Potential Non-Clinical Urgent
Claims for Horizon Blue Cross Blue Shield of New Jersey Are Rejected for Having the Same Billing and Rendering Provider Information
Known Issue #
KI203613
Published Date
November 14, 2024
Issue
NextGen Healthcare has identified an issue with NextGen® Office PM where claims for Horizon Blue Cross® Blue Shield® of New Jersey are rejected for having the same billing and rendering provider information.
Steps to Recreate the Issue
- Open NextGen Office PM, create or open a patient chart, and then create an encounter.
- Select Billing, and then select Enter Charges.
- On the Billing & Providers tab, select Dual Provider for Rendering Provider, and select Dual Provider for Billing Provider.
- Enter the other required information, and then select Create Claim.
Both the billing provider and rendering provider appear in the claim details and in the ANSI file for Horizon Blue Cross Blue Shield of New Jersey.
Actions Required
Until this issue is fixed, users can select No Rendering Provider instead of Dual Provider in the claim.
Status
This issue will be fixed in a future release.
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The issue described herein is a confirmed issue for the stated version(s). The issue may affect additional versions that have not been verified. If you are using a version that is affected by this issue but not included here, please report the issue through NextGen Healthcare Success Community.
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