Overview of Electronic Secondary Claims (COB)
Overview of Electronic Secondary Claims (COB)
Overview of Electronic Secondary Claims (COB)
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Balancing <strong>COB</strong> Window<br />
<strong>Electronic</strong> <strong>Secondary</strong> <strong>Claims</strong> (<strong>COB</strong>) <strong>Overview</strong>-NextGen® PM<br />
Certain elements <strong>of</strong> the electronic file are required to balance. There are two balancing formulas<br />
associated with the <strong>COB</strong> window:<br />
1. Paid Amount + Sum <strong>of</strong> all Adjustments (including PR‟s) = Billed Amount (charge amount)<br />
2. Paid Amount + Sum <strong>of</strong> all Patient Responsibility (PR‟s) amounts = Allowed Amount<br />
If the allowed amount is empty, update each payment row for the <strong>COB</strong> claim to balance.<br />
If "Warn on <strong>COB</strong> imbalance” is checked in Practice Preferences, the system will display a message if the<br />
balancing calculations are incorrect:<br />
NEXTGEN® Healthcare, Inc. EPM<strong>Claims</strong><br />
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