Claim Print Options in Common Rules Tab

Help Guide for NextGen® Enterprise PM 8

Universal Options

Field Universal Options Description Common Rules Tab Enable nine character procedure codes Allows 9-digit procedure codes for paper claims. Populate claim patient control fields (HCFA Box 26, UB92 Field Loc 3, ADA Box 61) with claim-specific Claim Number instead of Practice ID & Encounter Nbr Prints the claim number instead of the patient control number on all claim forms. CMS Standard Font (Times New Roman) Changes the default font of Arial to the CMS approved font of Times New Roman. After you make this selection, claims will display and print in the following font and size: UB04 (2004) - Times New Roman 9-point ADA (2024) - Times New Roman 9- point CMS 1500 (2012) - Times New Roman 10-point Note: Times New Roman is a CMS approved font. OCR devices can easily read this font and it may decrease the number of claims that are rejected due to OCR misreads. Parent topic: Claim Print Options in Common Rules Tab

Help Guide for NextGen® Enterprise PM 8

Set Up Claim Print Options for All Payers

The Common Rules tab lists the Claim Printing options that apply to all payers. You must create and attach a Claim Printing library to a practice at the practice preference level before a paper claim can be generated. 1500 Claims, UB Claims, and ADA Claims are available in the Claim Printing library. The Claim Printing library attached at the practice preferences level is the default library. At the payer level, if needed, you can set up an alternate Claim Printing library for a specific payer. In File Maintenance, select Libraries > Claim Printing. The Claim Printing List window opens. Select the library, and then select New. The Claim Printing window opens. The Claim Printing library enables you to specify options that define which information prints on claim forms. Select the claim type in the 1500 Claims, UB Claims, and ADA Claims fields. Select the settings for the print options in the Option and Setting columns. Select OK. Parent topic: Claim Print Options in Claim Printing Libra

Help Guide for NextGen® Enterprise PM 8

Claim Print Options When the Payer is Primary

This following sections consist of the Claim Printing options in the Exceptions: When Payer is Primary tab: 1500 CMS Options (2012) UB92 Options ADA (2019 and 2024) Form Options For Primary Payer For more information on how to set up the Claim Printing options in the Exceptions: When Payer is Primary tab, refer to Set Up Exceptions for the Primary Payer. 1500 CMS Options (2012) UB92 Options ADA (2019 and 2024) Form Options For Primary Payer There are several common claim print options applicable to ADA 2019 and ADA 2024 for the primary payer. Parent topic: Claim Printing Options

Help Guide for NextGen® Enterprise PM 8

Claim Print Options When the Payer is Secondary

This following sections consist of the Claim Printing options in the Exceptions: When Payer is Secondary tab: CMS 1500 (2012) UB04 & UB92 Options ADA (2019 and 2024) Form Options for Secondary Payer Coordination of Benefits Options For more information on how to set up the Claim Printing options in the Exceptions: When Payer is Secondary tab, refer to Set Up Exceptions for a Secondary Payer. CMS 1500 (2012) UB04 & UB92 Options There are several claim print options applicable to UB04 and UB92 claim form for all payers. ADA (2019 and 2024) Form Options for Secondary Payer There are several common claim print options applicable to ADA 2019 and ADA 2024 claim forms for the secondary payer. Coordination of Benefits Options Parent topic: Claim Printing Options

Help Guide for NextGen® Enterprise PM 8

Claim Print Options When the Payer is Tertiary

This following sections consist of the Claim Printing options in the Exceptions: When Payer is Tertiary tab: 1500 CMS Options (2012) UB04 and UB92 Options ADA (2019 and 2024) Form Options for Tertiary Payer Coordination of Benefits Options For more information on how to set up the Claim Printing options in the Exceptions: When Payer is Tertiary tab, refer to Set Up Exceptions for a Tertiary Payer. 1500 CMS Options (2012) UB04 and UB92 Options ADA (2019 and 2024) Form Options for Tertiary Payer There are several common claim print options applicable to ADA 2019 and ADA 2024 claim forms for the tertiary payer. Coordination of Benefits Options Parent topic: Claim Printing Options

Help Guide for NextGen® Enterprise PM 8

UB(04) Form Print Options for All Payers

UB 04 Options Description [FL1] Billing/Location address Prints the service location in FL1 and the billing information in FL2 from one of the following: <none> Blank Phys Billing Name/AddressIncludes the phone number and the override of the name from the UB tab of the payer. Service Facility Name/AddressThe service location name and address, which is the same information that prints in box 32 of the HCFA form. [FL2] Billing/Location address Prints the service location in FL1 and the billing information in FL2 from one of the following: <none> Blank Phys Billing Name/AddressIncludes the phone number and the override of the name from the UB tab of the payer. Service Facility Name/AddressThe service location name and address, which is the same information that prints in box 32 of the HCFA form. Service Facility Name/Address if different from FL1Prints the service facility information if the address (line 1, city, state, and zip) is different from the phys billing address; otherwise, the

Claim Print Options in Common Rules Tab

Recommendations

Universal Options

Set Up Claim Print Options for All Payers

Claim Print Options When the Payer is Primary

Claim Print Options When the Payer is Secondary

Claim Print Options When the Payer is Tertiary

UB(04) Form Print Options for All Payers

Claim Print Options in Common Rules Tab

Universal Options

Set Up Claim Print Options for All Payers

Claim Print Options When the Payer is Primary

Claim Print Options When the Payer is Secondary

Claim Print Options When the Payer is Tertiary

UB(04) Form Print Options for All Payers