Fields in the Group Information Window

Fields	Description
Group Name	Enter the name of the group.
Group Phone	Enter the phone number for the group.
Tax ID Number	Enter the Tax ID number used by the Group.
National Provider ID	Enter the National Provider Identifier (NPI) for the group. Note: The NPI is the standard unique identifier for health care providers to use in filing and processing health care claims and other transactions. For more information about entering the NPI for groups, see Entering the NPI in the Master Files.
Suppress Rendering/ Attending Loop	Select the option to determine whether the Attending (2310A) and Rendering (2310B) loops should be suppressed. For more information about suppressing the 2310A Attending and 2310B Rendering loops, go to NextGen Healthcare Success Community and download the latest Claims User Guide for NextGen® Enterprise PM .
Taxonomy Code	Select a taxonomy code as the default for classifying the group according to type or specialty.
Note	Enter any additional information, if needed.
Service Location	Choose the Service Location to add the group information to.

Help Guide for NextGen® Enterprise PM 8

Set Up a Default Location for Group Provider Numbers

To set up a group that has the same Group Provider number for payers at all or several practice locations, do the following: In File Maintenance, under Master Files, select Practice > Groups. The Groups List window opens. Double-click a group. The Group Information window opens. From the Service Location list, select the <Default> option. Select one of the following options based on the following information: To set up the group on the default payer, double-click the Default row listed under the Payer Name column. The Group Information window opens additional fields. This set up is for the default payer and the Payer Name field is disabled. To set up a specific payer for the group, right-click in the Group Information section, then select New. The Group Information window opens additional fields. Because this setup is for a specific payer, the Payer Name field is available. From the Payer Name list, select a payer. In the Group Number field, enter the group number. In the Opt Group Val

File Maintenance Help for NextGen® Enterprise 8

Fields in the Group Information Window

Fields Description Group Name Enter the name of the group. Group Phone Enter the phone number for the group. Tax ID Number Enter the Tax ID number used by the Group. National Provider ID Enter the National Provider Identifier (NPI) for the group. Note: The NPI is the standard unique identifier for health care providers to use in filing and processing health care claims and other transactions. For more information about entering the NPI for groups, see Entering the NPI in the Master Files. Suppress Rendering/ Attending Loop Select the option to determine whether the Attending (2310A) and Rendering (2310B) loops should be suppressed. For more information about suppressing the 2310A Attending and 2310B Rendering loops, go to NextGen Healthcare Success Community and download the latest Claims User Guide for NextGen® Enterprise PM . Taxonomy Code Select a taxonomy code as the default for classifying the group according to type or specialty. Note Enter any additional information, if needed.

Help Guide for NextGen® Enterprise PM 8

Set Up the Groups Master File

Set up the Groups master file if a group needs to have specific information printed in box 33 of the HCFA 1500. The group must be selected in the Provider master file to be used. For more information on how the group works with the Provider master file to be displayed in the HCFA 1500, refer to Providers. Access the list of Practice master files. In the Master Files field, select Groups. The Groups List window opens. Select the open menu button, and then select New. The Group Information window opens. Enter information in the Group Information window as applicable. Select OK. Fields in the Group Information Window The following table describes the fields available in the Group Information window: Set Up a Default Location for Group Provider Numbers Add Multiple Default Rows for Billing Group You can add multiple default rows for a location and default payer of the billing group. Tax ID Number for Billing Group You can enter multiple tax IDs for a location and default or non-default pay

File Maintenance Help for NextGen® Enterprise 8

Set Up a Default Location for Group Provider Numbers

In File Maintenance, under Master Files, select Practice > Groups. The Groups List window opens. Double-click a group. The Group Information window opens. From the Service Location list, select <Default>. Select one of the following options based on the following information: To set up the group on the default payer, double-click on the Default row listed under the Payer Name column. The Group Information window displays additional fields. Because this setup is for the default payer, the Payer Name field is disabled. To set up a specific payer for the group, right-click in the Group Information section, then select New. The Group Information window displays additional fields. Because this setup is for a specific payer, the Payer Name field is available. Select a payer in the Payer Name field. Enter the group number in the Group Number field. Enter the value for the alternate group number for a specific payer at a specific location in the Opt Group Val field. This number may be used for

Help Guide for NextGen® Enterprise PM 8

Claims-2 Tab

For additional details about the settings on this tab, see the latest Claims Guide for NextGen® Enterprise PM. Claims-2 The options in the Claims-2 section work for all electronic claims regardless of COB. Field Description Enable NDC coding for electronic claims If you select this check box and the NDC information has been added to a SIM, then the 2410 LIN and CTP segments are created in the electronic claim file. Populate 2410 CTP segment Select this option to populate the 2410 CTP segment. Populate 2400 PS1 purchase service segment Select this check box to populate the Purchase Service Amount in the 2400 loop/PS1 segment for electronic claims. Populate foreign country code in subscriber loop Select this check box to populate Patient and Subscriber loops with a two-character country code in electronic claims. Currently, this setting only supports Canada and Mexico as valid foreign countries. Populate PCP in 2310A loop (professional only) Select this check box to create the 2310A PCP

File Maintenance Help for NextGen® Enterprise 8

Claims-2 Tab

For additional details about the settings on this tab, see the latest Claims Guide for NextGen® Enterprise PM. Claims-2 The options in the Claims-2 section work for all electronic claims regardless of COB. Field Description Enable NDC coding for electronic claims If you select this check box and the NDC information has been added to a SIM, then the 2410 LIN and CTP segments are created in the electronic claim file. Populate 2410 CTP segment Select this option to populate the 2410 CTP segment. Populate 2400 PS1 purchase service segment Select this check box to populate the Purchase Service Amount in the 2400 loop/PS1 segment for electronic claims. Populate foreign country code in subscriber loop Select this check box to populate Patient and Subscriber loops with a two-character country code in electronic claims. Currently, this setting only supports Canada and Mexico as valid foreign countries. Populate PCP in 2310A loop (professional only) Select this check box to create the 2310A PCP

Fields in the Group Information Window

Recommendations

Set Up a Default Location for Group Provider Numbers

Fields in the Group Information Window

Set Up the Groups Master File

Set Up a Default Location for Group Provider Numbers

Claims-2 Tab

Claims-2 Tab

Set Up a Default Location for Group Provider Numbers

Fields in the Group Information Window

Set Up the Groups Master File

Set Up a Default Location for Group Provider Numbers

Claims-2 Tab

Claims-2 Tab