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Configure Claims for ER Payer in Encounter Rate Billing Library

  1. Open File Maintenance.
  2. Select Libraries > Encounter Rate Billing.
    The Encounter Rate Billing List window opens.
  3. Do one of the following:
    • To add a library, select the open menu button and then select New.
    • To modify a library, select the library from the list, select the open menu button , and then select Open.
    The Encounter Rate Billing Library Maintenance window opens.
  4. Select the Claims tab.
  5. Do one of the following:
    • To add a Claim Detail Rules set, select the open menu button and then select New.
    • To modify a Claim Detail Rules set, double-click or select a row from the list and then select Open in the open menu button .
    • To copy a Claim Detail Rules set, select the row from the list, and select open menu button and select Copy.
    The Encounter Rate Claim Detail Rules window opens.
  6. In the Effective Date and Expiration Date fields, enter an effective date and an expiration date for the claim detail rules.
  7. In the Description field, enter a name for the claim detail rules.
  8. Use the following table to select the appropriate settings for Primary Electronic Claims, Secondary Electronic Claims, and Tertiary Electronic Claims.
  9. To save changes and close the window, select OK.
Configure Claims for ER Payer in Encounter Rate Billing Library