Processing Paper Claims

Help Guide for NextGen® Enterprise PM 8

Process Claim Requests for Multiple Encounters

To process claim requests for more than one encounter, use the Claim Request Lookup feature to locate claim requests that are in a Pending status. You can set the search criteria for the lookup to narrow your search to specific types of claim requests. Select Claim Lookup on the NextGen® Enterprise PM main menu. The Claim Request Lookup window appears. Select Pending in the Request Status field. Enter the additional search criteria that you want to use to locate the claim requests. Select Find. The Claim Request Lookup lists the claim requests that match your criteria in the Claim Requests section of the window. Place an x in the check boxes next to the claim requests that you want to process. To select all the claim requests in the list, place an x in the top check box on the column heading bar. Right-click on one of the claim requests that you selected and choose Print > Claims option from the short-cut menu. The Claim Printing window appears. Select the Print Format that you want to

Help Guide for NextGen® Enterprise PM 8

Processing Paper Claims

This section explains how paper claims are processed. The process for processing a claim include: Select the form, right-click and select Print. Verify claim for accuracy. Set up or modify Claim Printing Library options as necessary. Attach Claim Printing Library to a Practice. Override the default Claim Printing Library. Process a Claim for a Single Encounter You can process a claim for a single encounter. Parent topic: Claims Processing

Help Guide for NextGen® Enterprise PM 8

Process a Claim for a Single Encounter

Open the patient chart and select the Encounters tab. To process a claim, right-click the applicable encounter and then click Claims. The Encounter Claim Requests window opens. You can generate a claim print for a claim request having electronic media type by right selecting the claim request and disabling the Electronic claim option. Note: The alternate payer name appears in the Payer-Insured column for a carve-out claim. Right-click a claim request and then select Print. The Claim Printing window opens. In the Print Format list, do one of the following: Select Actual Claim Form to generate the claim form that you want to submit to the payer. Select Claim Copy - Not for Submission to generate a copy or spare claim form that you do not intend to submit to a payer. Select Preview to preview the claims. Select the Update 'Pending' to 'Archived' status on paper claim check box to automatically archive the claims after claim printing. Select Options to configure the claim print settings. F

Help Guide for NextGen® Enterprise PM 8

Preview and Print Paper Claims

The Claim Printing window enables you to bulk preview and print the paper claim forms. In NextGen® Enterprise PM, select File > Print Forms > Claims. The Claim Printing window opens. Select the preferred Print Format. Select the type of Form. Do one of the following: Select Preview to view the claim forms. Select OK to print the claim forms. Parent topic: Generating and Submitting Claims

Help Guide for NextGen® Enterprise PM 8

Preview and Print Paper Claims

The Claim Printing window enables you to bulk preview and print the paper claim forms. In NextGen® Enterprise PM, select File > Print Forms > Claims. The Claim Printing window opens. Select the preferred Print Format. Select the type of Form. Do one of the following: Select Preview to view the claim forms. Select OK to print the claim forms. Parent topic: Generating and Submitting Claims

Help Guide for NextGen® Enterprise PM 8

Process a Claim for a Single Encounter

Open the patient chart and select the Encounters tab. To process a claim, right-click the applicable encounter and then click Claims. The Encounter Claim Requests window opens. You can generate a claim print for a claim request having electronic media type by right selecting the claim request and disabling the Electronic claim option. Note: The alternate payer name appears in the Payer-Insured column for a carve-out claim. Right-click a claim request and then select Print. The Claim Printing window opens. In the Print Format list, do one of the following: Select Actual Claim Form to generate the claim form that you want to submit to the payer. Select Claim Copy - Not for Submission to generate a copy or spare claim form that you do not intend to submit to a payer. Select Preview to preview the claims. Select the Update 'Pending' to 'Archived' status on paper claim check box to automatically archive the claims after claim printing. Select Options to configure the claim print settings. S

Processing Paper Claims

Recommendations

Process Claim Requests for Multiple Encounters

Processing Paper Claims

Process a Claim for a Single Encounter

Preview and Print Paper Claims

Preview and Print Paper Claims

Process a Claim for a Single Encounter

Processing Paper Claims

Process Claim Requests for Multiple Encounters

Processing Paper Claims

Process a Claim for a Single Encounter

Preview and Print Paper Claims

Preview and Print Paper Claims

Process a Claim for a Single Encounter