If you're using a Tyro Health EFTPOS terminal integrated with Nookal, you can also use Medicare Easyclaim for Clients to receive their Medicare rebate immediately after paying for their session. This process is also referred to as Patient Paid.
Before you start...
Ensure the Tyro Integration is connected prior to attempting any Medicare Easyclaims.
Prior to claiming with Medicare Easyclaim successfully, 3 sections need to be set properly the Client Profile, The Case and the Booking.
Client Profile
The Client profile requires the Client's First and Last Name, DOB and Gender.
The Client's Health section needs the Medicare Card details verified and the Claimant if appropriate.
For all the details see Required Client Details for Medicare Claims.
Medicare Case
In order to process successful claims, a Case needs to be set up with all the required details.
It is recommended to change the Case title to EPC or CDM with the year (e.g. "EPC 2020")
The Case needs Medicare set as the Payer with a Referral Doctor and Date along with the number of sessions approved.
For more details, see Setting Up a Medicare EPC or CDM Case.
Bookings
Confirm the booking is linked to the appropriate Case and Payer or change it.
Once all the above has been set, the claim is ready to be processed.
Claiming Patient Paid Sessions
1. Click Generate Invoice on the appointment screen.
2. Click into the Debit Card or Credit Card field to accept Full Payment via Card from the Client.
3. Under the Queue for Payment drop-down, tick Add to Medicare Queue.
4. Click Save Invoice to be redirected to the Online Claiming portal.
5. In the pop-up box that opens, ensure the Item Code and Claim amount are correct.
Important!
The item Code needs to be exactly the one Medicare provides or the claim will be rejected.
6. Select the appropriate Provider Number.
7. Tick the box of the Item to claim.
8. Click Tyro Easyclaim.
9. In the small pop-up window that opens, select Medicare - Patient Paid as the Claim Type.
10. Select the Consultation Type of Location, the appropriate Referral (GP and provider number with the referral date) and click Submit.
From there, follow the prompts on the screen and the Tyro Health EFTPOS Terminal which will indicate when to swipe the Client's debit or credit card for them to receive the Medicare rebate.