Before you start...
Setting up the HICAPS Digital Claims integration is essential prior to processing any payments or claims for icare via HICAPS Digital Claims.
Adding Claimable Services and Classes
Once HICAPS Digital Claims is linked to Nookal, Services, Classes, Inventory and Passes will need to be set as Claimable.
1. Go to Setup > Items > Services.
2. Click on the Service to open the details page.
3. In the Integrations section, tick the box “Is Claimable” next to HICAPS.
Important!
Enable Integrations needs to be ticked for the item to be able to claim it with HICAPS Digital Claims.
4. Click Save Changes.
5. Repeat for all claimable Services, Classes, Inventory and Passes.
6. Once the items are set as claimable, go back to Setup > Connections > Integrations > HICAPS Digital Claims > Configure.
7. Click on the icare NSW tab.
8. Add the specific icare Code for each item claimable with icare.
9. Once all the codes are added, click Save Custom Codes.
Submitting icare Claims
1. In the Diary, open the booking and click Generate Invoice.
2. Edit or add items if required and click the Pay Via button and select HICAPS from the bottom of the invoice.
3. Select icare.
4. Click Setup to expand the section in which some required icare claiming details will be pre-filled from information in Nookal.
5. Enter or edit any missing or inaccurate information. Please note that these details (such as the Patient Membership No) will need to be entered manually for the first claim for each client. These icare details will then be saved for all future claims.
Hot Tips If you select SIRA as your primary provider no, you also should select a Medicare provider number (not required but may speed up claim resolution by up to a week)
Hot Tips
Click Validate to check that the information entered is accurate prior to submitting the claim for payment.
Member verification - checks to see if the membership number is valid
6. Double check the correct items for claiming have been selected, and click Pay with HICAPS.
7. The invoice will be submitted and the status will be set as Pending. Any action related to the claim can be seen in the History tab on the invoice. The paid amount will be added to the invoice automatically once icare has processed the claim.
Same Day Claim Cancellation
Same day cancellations of claims is possible up until 5pm AEDT. To cancel a claim:
1. Open the invoice and click on Pay Via and then HICAPS.
2. Open the History tab, and click Cancel.
3. Enter a Reason for cancellation and click Cancel.
Discover more...
View a list of submitted claims and their statuses using the HICAPS Report via Reports > Financials> HICAPS