Set Up Exceptions for the Primary Payer

Help Guide for NextGen® Enterprise PM 8

Set Up Exceptions for a Tertiary Payer

The Claim Printing options available for the 1500 form on the Exceptions: When Payer is Tertiary tab apply only when the payer associated with the library is the tertiary payer. In File Maintenance, select Libraries and then Claim Printing. The Claim Printing List window opens. Double-click the applicable library or select open menu button and select New. Select the Exceptions: When Payer is Tertiary tab. Select the claim type in the 1500 Claims, UB Claims, or the ADA Claims fields. Choose the settings for the options you want to use and then select OK. Coordination of Benefits Options Field Coordination of Benefits Options Description Exceptions: When Payer is Tertiary Tab Print EOB(s) when printing tertiary claim Select this option to print all EOBs when printing the tertiary claim. Parent topic: Claim Print Options in Claim Printing Library

Help Guide for NextGen® Enterprise PM 8

Set Up Exceptions for a Secondary Payer

The Claim Printing options available for the 1500 form on the Exceptions: When Payer is Secondary tab apply only when the payer associated with the library is the secondary payer. In File Maintenance, select Libraries and then Claim Printing. The Claim Printing List window opens. Double-click the applicable library or select open menu button and select New. Select the Exceptions: When Payer is Secondary tab. Select the claim type in the 1500 Claims, UB Claims, or the ADA Claims fields. Choose the settings for the options you want to use and then select OK. Parent topic: Claim Print Options in Claim Printing Library

Help Guide for NextGen® Enterprise PM 8

Set Up Claim Print Options for All Payers

The Common Rules tab lists the Claim Printing options that apply to all payers. In File Maintenance, select Libraries > Claim Printing. The Claim Printing List window opens. Select the applicable library or select open menu and select New. The Claim Printing window opens, displaying the Common Rules tab. Select the claim type in the 1500 Claims, UB Claims, or the ADA Claims fields. Select the settings for the print options in the Option and Setting columns you want to use and then select OK. Parent topic: Claim Print Options in Claim Printing Library

Help Guide for NextGen® Enterprise PM 8

Claim Print Options in Claim Printing Library

The Claim Printing window displays the claim print options based on the paper claims and the payer type you select. The following paper claims appear in the Claim Printing library: 1500 Claims enables you to select CMS 1500 (2005) or CMS 1500 (2012) claim form. The options for the form you select appear under 1500 in the Option column. UB Claims enables you to select UB04 (2004) or UB92 (1992) claim form. The options for the form you select appear under UB in the Option column. ADA Claims enables you to select ADA (2019) or ADA (2024) claim form. The options for the form you select appear under ADA in the Option column. ADA (2024) is the default claim form when you set up a new Claim Printing library. The following types of payers appear in the Claim Printing library: Payer Type Description Common Enables you to set the claim print options that apply to all payers regardless of whether they are primary, secondary, or tertiary payers. Primary Enables you to set the claim print options t

File Maintenance Help for NextGen® Enterprise 8

Set Up Exceptions for the Primary Payer

The Claim Printing options available for the 1500 form on the Exceptions: When Payer is Primary tab apply only when the payer associated with the library is the primary payer. In File Maintenance, select Libraries and then Claim Printing. The Claim Printing List window opens. Double-click the applicable library or select Open Menu and select New. Select the Exceptions: When Payer is Primary tab. Select the claim type in the 1500 Claims, UB Claims, or the ADA Claims fields. Choose the settings for the options you want to use and then select OK. 1500 CMS Options (2012) UB92 Options ADA (2019 and 2024) Form Options For Primary Payer There are several common claim print options applicable to ADA 2019 and ADA 2024 for the primary payer. Parent topic: Claim Print Options in Claim Printing Library

File Maintenance Help for NextGen® Enterprise 8

Set Up Exceptions for a Secondary Payer

The Claim Printing options available for the 1500 form on the Exceptions: When Payer is Secondary tab apply only when the payer associated with the library is the secondary payer. In File Maintenance, select Libraries and then Claim Printing. The Claim Printing List window opens. Double-click the applicable library or select open menu button and select New. Select the Exceptions: When Payer is Secondary tab. Select the claim type in the 1500 Claims, UB Claims, or the ADA Claims fields. Choose the settings for the options you want to use and then select OK. CMS 1500 (2012) UB04 & UB92 Options ADA (2019 and 2024) Form Options for Secondary Payer There are several common claim print options applicable to ADA 2019 and ADA 2024 claim forms for the secondary payer. Coordination of Benefits Options Parent topic: Claim Print Options in Claim Printing Library

Set Up Exceptions for the Primary Payer

Recommendations

Set Up Exceptions for a Tertiary Payer

Set Up Exceptions for a Secondary Payer

Set Up Claim Print Options for All Payers

Claim Print Options in Claim Printing Library

Set Up Exceptions for the Primary Payer

Set Up Exceptions for a Secondary Payer

Set Up Exceptions for a Tertiary Payer

Set Up Exceptions for a Secondary Payer

Set Up Claim Print Options for All Payers

Claim Print Options in Claim Printing Library

Set Up Exceptions for the Primary Payer

Set Up Exceptions for a Secondary Payer