Online claiming in Nookal allows you to submit claims to Medicare and DVA within Nookal. When you use Nookal's Online Claiming for Medicare and DVA, the status of claims will automatically update on invoices in Nookal for ease of use and increased cash flow.
Before you start...
1. Please note, Medicare 2.0 is currently only available if you have never made a Medicare or DVA claim via Nookal before.
2. To submit Online Claims, we use a pre-paid credit system - each successful transaction costs 1 Claiming Credit (0.30ยข + GST AUD). You can combine multiple claims for a single client to reduce costs.
Claiming Credits can be purchased from Setup > Subscription > Claiming Credits.
Setting up Online Claiming
To use online claiming with Medicare or DVA, it needs to be set up first by following the steps below:
1. Go to Setup.
2. Select Integrations under Connections.
3. Toggle Medicare/DVA Online Claiming to Enable it.
4. Click Configure.
5. Click Create Group in the bottom right-hand corner.
6. Add a Name in the pop-up window and click Create Group. The Group will be set as Active by default.
It's a good idea to...
Label the Group with the same name as the Location to avoid any confusion.
7. Click Add to add Providers to the Group.
8. Select the Provider and their appropriate Provider number from the drop-down list. Then click Add Provider.
Important!
If a Provider or a specific Provider Number is not displayed it could be because:
* Enable Integrations is not ticked in the Staff profile.
* Provider and/or Diary is not ticked in the Staff profile.
* The Provider number is already used in a different Claiming group as each Provider number can only be added into one Claiming Group.
9. To add more Providers, click View Providers
10. Then click Add Provider in the pop-up window and repeat step 8.
11. Once all Providers have been added and Online Claiming is set up in your Nookal account, it will look like this:
You will then need to contact Medicare/DVA eBusiness on 1800 700 199 for the online claiming/banking form(s) relevant to your business.
Important!
Setting up a new online claiming integration? Ask your Medicare representative: "I would like to set up Online Claiming for my business. We use software that submits claims via a centralised site certificate - I do not require a PKI Certificate. I need to set up banking details and also add my provider number(s) to a new Location ID. What forms do I need to complete?" Generally, they will provide you with two forms:
Online Claiming Banking Details - to connect your bank account details to the Location ID (Minor ID). Online Claiming Provider Agreement - to connect your provider number(s) to the Location ID (Minor ID).
These forms may not suit your situation, so it's best to confirm with the Medicare representative.
12. Fill in the Medicare Online Claiming paperwork, make sure to include the Minor ID/Location ID to the Medicare Forms before submitting to be processed by Medicare.
Important!
When completing the Online Claiming Provider Agreement you MUST complete the Registration Authority (RA) Number field, as failing to do this will cause issues with claiming.
Hot Tips
The Location ID (Minor ID) can be found in the Medicare Setup (Setup > Connections > Integrations > Medicare/DVA Online Claiming), next to the name of the Group for the appropriate Location.
Once approved by Medicare, Online Claiming is ready.
Activating Location for Claiming
1. Before starting to claim, make your Location Active for Claiming by going to Setup > Connections > Integrations > Medicare/DVA and click in the Active Claiming Locations tab.
2. Click on the Location.
3. Tick the Active box.
4. Click Save Location.
5. The Location Status will be displayed as Active. Repeat for every Location to be made Active for Online Claiming.
Select your Medicare Claiming Settings
Nookal gives you the ability to set up your Medicare, DVA and AIR settings, so that you only see what you want to see.
1. From within the Medicare/DVA Integration click on the Claiming Settings Tab.
2. You'll see a list of settings with their current Statuses.
To adjust the type of claims you see available when submitting Claims, click in the Claim Types box to add a new Claim Type, or the X next to an existing Claim Type you'd like to remove.
3. To adjust the Service Types being submitted, click in the Service Type to add a Service Type, or the X next to an existing Service Type you'd like to remove.
4. The remaining settings - Hospital Claiming, LSP Number, Multiple Patients per Appointment, Field Quantity, and Medicare AIR - can be Enabled or Disabled by clicking the Toggle to the right of the Setting.
Your Settings will Auto Save as you make changes.
Once you have set up Online Claiming for Medicare and DVA, you can then begin Submitting Online Claims for Medicare and DVA.