NextGen Knowledge Center

Set Up Payers for Encounter Rate Billing

Once the Encounter Rate Billing library has been created, it must be attached to the appropriate encounter rate payers. Attaching the Encounter Rate Billing library ensures that during the billing process in NextGen® Enterprise PM, the ER SIM code is inserted onto the encounter and the claim is configured correctly to meet the ER payer's specific requirements.

  1. Access File Maintenance.
  2. Select System Master Files, then PM, and then Payers.
    The Payers List window opens.
  3. From the list, select an ER payer, and then select Open Menu and select Open.
    The Modify Payer Information window opens.
  4. Select the Practice tab, and then select the Libraries sub-tab.
  5. In the Encounter Rate Library field, select the Encounter Rate Billing library for the payer.
    Modify Payer Information

  6. To save changes and close the window, select OK.