In NextGen® Enterprise PM, select the Admin menu and then select Preferences > Practice.
The Practice Preferences window opens.
In the Preference List on the left, select Claims.
To select the default facility code to display on all UB claims for the practice, select a code in the Type of Facility field. The code selected here is the first digit of the three-digit Type of Bill code that displays in Field Locator 4 on UB claims.
Note: The Type of Facility field must be populated to enable UB claims for the practice. This also enables UB Claims tabs on the Add/Modify Payer Information window that are used to setup UB claims for specific payers.
Type of Facility codes are maintained in Code Tables in the File Maintenance. The codes cannot be changed, but the descriptions can be modified if needed. Only the code displays on UB claims.
The Type of Facility code table includes the following:
Type of Facility
Description
5
Christian Science (Ext Care)
4
Christian Science (Hospital)
7
Clinic
3
Home Health
1
Hospital
6
Intermediate Care
2
Skilled Nursing
8
Special Facility
Select the Bill Classification code to be used as the default on all UB claims for the practice, in the UB Claims Form section. The code selected is the second digit of the three-digit Type of Bill code that displays in Field Locator 4 on UB claims.
Note: The Bill Classification field must be populated to enable UB claims for the practice. This also enables UB Claims tab on the Add/Modify Payer Information window that are used to setup UB claims for specific payers.
Bill Classification codes are maintained in Code Tables in the File Maintenance. The codes cannot be changed, but the descriptions can be modified if needed. Only the code displays on UB claims.
The Bill Classification code table includes the following:
Bill Classification Code
Description
6
Community Mental Health Center
5
Comp Outpatient Rehab Facility
3
Free Standing
9
Other
4
Outpatient Rehab Facility
2
Renal Dialysis Center
7
Reserved
1
Rural Health
8
Swing Bed
In the UB Claims Form section on the right, enter a numeric value in Frequency of Bill to be used as the default on all UB claims for the practice. The code entered here is the third digit of the three-digit Type of Bill code that displays in Field Locator 4 on UB claims.
Note: The Frequency of Bill field should be populated if you are a Regular UB user. The field should not be populated if you are an Enhanced UB user wanting to automate the recurring UB claims process.
Commonly used Frequency of Bill codes include the following:
Frequency of Bill
Description
1
Admit through Discharge claim first
2
Interim claim
3
Interim continuing claim
4
Interim last claim
In the UB Claim Form section on the right, select the Source of Admission code to be used as the default on all UB claims for the practice.
Source of Admission codes are maintained in Code Tables in File Maintenance. The codes cannot be changed, but the descriptions can be modified if needed. Only the code displays on UB claims.
The Source of Admission code table includes the following:
