26.10.2013 Views

Overview of Electronic Secondary Claims (COB)

Overview of Electronic Secondary Claims (COB)

Overview of Electronic Secondary Claims (COB)

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

<strong>COB</strong> Process Flow<br />

<strong>Electronic</strong> <strong>Secondary</strong> <strong>Claims</strong> (<strong>COB</strong>) <strong>Overview</strong>-NextGen® PM<br />

Payment posting begins with the creation <strong>of</strong> a posting batch. This document will describe the pertinent<br />

information required for creating a balanced <strong>COB</strong> claim under the assumption the user is pr<strong>of</strong>icient in<br />

manual transaction posting within the NextGen® application.<br />

Adjudication Date- Batch Header Default<br />

The adjudication date is the date the primary payer paid the claim. The adjudication date is an EDI<br />

requirement for all electronic secondary claims.<br />

Batch Maintenance Header<br />

If you are posting multiple checks in a single batch where the adjudication dates are different, leave<br />

Adjudication Date blank.<br />

NEXTGEN® Healthcare, Inc. EPM<strong>Claims</strong><br />

© Copyright 2010 All Rights Reserved Confidential and Proprietary DO NOT COPY<br />

V5.6SP1 Sept2010 Page 12 <strong>of</strong> 29

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!