System Tab

Help Guide for NextGen® Enterprise PM 8

Practice Tab

In the File Maintenance > Master Files > System > Payers, the Practice tab of the Add/Modify Payer Information window contains several tabs. The following topics provide information about the sub-tabs on the Practice tab. Claims Tab Secondary References Sub-Tab Other Sub-Tab UB Sub-Tab Setting Up Claims to Print NextGen Document Management Images Transactions Sub-Tab Add Libraries to a Practice Post Multiple Transactions Parent topic: Payers Master File

Help Guide for NextGen® Enterprise PM 8

Add or Modify a Payer

From the Master Files - System list, select Payers. The Payers List window opens. To add a payer, select open menu , and then select New. The Add Payer Information window opens. Enter all the required information under the following tabs: Payer Defaults - 1 Defaults - 2 System Practice Alt Payer External Co-Pays Select OK to save the changes. To modify a payer, select the payer from the list, select open menu , and then select Open. The Modify Payer Information window opens. Do the required changes and then select OK. Parent topic: Payers Master File

Help Guide for NextGen® Enterprise PM 8

Defaults - 2 Tab

The Defaults-2 tab on the Add Payer Information and Modify Payer Information windows enable you to define various parameters and options for a payer. These are system-level settings that are used by all practices in all enterprises that utilize the payer. The Default-2 tab includes the following two sub-tabs: Defaults 2 Payer Rounding Rules Defaults 2 Sub-Tab Rounding Rules Sub-Tab Parent topic: Payers Master File

Help Guide for NextGen® Enterprise PM 8

Select Media Types

You can select the media type for secondary and tertiary COB levels in the Payer master file. You can set the default media type for primary, secondary, and tertiary claims to be different for a particular payer. To access this window, open File Maintenance, select Master Files > PM > Payers, and then select the applicable payer. On the Modify Payer Information window, select the Practice tab and then the Claims sub-tab. In addition, you can set the Payer master file to force secondary and tertiary claims to paper for another payer. In other words, regardless of the media type setting in the Payer master file for the next payer, you can override those settings and force the claim to paper for the payers getting the secondary and tertiary claim. To force secondary and tertiary claims to paper for the next payer, activate the following options on the Practice Parameters tab of the Payer master file: When Primary, force Secondary claims to paper When Secondary, force Tertiary claims to pa

Help Guide for NextGen® Enterprise PM 8

External Tab for Payer Information

The External tab allows you to add external systems that interface with the NextGen® application and to associate an external system with a Payer. The External tab displays the following columns: Fields in the External Tab Add or Modify External Interface on the External Tab Parent topic: Payers Master File

File Maintenance Help for NextGen® Enterprise 8

System Tab

The System tab of the Add/Modify Payer Information window contains several tabs. The following sections explain each tab. Claims Sub-Tab Claims-2 Tab COB Electronic Claims Sub-Tab Parent topic: Real-time Address Validation for a Payer

System Tab

Recommendations

Practice Tab

Add or Modify a Payer

Defaults - 2 Tab

Select Media Types

External Tab for Payer Information

System Tab

System Tab

Practice Tab

Add or Modify a Payer

Defaults - 2 Tab

Select Media Types

External Tab for Payer Information

System Tab