the charge, if needed, by doing one of the following:
- You can select the drop-down menu to select a provider.
- You can select the Search icon to access the Provider Lookup window, enter search criteria, select Find, and then select the desired provider.
Note: The Encounter Rendering and the Charge Rendering are typically the same.
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| Additional Provider | You can select an Additional Provider for the charge, if needed for reporting purposes.
Note: This field displays only if the Addtl prov option is enabled in . The name of the field can be customized (for example: Nurse).
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| Referring | Defaults to the Referring provider found on the Encounter Maintenance window. The referring provider can be modified for the charge, if needed, by doing one of the following:
- You can select the drop-down menu to select a provider.
- You can select the Search icon to access the Provider Lookup window, enter search criteria, select Find, and then select the desired provider.
Note: This field displays only if the Display referring providers option is enabled in .
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| Place of Svc | The Place of Service for the charge is derived by one of the following:
- Defaults to the POS linked to the selected SIM code.
- Defaults to the POS linked to the Service Location found on the Encounter Maintenance window.
- Manually selected by the user.
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| Narr | You can enter a text note about the charge to be sent to the payer in box 19 on 1500 claims. The narrative is derived from one of the following:
- Defaults to the narrative linked to the selected SIM code.
- Manually entered by the user.
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| Dunn | You can enter a text note about the charge to be sent to the guarantor on statements.
Note: This field is available for modification only if the user has Custom Dunning Messages security access rights in System Administrator.
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| Notes | You can enter a free-text note about the charge to be used for internal purposes only. For lengthy notes, select the  button to open the Charge Notes window. |
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| Batch | You can enter a free-text batch description for the charge to be used on reports.
Note: This field appears only if the Display batch information option is enabled in . A default batch description can be entered in the Batch Info field on the Session Settings window.
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| Status | Shows the current Status for the charge. This field cannot be modified. New charges have a status of Unbilled. Other charge statuses include Billed, Bad Debt and History. |
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| Location | Defaults to the Service Location found on the Encounter Maintenance window. The location can be modified for the charge, if needed, by selecting the list arrow to select a location.
Note: The encounter Service Location and the charge Location are typically the same.
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| Bill To | Defaults to the Primary Payer linked to the encounter on the Encounter Insurance Selection window. Defaults to Patient on self-pay encounters with no payers linked. The payer to be billed for the charge can be modified, if needed, by selecting the list arrow to select a payer.
Note: When the charge is saved, the Bill To field no longer appears. Use the Balance Control window to change the payer to be billed for the charge, if needed.
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