Overview of Electronic Secondary Claims (COB)

Generating Secondary EDI Files
Electronic Secondary Claims (COB) Overview-NextGen® PM
Primary claims can still be generated without affecting secondary claims. When ready to generate secondary
claims, access the EDI File icon, click on the “Advanced” tab. Deselect the “Primary” and “Tertiary” options to
produce secondary claims in an EDI file separately.
BBP (Background Business Processer)
Uncheck Primary and Tertiary field to
generate a Secondary file separately.
Don‟t forget your star employee “Billy Bob Processer” (BBP). BBP is dependent upon your instructions
and guidance on assignments. When considering queuing up Batch Billing and EDI files in the same run:
Make sure your BBP is set up only to include “Primary” claims and not secondary‟s too, since it
requires monitoring of the Claim Production Status report for any out of balance COB claims that
may be edited.
Generating secondary claim files should be done manually until version 5.5.28.28 where the edits
are included in the Claim Edit Library.
Remember; treat BBP as you would any other employee. Check in and verify work is completed correctly
and in the time you specified on a consistent basis. If BBP jobs fail, verify the instructions you‟ve given
match what BBP is performing.
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