Pending Claims - Claim Production Status Report Messages

Help Guide for NextGen® Enterprise PM 8

Hold Claims - Claim Production Status Report Messages

Demand Billing Severity: Informational Message: No errors found for CSC candidate claim. Status: HOLD Claim Pending Batch Billing Severity: Informational Message: HOLD claim successfully created. Status: HOLD Claim Produced Claim Production Status Parent topic: Claim Production Status Report for CSC Candidate Encounters

Help Guide for NextGen® Enterprise PM 8

Claim Production Status Report for CSC Candidate Encounters

When a CSC Candidate Encounter is billed, either on demand (individual) or in batch, and the encounter passes all claim edits, a green message displays on the Claim Production Status report for claims in a status of HOLD or PENDING. Hold Claims - Claim Production Status Report Messages Pending Claims - Claim Production Status Report Messages Parent topic: Consolidated Service Claims

Help Guide for NextGen® Enterprise PM 8

Pending Claims - Claim Production Status Report Messages

When a CSC Candidate Encounter that is flagged as exempt from CSC claims is billed, either on demand (individual) or in batch, and the encounter passes all claim edits, a green message displays on the Claim Production Status report for the Pending status claim as follows: Demand Billing Severity: Informational Message: No errors found. Claim excluded from CSC by manual selection. Status: Claim Pending Batch Billing Severity: Informational Message: Non-CSC candidate claim successfully created. Claim excluded from CSC by manual selection. Status: Claim Produced Claim Production Status Parent topic: Claim Production Status Report for CSC Candidate Encounters

Help Guide for NextGen® Enterprise PM 8

Claim Production Status Report for CSC Candidate Encounters

When a CSC Candidate Encounter is billed, either on demand (individual) or in batch, and the encounter passes all claim edits, a green message displays on the Claim Production Status report for claims in a status of HOLD or PENDING. Hold Claims - Claim Production Status Report Messages Pending Claims - Claim Production Status Report Messages Parent topic: Consolidated Service Claims

Help Guide for NextGen® Enterprise PM 8

Hold Claims - Claim Production Status Report Messages

Demand Billing Severity: Informational Message: No errors found for CSC candidate claim. Status: HOLD Claim Pending Batch Billing Severity: Informational Message: HOLD claim successfully created. Status: HOLD Claim Produced Claim Production Status Parent topic: Claim Production Status Report for CSC Candidate Encounters

Help Guide for NextGen® Enterprise PM 8

Claim Production Status Report

The Claim Production Status report is automatically generated when one or more encounters are billed in NextGen® Enterprise PM. After the claim edits process completes for all encounters, the report generates and appears on screen. The report identifies whether the encounters passed or failed claim edits by displaying each encounter in one of the following text colors: Green: Indicates the encounter passed all claim edits and a pending claim is created for the payer. Self-pay encounters also display in green if the Include Self-Pay Encounters In Claim Billing Report option is enabled in Practice Preferences > Claims. Blue: Indicates the encounter failed one or more claim edits that are set up in the Claim Edits Library with Severity = Warning, and a pending claim is created for the payer. Red: Indicates the encounter failed one or more claim edits that are set up in the Claim Edits Library with Severity = Build, Critical or Required, and a pending claim is not created for the payer. To

Pending Claims - Claim Production Status Report Messages

Recommendations

Hold Claims - Claim Production Status Report Messages

Claim Production Status Report for CSC Candidate Encounters

Pending Claims - Claim Production Status Report Messages

Claim Production Status Report for CSC Candidate Encounters

Hold Claims - Claim Production Status Report Messages

Claim Production Status Report

Pending Claims - Claim Production Status Report Messages

Hold Claims - Claim Production Status Report Messages

Claim Production Status Report for CSC Candidate Encounters

Pending Claims - Claim Production Status Report Messages

Claim Production Status Report for CSC Candidate Encounters

Hold Claims - Claim Production Status Report Messages

Claim Production Status Report