Online claiming allows you to quickly submit claims to the Medicare and DVA services.
To submit online claims, we use a pre-paid credit system - each successful transaction costs 1 Claiming Credit and you can combine multiple claims for a single client to reduce costs.
Credits can be purchased from Practice > Setup > Claiming Credits.
To begin using online claiming with Medicare or DVA, you will need to:
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 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?"
To submit an online claim, you will need to ensure that each client has a Medicare and/or DVA number that has been saved and verified to their account (This is done from Client > Details > Misc Details)
Online claims are added to a queue, and are generally processed overnight.
To add a claim to the queue, you can either:
Claims are automatically marked as Client Reimbursement if there is at least one payment (of any value) on the invoice.
If there is no payment made on an invoice, the claim will be automatically marked as Bulk Bill.
A client 'part payment' or 'gap' cannot be charged in addition to the amount claimed from Medicare. Bulk bill claiming must be submitted to Medicare for the final value of the service.
Claims can only be cancelled while they are in the queue to be processed - once processing begins, you will need to wait for Medicare / DVA to process the request.
To cancel a claim that has been placed in the queue, open the client's invoice, click the View Online Claim Status button, select the items to cancel, and click "submit".
To see a list of the claims you have submitted for a specific period, simply visit Practice > Reports > Online Claiming and run the report for your chosen time period.
Remember: The status of each claim is generally updated overnight.
This information is correct at the time of writing. Always check with Medicare as to how your clinic should make its claims.