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.
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| 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 claims should be submitted. |
| When Primary, force Secondary claims to paper | Enable this check box if you want the claim being sent to the secondary insurance to be generated on paper after payment from the primary insurance has been received. This action overrides the Electronic Secondary Media Type setting. |
| When Secondary, force Tertiary claims to paper | Enable this check box if you want the claim being sent to the tertiary insurance to be generated on paper after payment from the primary and secondary insurance has been received. This action overrides the Electronic Tertiary Media Type setting. |
| Suppress Claim | Enable this check box to suppress claims by payer when creating claims in batch mode only. |
| Exclude Patient Paid Amount from Claim | Enable this check box to suppress patient paid amounts from UB EDI files. Segment AMT*F5 is not present in the NextGen In-line Edits file.
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| Flag All Prior Claim Line Items for Rebill | Enable this check box to include line items with a $0.00 amount with the other line item charges when you rebill an archived claim. |
| Suppress Claim for Non-Qualifying Encounter | Enable this check box to suppress claims for this payer when creating claims for non-qualifying encounters to a federally qualified health center. |