Set Up a UB Claim Form in the Payer tab of the Service Item Library
In File Maintenance, select
Libraries
>
Service Items
.
Select the applicable library from the list.
Enter the service item number in the search field.
When the
Service Item Library Maintenance
window opens, select the
Payer
tab.
In the
Form
column, select
UB
.
Enter the
Effective date
and the
Expiration date
for the payer.
Enter other information applicable to the payer.
Select
Ok
.
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Help Guide for NextGen® Enterprise PM 8
Set Up a UB Claim Form in the General tab of Service Items Library
In File Maintenance, select Libraries > Service Items and select the applicable library from the list. Enter the service item number in the Search field. The Service Item Library Maintenance window opens. On the General tab, select UB92 in the Form field. SelectOK. Parent topic: Setting Up UB Claim Forms
Help Guide for NextGen® Enterprise PM 8
Set Up a UB Claim Form in the Payer Master File
When you set up a practice location as an enhanced UB user, the application generates a UB claim for the payer after billing. In File Maintenance, select Master Files - System > Payers. Select the applicable payer from the list and then select the UB tab of the Practice tab. In the Modify Payer Information window, select the location in the Location field if your practice has multiple locations. Note: The location that you select must be the same location as shown on the encounter. Enter the number provided by the payer in the Field Locator 51 field. Select the rendering providers in the Rendering Provider field. Enter data in other fields, as applicable for the payer. Select OK. Parent topic: Setting Up UB Claim Forms
Help Guide for NextGen® Enterprise PM 8
Setting Up UB Claim Forms
You can set up the claim form for UB billing in any one of the following areas of the application: The Service Items library on the General tab. The Service Items library on the Payer tab. The Payer master file on the UB sub-tab of the Practice tab. Set Up a UB Claim Form in the General tab of Service Items Library Set Up a UB Claim Form in the Payer tab of the Service Item Library Set Up a UB Claim Form in the Payer Master File Parent topic: Recurring UB Billing
Help Guide for NextGen® Enterprise PM 8
Set Up a Service Item for Regular UB Users
Access the service item from the Service Item Library to attach a payer and set the Form field to UB. Access File Maintenance. Select Libraries > Service Items. Right-click a Service Item library, and then select Open. To create a new SIM, select an existing SIM or select the open menu button. Select the Payer tab and select the applicable payer. Enter an effective date in the Eff field and an expiration date in the Exp field. Select the General tab, and then select UB from the Form field. Select the Add button, and then select OK. Parent topic: Set Up UB Claims for Regular UB Users
Help Guide for NextGen® Enterprise PM 8
Set Up SIM Codes for Roll-Up Billing by Revenue Code
To set up a SIM code for roll-up billing by revenue code, do the following: Access File Maintenance. Select Libraries, and then Service Items. The Service Items List window opens. From the list, select a library and then select Open Menu and select Open. The Service Item Library Maintenance window opens. Do one of the following: To add a SIM code, select Open Menu and select New. To modify a SIM code, search for the code and then select the code from the list on the left. Select the General tab. Each SIM code that is to roll-up to a single line item on the claim must have the following parameters defined. Revenue Code: Select the appropriate Revenue Code for UB/837I claims. This is the default revenue code for all UB payers. If the roll-up payer requires a different revenue code, the Alt Rev code must be defined on the Payer tab for the roll-up payer. Form: Select 1500. This is the default type of form for all payers. If the roll-up payer requires a different form (e.g. UB), additional
Help Guide for NextGen® Enterprise PM 8
Set Up SIM Codes for Roll-Up Billing by CPT4 Code
To set up a SIM code for roll-up billing by CPT4 code, do the following: Access File Maintenance. Select Libraries, and then Service Items. The Service Items List window opens. From the list, select a library and then select Open Menu and select Open. The Service Item Library Maintenance window opens. Do one of the following: To add a SIM code, select Open Menu and select New. To modify a SIM code, search for the code and then select the code from the list on the left. Select the General tab. Each SIM code that is to roll-up to a single line item on the claim must have the following parameters defined. Revenue Code: Select the appropriate revenue code for UB/837I claims. This is the default revenue code for all UB payers. If the roll-up payer requires a different revenue code, the Alt Rev code must be defined on the Payer tab for the roll-up payer. Form: Select 1500. This is the default type of form for all payers. If the roll-up payer requires a different form (e.g. UB), additional se
