Set Up Electronic UB Claims

Help Guide for NextGen® Enterprise PM 8

Set Up Electronic UB Claims

To submit claims electronically, you need to set up the UB Claims tab for the payer on the Add/Modify Payer Information window. Following is a list and explanation of the fields and check boxes in the UB Claims section to enable UB claims generation and electronic claim submission: The Field Locator 51 field The Media Type (Primary, Secondary, Tertiary) fields The When Primary, force Secondary claims to paper check box The When Secondary, force Tertiary claims to paper check box The Suppress Claim check box The fields and check boxes on the UB Claims tab are listed below with an explanation. The Field Locator 51 field. This is a free-form text entry field. Enter the number provided to you by the payer. This field must be completed when creating a UB claim. If it is left blank, then an edit will occur during the claims process, which reads: Loc 51 Provider Number is missing. The Media Type (Primary, Secondary, Tertiary) fields. The two Media Type options available are Paper and Electron

Help Guide for NextGen® Enterprise PM 8

UB Claims Tab on Claims Tab

To access the UB Claims tab, you must already have selected a facility and a bill classification in the Encounters section on Practice Preferences. Field Description Submitter Profile Select the submitter profile that you want to apply to UB claims. Electronic Transmitter ID Enter the payer-assigned electronic transmitter ID to generate a claim with an electronic transmitter ID. Note: This field only displays when you select a submitter profile. Field Locator 51 This is a free form text field. If you are a regular UB user, enter the number that was provided to you by the payer in this field. For more information about the Field Locater 51 field, refer to the section of the user's manual. Practice Payer Opt Val Enter the practice/payer-specific value. Payer Alias Enter an alternative payer name when a name that differs from the name that appears in the payer's Payer Master file is required. Primary, Secondary, and Tertiary Media Types Enter the primary media type accepted by the clearin

Help Guide for NextGen® Enterprise PM 8

UB Claims Tab on Claims Tab

To access the UB Claims tab, you must already have selected a facility and a bill classification in the Encounters section on Practice Preferences. Field Description Submitter Profile Select the submitter profile that you want to apply to UB claims. Electronic Transmitter ID Enter the payer-assigned electronic transmitter ID to generate a claim with an electronic transmitter ID. Note: This field only displays when you select a submitter profile. Field Locator 51 This is a free form text field. If you are a regular UB user, enter the number that was provided to you by the payer in this field. For more information about the Field Locater 51 field, refer to the section of the user's manual. Practice Payer Opt Val Enter the practice/payer-specific value. Payer Alias Enter an alternative payer name when a name that differs from the name that appears in the payer's Payer Master file is required. Primary, Secondary, and Tertiary Media Types Enter the primary media type accepted by the clearin

File Maintenance Help for NextGen® Enterprise

UB Claims Tab on Claims

To access the UB Claims tab, you must select a facility and a bill classification on the Encounters Practice Preferences. Field Description Submitter Profile Select the submitter profile that you want to apply to UB Claims. Electronic Transmitter ID Enter the payer-assigned electronic transmitter ID to generate a claim with an electronic transmitter ID. Note: This field only displays when you select a submitter profile. Field Locator 51 This is a free form text field. If you are a regular UB user, enter the number that was provided to you by the payer in this field. Practice Payer Opt Val Enter the practice/payer-specific value. Payer Alias Enter an alternative payer name when a name that differs from the name that appears in the payer's Payer Master file is required. Primary, Secondary, and Tertiary Media Types Enter the primary media type as either electronic or paper as accepted by the clearinghouse . If you set it as electronic, then you can also set how the secondary and tertiary

Help Guide for NextGen® Enterprise PM 8

UB Claims Tab on Claims

To access the UB Claims tab, you must select a facility and a bill classification on the Encounters Practice Preferences. Field Description Submitter Profile Select the submitter profile that you want to apply to UB Claims. Electronic Transmitter ID Enter the payer-assigned electronic transmitter ID to generate a claim with an electronic transmitter ID. Note: This field only displays when you select a submitter profile. Field Locator 51 This is a free form text field. If you are a regular UB user, enter the number that was provided to you by the payer in this field. Practice Payer Opt Val Enter the practice/payer-specific value. Payer Alias Enter an alternative payer name when a name that differs from the name that appears in the payer's Payer Master file is required. Primary, Secondary, and Tertiary Media Types Enter the primary media type as either electronic or paper as accepted by the clearinghouse . If you set it as electronic, then you can also set how the secondary and tertiary

Help Guide for NextGen® Enterprise PM 8

UB Claims Tab on Claims

To access the UB Claims tab, you must select a facility and a bill classification on the Encounters Practice Preferences. Field Description Submitter Profile Select the submitter profile that you want to apply to UB Claims. Electronic Transmitter ID Enter the payer-assigned electronic transmitter ID to generate a claim with an electronic transmitter ID. Note: This field only displays when you select a submitter profile. Field Locator 51 This is a free form text field. If you are a regular UB user, enter the number that was provided to you by the payer in this field. Practice Payer Opt Val Enter the practice/payer-specific value. Payer Alias Enter an alternative payer name when a name that differs from the name that appears in the payer's Payer Master file is required. Primary, Secondary, and Tertiary Media Types Enter the primary media type as either electronic or paper as accepted by the clearinghouse . If you set it as electronic, then you can also set how the secondary and tertiary

Set Up Electronic UB Claims

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Set Up Electronic UB Claims

UB Claims Tab on Claims Tab

UB Claims Tab on Claims Tab

UB Claims Tab on Claims

UB Claims Tab on Claims

UB Claims Tab on Claims

Set Up Electronic UB Claims

UB Claims Tab on Claims Tab

UB Claims Tab on Claims Tab

UB Claims Tab on Claims

UB Claims Tab on Claims

UB Claims Tab on Claims