NextGen Knowledge Center

Configure Payers That Do Not Bill for Medication Marked Billable

For any billable medication selected in the Medication Information Configuration grid, you can set up financial class and payer exceptions who do not bill for that medication.

  1. In the Medication Information Configuration grid, select the billable medication for which you want to add the rule.
    The drug name, J-Code and NDC number for the selected medication are displayed in blue text on the Medication Billing Rules panel header.
  2. Select the field below the Financial Class column of the Payers that DO NOT bill for Medication marked Billable grid.
    The MLTS Medcfg Finclass Payer PL picklist window for financial classes opens.
  3. Select a financial class and select OK.
    The MLTS Medcfg Finclass Payer PL picklist window for payers opens.
  4. Select a payer and select OK.
  5. Select Add.

    The Financial class/Payer entry is added to the grid.