Inpatient Medical Claim Transmission Cycle

Inpatient Medical Claim Transmission Cycle

This support note is to provide a quick reference of what is required when completing an ECLIPSE transmission through the Medicare Online module.
An ECLIPSE Remittance Advice Report is required for payment reconciliation to occur.
ERA can be retrieved in Impulse for In-Patient Medical Claim Web Service (IMCW) claim types: Agreement (AG), Scheme (SC).

Medicare\Claims\Unprocessed View

Payer Type: 000 All Funds
Location: Optional to narrow to Location
Provider: Optional to narrow to Provider
Click 1-Process Button at Bottom of screen

Processed View.

Invoices are now in Vouchers ready to batch into a Claim
  1. Click View Vouchers to see line items in voucher
  2. View in billing allows details to be corrected.
  3. Journal or exclude items or vouchers with errors
Select 1-Close Button and close Online

Waiting TX

This is the final opportunity to ensure claim details are correct prior to transmission.

In View Voucher you can select to View the voucher details in the billing screen and correct any incorrect detail.

Journal or exclude items or vouchers with errors

Select 1-Transmit Button

Claim will be transmitted to Medicare and move to Waitng Report.