Insurance Information
The
Insurance Information
grid displays all payers attached to the case.
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NextGen® Therapy Suite Help 30.3.13.0
Precertification/Authorization Panel
The grid in the Precertification/Authorization panel initially displays all authorizations entered for that case. When you select a payer in the Insurance Information grid, you then see authorizations for that payer. You can enter new information, update it, or remove authorizations. Precertification/Authorization panel No Authorization Required Enter a New Authorization by Visits Re-certify an Existing Authorization Enter a New Authorization by Units Mark an Authorization as Done Editing an Existing Authorization Establish a Patient as Self Pay View Usage and Fix/Apply Precert Parent topic: Pre-cert Template
NextGen® Therapy Suite Help 30.3.13.0
Messages
Use the Messages panel to enter payer-specific messages regarding the authorization needs for the patient. Add a Message for a Payer Edit a Payer Message Parent topic: Pre-cert Template
NextGen® Therapy Suite Help 30.3.13.0
Pre-cert Template
The Pre-Cert template has a grid showing information for all payers attached to the case, a panel for messages that can be sent to payers, and a panel to view and record information on pre-certification and authorization. Pre-Cert template Insurance Information Messages Precertification/Authorization Panel Understanding the Pre-cert Count Explanation of why the pre-certification count differs between the Pre-certs grid on the NTS Homepage and the Pre-Cert template. Parent topic: Using NextGen Therapy Suite
NextGen® Therapy Suite Help 30.3.13.0
Insurance Grid
The Insurance grid displays any insurance attached to the case. The Pre-Cert Req column of the grid shows whether a payer attached to the case requires precertification/authorization prior to treatment. Payers that require authorization are configured in the Precert Configuration system template. For more information and instructions on configuring precertification, go to NextGen Healthcare Success Community and download the latest Configuration Guide for NextGen® Therapy Suite. If a payer is marked as “Required”, the only type of visit you will be able to submit charges on without entering a precertification authorization number is an Evaluation. All other visit types require you to enter a valid authorization or mark that payer as “Not Required” prior to submitting charges (see the Pre-cert Template chapter). Parent topic: Insurance Section
NextGen® Orthopedic Suite Help 80.2.14.0
Insurance Information Panel
The Insurance panel pulls insurance information from the encounter. This information is read-only and cannot be updated from this panel. Parent topic: Preregistration of Patients
NextGen® Therapy Suite Help 30.3.13.0
Insurance Section
The Insurance section has a grid showing insurers attached to the case and buttons that give you options for dealing with special insurance scenarios. Insurance section on the Homepage template Insurance Grid Join Cases When a Patient’s Insurer Changes When a patient’s insurer changes during an episode of care, you can join cases to transfer data from the original case to a new one. DC Override Payer Override Parent topic: Homepage Template
