Alternate Payer Configuration Report Columns

Column	Description	Data Populates From
Payer Name	The name of the payer.	Payer Name field on the Payer Defaults-1 tab.
Alt Payer Name	The name of the alternate payer.	Alt Payer field on the Alt Payer Carve Out Criteria window
Eff Date	The effective date of the alternate payer.	Eff Date field on the Alt Payer Carve Out Criteria window
Exp Date	The expiration date of the alternate payer.	Exp Date field on the Alt Payer Carve Out Criteria window
Desc	The description of the alternate payer carve-out criteria.	Description field on the Alt Payer Carve Out Criteria window
Locations	The valid service locations for the alternate payer.	Valid Locations field on the Alt Payer Carve Out Criteria window
SIM Ranges	The service code ranges for the alternate payer.	SIM Ranges section on the Alt Payer Carve Out Criteria window
Diag Ranges	The diagnosis code ranges for the alternate payer.	ICD Ranges section on the Alt Payer Carve Out Criteria window
Rend Providers	The rendering providers for the alternate payer.	Rendering Provider field on the Alt Payer Carve Out Criteria window
Alt RTE Payer ID	The in-line edits payer ID for the alternate payer.	In-Line Edits Payer ID field on the Alt Payer Carve Out Criteria window
Taxonomy Code	The group/billing provider taxonomy code for the alternate payer.	Taxonomy Code field on the Alt Payer Carve Out Criteria window
Provider NPI	The group/billing provider NPI for the alternate payer.	National Provider ID field on the Alt Payer Carve Out Criteria window
Provider Number	The group provider number for the alternate payer.	Provider Number field on the Alt Payer Carve Out Criteria window
Hide	Delete Indicator	Hide check box on the Alt Payer Carve Out Criteria window

File Maintenance Help for NextGen® Enterprise 8

Alternate Payer Configuration Report Columns

You can choose the following columns to appear on the Alt Payer Configuration report. Column Description Data Populates From Payer Name The name of the payer. Payer Name field on the Payer Defaults-1 tab. Alt Payer Name The name of the alternate payer. Alt Payer field on the Alt Payer Carve Out Criteria window Eff Date The effective date of the alternate payer. Eff Date field on the Alt Payer Carve Out Criteria window Exp Date The expiration date of the alternate payer. Exp Date field on the Alt Payer Carve Out Criteria window Desc The description of the alternate payer carve-out criteria. Description field on the Alt Payer Carve Out Criteria window Locations The valid service locations for the alternate payer. Valid Locations field on the Alt Payer Carve Out Criteria window SIM Ranges The service code ranges for the alternate payer. SIM Ranges section on the Alt Payer Carve Out Criteria window Diag Ranges The diagnosis code ranges for the alternate payer. ICD Ranges section on the Alt

File Maintenance Help for NextGen® Enterprise

Alternate Payer Configuration Report Columns

You can choose the following columns to appear on the Alt Payer Configuration report. Column Description Data Populates From Payer Name The name of the payer. Payer Name field on the Payer Defaults-1 tab. Alt Payer Name The name of the alternate payer. Alt Payer field on the Alt Payer Carve Out Criteria window Eff Date The effective date of the alternate payer. Eff Date field on the Alt Payer Carve Out Criteria window Exp Date The expiration date of the alternate payer. Exp Date field on the Alt Payer Carve Out Criteria window Desc The description of the alternate payer carve-out criteria. Description field on the Alt Payer Carve Out Criteria window Locations The valid service locations for the alternate payer. Valid Locations field on the Alt Payer Carve Out Criteria window SIM Ranges The service code ranges for the alternate payer. SIM Ranges section on the Alt Payer Carve Out Criteria window Diag Ranges The diagnosis code ranges for the alternate payer. ICD Ranges section on the Alt

