NextGen Knowledge Center

Set Up the COB Claims Tab

The COB Claims tab on the Encounter Rate Billing Library Maintenance window defines whether or not payers that may be subsequent to an encounter rate payer require the ER SIM code on their secondary or tertiary claims.

To set up COB claim rules for subsequent payers to the ER payer, do the following:

  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 COB Claims tab.
  5. Select Subsequent Payers require Enc Rate SIM.
    The Except Payers that do not accept Encounter Rate SIM section becomes available.
  6. Select open folder icon.
    The Payers window opens.
  7. In the Financial Class field, select a financial class from the list.
    The Available section lists the payers within the selected financial class.
  8. Select OK.
    The Subsequent Payers require Enc Rate SIM check box becomes unavailable and payers in the exception list display in the Except Payers that do not accept Encounter Rate SIM section.
Set Up the COB Claims Tab