997/999 File

Help Guide for NextGen® Enterprise PM 8

277 File

This section explains the 277 file. The basic steps in working with the 277 file include: Download the file from the payer or clearing house. Select the File menu and select Processes > Claim Status Import. Print the report. Import 277 Claim Status Updates View Claim Status Results on the Patient Chart COB Balancing Using the 5010 Format Set Up a COB Imbalance Warning Parent topic: Claims Processing

Help Guide for NextGen® Enterprise PM 8

997/999 File

This section explains the 997/999 file. The basic steps in working with the 997 and 999 file include: Download the file from the payer or clearing house. Select the File menu and select Processes > Claim Acknowledgement Import. Print the report. Functional Acknowledgements Parent topic: Claims Processing

Help Guide for NextGen® Enterprise PM 8

277 File

This section explains the 277 file. The basic steps in working with the 277 file include: Download the file from the payer or clearing house. Select the File menu and select Processes > Claim Status Import. Print the report. Import 277 Claim Status Updates View Claim Status Results on the Patient Chart COB Balancing Using the 5010 Format Set Up a COB Imbalance Warning Parent topic: Claims Processing

Help Guide for NextGen® Enterprise PM 8

Claims Processing

Claims can be processed on demand or in batch mode. This section explains: Paper claims Electronic claims - 837 files 997 files 277 files ERA - 835 files COB - manual posting Processing Paper Claims Claim Production Status Report Processing Electronic Claims - 837 Files Process Claim Requests for Multiple Encounters 997/999 File 277 File Coordination of Benefits Electronic and Manual Processing You can view information on all the payers for EDI claims in the Coordination of Benefits Information window.

NextGen® Background Business Processor User Guide

Claim Acknowledgment Import Job

You can create the job to download and export the claim acknowledge report by configuring the fields as described in the following table. Field Description Source Directory Indicates the directory that you want the job to poll for new 997 files. Update Claim Request Acknowledgment Status? Indicate whether you want the claim request acknowledgment status updated when the job processes. Claim Acknowledgment Report: Printer Name If you indicated that you want the Claim Acknowledgment report sent to the printer, identify the printer you want to use. You can also apply the following settings to the printer: Orientation Tray Size Number of copies Claim Acknowledgment Report: Export Format If you indicated that you want the Claim Acknowledgment report exported, identify the file format you want the job to use. Claim Acknowledgment Report: Export File Name If you indicated that you want the Claim Acknowledgment report exported, enter the file name for the exported file that you want the job to

NextGen® Background Business Processor Help 8

Claim Acknowledgment Import Job

You can create the job to download and export the claim acknowledge report by configuring the fields as described in the following table. Field Description Source Directory Indicates the directory that you want the job to poll for new 997 files. Update Claim Request Acknowledgment Status? Indicate whether you want the claim request acknowledgment status updated when the job processes. Claim Acknowledgment Report: Printer Name If you indicated that you want the Claim Acknowledgment report sent to the printer, identify the printer you want to use. You can also apply the following settings to the printer: Orientation Tray Size Number of copies Claim Acknowledgment Report: Export Format If you indicated that you want the Claim Acknowledgment report exported, identify the file format you want the job to use. Claim Acknowledgment Report: Export File Name If you indicated that you want the Claim Acknowledgment report exported, enter the file name for the exported file that you want the job to

997/999 File

Recommendations

277 File

997/999 File

277 File

Claims Processing

Claim Acknowledgment Import Job

Claim Acknowledgment Import Job

277 File

997/999 File

277 File

Claims Processing

Claim Acknowledgment Import Job

Claim Acknowledgment Import Job