Help Guide for NextGen® Enterprise PM 8

Create an Alternate Payer Carve-Out Criteria

In File maintenance, select Master Files > System > PM and then select Payers. The Payers List window opens. Double-click a payer. The Modify Payer Information window opens. Select the Alt Payer tab. To create an alternate payer carve-out criteria, select open menu and then select New. The Add Alt Payer Carve Out Criteria window opens. In the Alt Payer Criteria section, do the following: Select an alternate payer from the list. You can also create a new alternate payer by selecting the open menu in the Alt Payer Criteria section. Select the effective and expiration date. Enter the description for the alternate payer carve-out criteria. Note: The alternate payer carve-out criteria details are practice specific. Select the required location. Note: When you select a location, the fields in the Billing Provider Information section are enabled. To enter the SIM range, select open menu and then select New. The Alt Payer Number SIM Range window opens. Enter the SIM range. Select the Populate

File Maintenance Help for NextGen® Enterprise 8

Create an Alternate Payer Carve-Out Criteria

In File maintenance, select Master Files > System > PM and then select Payers. The Payers List window opens. Double-click a payer. The Modify Payer Information window opens. Select the Alt Payer tab. To create an alternate payer carve-out criteria, select open menu and then select New. The Add Alt Payer Carve Out Criteria window opens. In the Alt Payer Criteria section, do the following: Select an alternate payer from the list. You can also create a new alternate payer by selecting the open menu in the Alt Payer Criteria section. Select the effective and expiration date. Enter the description for the alternate payer carve-out criteria. Note: The alternate payer carve-out criteria details are practice specific. Select the required location. Note: When you select a location, the fields in the Billing Provider Information section are enabled. To enter the SIM range, select open menu and then select New. The Alt Payer Number SIM Range window opens. Enter the SIM range. Select the Populate

Help Guide for NextGen® Enterprise PM 8

Create an Alternate Payer Carve-Out Criteria

In File maintenance, select Master Files > System > PM and then select Payers. The Payers List window opens. Double-click a payer. The Modify Payer Information window opens. Select the Alt Payer tab. To create an alternate payer carve-out criteria, select open menu and then select New. The Add Alt Payer Carve Out Criteria window opens. In the Alt Payer Criteria section, do the following: Select an alternate payer from the list. You can also create a new alternate payer by selecting the open menu in the Alt Payer Criteria section and then following the steps mentioned in Add an Alternate Payer. Select the effective and expiration date. Enter the description for the alternate payer carve-out criteria. Note: The alternate payer carve-out criteria details are practice specific. Select the required location. Note: When you select a location, the fields in the Billing Provider Information section are enabled. To enter the SIM range, select open menu and then select New. The Alt Payer Number

File Maintenance Help for NextGen® Enterprise

Create an Alternate Payer Carve-Out Criteria

In File maintenance, select Master Files > System > PM and then select Payers. The Payers List window opens. Double-click a payer. The Modify Payer Information window opens. Select the Alt Payer tab. To create an alternate payer carve-out criteria, select open menu and then select New. The Add Alt Payer Carve Out Criteria window opens. In the Alt Payer Criteria section, do the following: Select an alternate payer from the list. You can also create a new alternate payer by selecting the open menu in the Alt Payer Criteria section and then following the steps mentioned in Add an Alternate Payer. Select the effective and expiration date. Enter the description for the alternate payer carve-out criteria. Note: The alternate payer carve-out criteria details are practice specific. Select the required location. Note: When you select a location, the fields in the Billing Provider Information section are enabled. To enter the SIM range, select open menu and then select New. The Alt Payer Number

Alternate Payer Configuration Report Columns

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Alternate Payer Configuration Report Columns

Alternate Payer Configuration Report Columns

Create an Alternate Payer Carve-Out Criteria

Create an Alternate Payer Carve-Out Criteria

Create an Alternate Payer Carve-Out Criteria

Create an Alternate Payer Carve-Out Criteria

Alternate Payer Configuration Report Columns

Alternate Payer Configuration Report Columns

Alternate Payer Configuration Report Columns

Create an Alternate Payer Carve-Out Criteria

Create an Alternate Payer Carve-Out Criteria

Create an Alternate Payer Carve-Out Criteria

Create an Alternate Payer Carve-Out Criteria