View Latest Successful Eligibility Response from Encounter Lookup

Help Guide for NextGen® Enterprise PM 8

View Latest Successful Eligibility Response from Appointment Lookup

Before you begin Submit NextGen® Eligibility Verification request for a patient. See Submit Eligibility Requests. To view the latest NextGen® Eligibility Verification response from an appointment in the appointment lookup, do the following: In NextGen® Enterprise PM, select ApptList. The Appointment Lookup window opens. Using the search criteria, find the appointment with the NextGen® Eligibility Verification request and yet to receive the response. Right-click the appointment and select Eligibility Verification > View Latest Successful Response. The system searches for the eligibility response for the latest successful transaction during the time period specified in the user preferences. If the eligibility response is available, the Real-Time Eligibility Response page opens displaying the response for the latest successful transaction. If the eligibility response is not available, a message appears stating that the successful eligibility response for the specified period is not found.

Help Guide for NextGen® Enterprise PM 8

View Latest Successful Eligibility Response from Appointment Information

Before you begin Submit NextGen® Eligibility Verification request for a patient. See Submit Eligibility Requests for more information. Set the appointment information. For details on how to set the tooltip, see Set Scheduling Preferences for Tooltips in Layout and User Preferences Guide for NextGen Enterprise PM. You can view the latest successful response from the appointment information for pending transactions. In NextGen® Enterprise PM, select Appbook. The appointment book opens. Locate the appointment for the patient for whom you have submitted the NextGen® Eligibility Verification request and do one of the following: Select the appointment. Right-click the appointment and select Appointment Information. The tooltip displays the appointment information. The Primary Insurance Eligibility Status shows the status of the eligibility check. Select the Pending / View Latest Successful Response hyperlink. The system checks for the eligibility response for the latest successful transactio

Help Guide for NextGen® Enterprise PM 8

View Latest Successful Eligibility Response from Encounter

Before you begin Submit NextGen® Eligibility Verification request for a patient. See Submit Eligibility Requests. You can view the response for the latest successful transaction from the encounter on the patient chart.. In NextGen® Enterprise PM, select Encounter. The Encounter Lookup window opens. Using the search criteria, find the patient. The search result displays the list of encounters for the patient. On the Encounter Lookup window, double-click the encounter. The patient chart for the patient opens. The list of encounters for the patient is displayed in the Encounters window. On the Encounters list, right-click the encounter you want to view and select Eligibility Verification > View Latest Successful Response. The system searches for the eligibility response for the latest successful transaction occurred during the time period specified in the user preferences. If the eligibility response is available, the Real-Time Eligibility Response page opens displaying the response for t

Help Guide for NextGen® Enterprise PM 8

View Latest Successful Eligibility Response from Appointment book

Before you begin Submit NextGen® Eligibility Verification request for a patient. See Submit Eligibility Requests. You can view the latest NextGen® Eligibility Verification response from an appointment in the appointment book. In NextGen® Enterprise PM, select Appbook. The appointment book opens. Locate the appointment for the patient for whom you have submitted the NextGen® Eligibility Verification request and yet to receive the response. Right-click the appointment and select Eligibility Verification > View Latest Successful Response. The system searches for the eligibility response for the latest successful transaction during the time period specified in the user preferences. If the eligibility response is available, the Real-Time Eligibility Response page opens displaying the response for the latest successful transaction. If the eligibility response is not available, a message appears stating that the successful eligibility response for the specified period is not found. Parent top

Help Guide for NextGen® Enterprise PM 8

Eligibility Responses

The following sections explain the NextGen® Eligibility Verification Response received from the payer. The user interface for Real-Time Eligibility Response is informative and easy to navigate. Color codes and symbols make the data easy to understand and to confirm successful responses like Active, Inactive, and Limited. When a payer returns a Limited response, the message is advising providers to contact the payer with further verification. An example is an eligibility response record with a type 'V' (Cannot Process) is handled like type 'U' (Contact for Verification). You can view the latest successful eligibility response from the payer irrespective of having a pending status transaction for the specified time period (in days) as per user preference . To specify the number of days in the user preferences, go to NextGen Healthcare Success Community and download the latest Layout and User Preferences Guide for NextGen Enterprise PM, and refer to the Set General Preferences section. Yo

Help Guide for NextGen® Enterprise PM 8

Open Claim Status Report from Encounter

Before you begin Submit a claim status request for an encounter. In NextGen® Enterprise PM, do one of the following to open the Encounter Lookup window. On the toolbar, select Encounter. From the Tasks menu, select Lookup > Encounters. The Encounter Lookup window opens. Enter the search criteria to find the desired encounters and select Find. The Encounter List section displays the encounters matching the search criteria. Double-click the desired encounter. The Encounters tab on the Patient Chart opens displaying the details of the encounter. The Claim Status section displays the eligibility verification claim status details such as the claim status date and claim status result. The claim status result is a link. Select the claim status result link in Status. The Claim Status report opens displaying the following: Claim status response date and time. Statistical view of the claim status (accepted or rejected), bill amount, and paid amount. Collapsed view of the claim status requested f

View Latest Successful Eligibility Response from Encounter Lookup

Before you begin

Recommendations

View Latest Successful Eligibility Response from Appointment Lookup

View Latest Successful Eligibility Response from Appointment Information

View Latest Successful Eligibility Response from Encounter

View Latest Successful Eligibility Response from Appointment book

Eligibility Responses

Open Claim Status Report from Encounter

View Latest Successful Eligibility Response from Appointment Lookup

View Latest Successful Eligibility Response from Appointment Information

View Latest Successful Eligibility Response from Encounter

View Latest Successful Eligibility Response from Appointment book

Eligibility Responses

Open Claim Status Report from Encounter