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Help Guide for NextGen® Enterprise PM 8

View Latest Successful Eligibility Response from Encounter

Before you begin Submit NextGen® Eligibility Verification request for a patient. You can view the response for the latest successful transaction from the encounter on the patient chart.. In NextGen® Enterprise PM, select Encounter. The Encounter Lookup window opens. Using the search criteria, find the patient. The search result displays the list of encounters for the patient. On the Encounter Lookup window, double-click the encounter. The patient chart for the patient opens. The list of encounters for the patient is displayed in the Encounters window. On the Encounters list, right-click the encounter you want to view and select Eligibility Verification > View Latest Successful Response. The system searches for the eligibility response for the latest successful transaction occurred during the time period specified in the user preferences. If the eligibility response is available, the Real-Time Eligibility Response page opens displaying the response for the latest successful transaction.

Help Guide for NextGen® Enterprise PM 8

View Latest Successful Eligibility Response from Appointment book

Before you begin Submit NextGen® Eligibility Verification request for a patient. You can view the latest NextGen® Eligibility Verification response from an appointment in the appointment book. In NextGen® Enterprise PM, select Appbook. The appointment book opens. Locate the appointment for the patient for whom you have submitted the NextGen® Eligibility Verification request and yet to receive the response. Right-click the appointment and select Eligibility Verification > View Latest Successful Response. The system searches for the eligibility response for the latest successful transaction during the time period specified in the user preferences. If the eligibility response is available, the Real-Time Eligibility Response page opens displaying the response for the latest successful transaction. If the eligibility response is not available, a message appears stating that the successful eligibility response for the specified period is not found. Parent topic: Eligibility Responses

Help Guide for NextGen® Enterprise PM 8

View Latest Successful Eligibility Response from Appointment Lookup

Before you begin Submit NextGen® Eligibility Verification request for a patient. To view the latest NextGen® Eligibility Verification response from an appointment in the appointment lookup, do the following: In NextGen® Enterprise PM, select Appointments. The Appointment Lookup window opens. Using the search criteria, find the appointment with the NextGen® Eligibility Verification request and yet to receive the response. Right-click the appointment and select Eligibility Verification > View Latest Successful Response. The system searches for the eligibility response for the latest successful transaction during the time period specified in the user preferences. If the eligibility response is available, the Real-Time Eligibility Response page opens displaying the response for the latest successful transaction. If the eligibility response is not available, a message appears stating that the successful eligibility response for the specified period is not found. Parent topic: Eligibility Re

Help Guide for NextGen® Enterprise PM 8

View Latest Successful Eligibility Response from Encounter Lookup

Before you begin Submit NextGen® Eligibility Verification request for a patient. You can view the latest successful response from the encounter lookup. In NextGen® Enterprise PM, select Encounter. The Encounter Lookup window opens. Using the search criteria, find the patient. The search result displays the list of encounters for the patient. Right-click the encounter and select Eligibility Verification > View Latest Successful Response The system searches for the eligibility response for the latest successful transaction occurred during the time period specified in the user preferences. If the eligibility response is available, the Real-Time Eligibility Response page opens displaying the response for the latest successful transaction. If the eligibility response is not available, a message appears stating that the successful eligibility response for the specified period is not found. Parent topic: Eligibility Responses

Help Guide for NextGen® Enterprise PM 8

Transactions

Clients do not need to access the transaction information unless working with a NextGen Support Analyst. Transaction data displays technical details related to the NextGen® Eligibility Verification transaction. Parent topic: Eligibility Responses

Help Guide for NextGen® Enterprise PM 8

Eligibility Responses

The following sections explain the NextGen® Eligibility Verification Response received from the payer. The user interface for Real-Time Eligibility Response is informative and easy to navigate. Color codes and symbols make the data easy to understand and to confirm successful responses like Active, Inactive, and Limited. When a payer returns a Limited response, the message is advising providers to contact the payer with further verification. An example is an eligibility response record with a type 'V' (Cannot Process) is handled like type 'U' (Contact for Verification). You can view the latest successful eligibility response from the payer irrespective of having a pending status transaction for the specified time period (in days) as per user preference . To specify the number of days in the user preferences, go to NextGen Healthcare Success Community and download the latest Layout and User Preferences Guide for NextGen Enterprise PM, and refer to the Set General Preferences section. Yo

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View Latest Successful Eligibility Response from Encounter

View Latest Successful Eligibility Response from Appointment book

View Latest Successful Eligibility Response from Appointment Lookup

View Latest Successful Eligibility Response from Encounter Lookup

Transactions

Eligibility Responses

Transactions

View Latest Successful Eligibility Response from Encounter

View Latest Successful Eligibility Response from Appointment book

View Latest Successful Eligibility Response from Appointment Lookup

View Latest Successful Eligibility Response from Encounter Lookup

Transactions

Eligibility Responses