Electronic Send Report Columns

Column Name	Description	Window Pulling From	Default
Group	Functional Group: The number that identifies the GS/GE segment that will be sent in the file.	Automatically calculated by the application.	X
TSet	Transaction Sets: The number that identifies the ST/SE segment that will be sent in the file.	Automatically calculated by the application.	X
EMC Provider	Electronic Media Claim Provider (this is the provider number) Provider NPI		X
UB92 Field Loc 51	FL56 NPI
Group Number	Group Number
Encounter	Encounter Number	Patient Chart	X
Claim ID Nbr	Claim ID Number
Pat Name	Patient Name	Patient Maintenance	X
Payer Name	Payer Name Note: The report displays the alternate payer name for a carve-out claim.	Insurance Information for Encounter in Patient Chart	X
Policy #	Policy Number	Insurance Information for Encounter in Patient Chart	X
Amt	Amount	The dollar amount of each claim individually and collectively	X
Clm File Sts	Claim File Status: The Accepted to file and Rejected from file statuses	Automatically generated by the application	X
Rej Rsn	Rejection Reason	Automatically generated by the application	X
Prac ID	Practice Identifier - internal	Practice master file
Rend NPI	Rendering NPI		X
Grp NPI	Group NPI		X
Prac Name	Practice Name	Practice master file
Provider Name	Provider name for claim	Rendering Provider on the encounter

Help Guide for NextGen® Enterprise PM 8

Electronic Send Report Columns

The following columns are available on the Electronic Send report. Column Name Description Window Pulling From Default Group Functional Group: The number that identifies the GS/GE segment that will be sent in the file. Automatically calculated by the application. X TSet Transaction Sets: The number that identifies the ST/SE segment that will be sent in the file. Automatically calculated by the application. X EMC Provider Electronic Media Claim Provider (this is the provider number) Provider NPI X UB92 Field Loc 51 FL56 NPI Group Number Group Number Encounter Encounter Number Patient Chart X Claim ID Nbr Claim ID Number Pat Name Patient Name Patient Maintenance X Payer Name Payer Name Note: The report displays the alternate payer name for a carve-out claim. Insurance Information for Encounter in Patient Chart X Policy # Policy Number Insurance Information for Encounter in Patient Chart X Amt Amount The dollar amount of each claim individually and collectively X Clm File Sts Claim File S

Help Guide for NextGen® Enterprise PM 8

Claim Production Status Report Columns

The following columns are available on the Claim Production Status report. Column Name Description Data Populates From Chrg Amt SIM Total Charge Amount Charge Posting Claim Edit Billing Reviews the encounter for additional information needed: Validates if a line-item referral is required for the encounter and not present on the encounter. Checks the CPT code and verifies if a test result or test date is needed. Claim Edits Library COB COB Indicator 1 = Primary 2 = Secondary 3 = Tertiary Edit ID Claim Edit ID Claim Edits Library Enc Age Encounter Age Current Date - Create Date = Encounter Age Enc Referring Encounter Referring Provider Encounter Maintenance Encounter Source Number Encounter Maintenance Enc Created By Encounter Created By Encounter Maintenance Enc Create Dt Encounter Create Date Encounter Maintenance Err Number of Errors Encounters Claim Production Status Report Form Claim Form Payers Master File or SIM Library Help Text Claim Edit Help Text Claim Edits Library Insured In

Help Guide for NextGen® Enterprise PM 8

Claim Production Status Report Columns

The following columns are available on the Claim Production Status report. Column Name Description Data Populates From Chrg Amt SIM Total Charge Amount Charge Posting Claim Edit Billing Reviews the encounter for additional information needed: Validates if a line-item referral is required for the encounter and not present on the encounter. Checks the CPT code and verifies if a test result or test date is needed. Claim Edits Library COB COB Indicator 1 = Primary 2 = Secondary 3 = Tertiary Edit ID Claim Edit ID Claim Edits Library Enc Age Encounter Age Current Date - Create Date = Encounter Age Enc Referring Encounter Referring Provider Encounter Maintenance Encounter Source Number Encounter Maintenance Enc Created By Encounter Created By Encounter Maintenance Enc Create Dt Encounter Create Date Encounter Maintenance Err Number of Errors Encounters Claim Production Status Report Form Claim Form Payers Master File or SIM Library Help Text Claim Edit Help Text Claim Edits Library Insured In

Help Guide for NextGen® Enterprise PM 8

Eligibility Referral Report Columns

The following columns are available on the Eligibility Referral report: Column Name Description Data Populates From Prac Name Practice Name Practice master file Pat Name Patient Full Name Patient Maintenance Per Nbr Person Number Patient Information Insured Name of Insured Guarantor Maintenance Insured Pat Nbr Patient's HIC/Policy Number Insurance Maintenance Rendering Rendering Provider (Requesting Physician) Requesting physician from Inquiry Referred To Referral Rendering Referred To field on the referral inquiry Provider Subgrouping 1 Provider Subgrouping 1 Systems tab on the Provider Master (adds data to the list from the Requesting Physician field on the Inquiry) Provider Subgrouping 2 Provider Subgrouping 2 Systems tab on the Provider Master (adds data to the list from the Requesting field on the Inquiry) Payer Name Payer Name associated with transaction Insurance Maintenance associated with the transaction Payer Subgrouping 1 Payer Subgrouping 1 Payer Defaults 2 tab on the Payer

Help Guide for NextGen® Enterprise PM 8

Eligibility Referral Report Columns

The following columns are available on the Eligibility Referral report: Column Name Description Data Populates From Prac Name Practice Name Practice master file Pat Name Patient Full Name Patient Maintenance Per Nbr Person Number Patient Information Insured Name of Insured Guarantor Maintenance Insured Pat Nbr Patient's HIC/Policy Number Insurance Maintenance Rendering Rendering Provider (Requesting Physician) Requesting physician from Inquiry Referred To Referral Rendering Referred To field on the referral inquiry Provider Subgrouping 1 Provider Subgrouping 1 Systems tab on the Provider Master (adds data to the list from the Requesting Physician field on the Inquiry) Provider Subgrouping 2 Provider Subgrouping 2 Systems tab on the Provider Master (adds data to the list from the Requesting field on the Inquiry) Payer Name Payer Name associated with transaction Insurance Maintenance associated with the transaction Payer Subgrouping 1 Payer Subgrouping 1 Payer Defaults 2 tab on the Payer

Help Guide for NextGen® Enterprise PM 8

Report Columns and Subcolumns

The Columns configuration enables you to select the desired columns and display values on the Estimate Patient Cost report. The following columns appear on the report based on your selection. The data for the fields are sourced from the fields on the Estimate Patient Cost window. By default, the report displays the cost estimates done today. Column Name Description Practice Name Name of the current practice. Appears by default. Cost Est ID The unique identifier of the cost estimate. Appears by default. Cost Est Dt Date when the cost estimate was performed. Appears by default. Transaction Dt Date of transaction. Appears by default. Pat Name Name of the person or patient. Appears by default. Payer/Self Pay Self-Pay or name of the payer. Appears by default. Provider Name of the rendering provider. Appears by default. Est Ins Amt Estimated insurance amount. Appears by default. Act Ins Amt Actual insurance amount. Appears by default. Diff Ins Amt Difference in insurance amount. Appears by d

Electronic Send Report Columns

Recommendations

Electronic Send Report Columns

Claim Production Status Report Columns

Claim Production Status Report Columns

Eligibility Referral Report Columns

Eligibility Referral Report Columns

Report Columns and Subcolumns

Electronic Send Report Columns

Electronic Send Report Columns

Claim Production Status Report Columns

Claim Production Status Report Columns

Eligibility Referral Report Columns

Eligibility Referral Report Columns

Report Columns and Subcolumns