Patient Claims Store and Forward

Patient Claims Store and Forward

Patient Claims Store and Forward.[PCs]

This is a claim lodged for and on behalf of the Patient, at a later time. 

The patient does not assign their Medicare rights to the Servicing Provider.

A Lodgement Advice will print Stating that the Claim is Held for Later Transmission

 If the invoice is not fully paid Medicare Australia sends the Servicing Provider cheque to the Patient to forward to the Doctor.

 


Billing and Storing a Patient Claim

Search and Select Patient 

  1. In Patient Details do a PVM to ensure Medicare Card is ELIGIBLE
  2. F8 to open billing screen
  3. Location, Provider and Fee type will populate if these details were entered in Patient details
  4. Service Date will default to Current date
  5. Fee type Must be Private Fee type. Eg MS or P fee type
  6. Proceed with Billing item number
  7. Down Arrow for further item number entries
  8. Select Pat.C.Online Button at Bottom of screen

Patient Payment Method

Pay

i.Full:          The account is paid in Full

ii.Not Full:   Gap Payment only or No Payment

 

Receive Medicare Benefit By

i.Cheque:   Payment directly to Patient bank account held by Medicare Australia

ii.EFT:          Patient or Payer Bank details can be entered in Patient details\Accounts and will be transmitted to Medicare Australia.

 

Cheque or Statement Sent to

i.Address held by Medicare : Use This option for all Patient Claims

ii.Claimant address:  Must only be used on Medicare request or if Third Party Paying Account

Click Patient Claim Store and Forward


Click Select


Payment  

Full Payment

i.Methods of Payment Screen opens

ii.Select Method by which payment is being made

iii.Complete all Details

iv.Click Pay Button


Print Receipt

i.Click No But Save as Though We Did

ii.Claim is Held In Patient Claims Store and Forward for Lodged with Medicare Australia at a Later Time

iii. Lodgement Advice will print

 

Not Full: Gap Payment 

i.Payments Screen Opens

ii.Select One invoice

iii.Pay Gap 

iv.Click Receipt

v.Select Payment Method

vi.Complete details

vii.Click Pay Button

Print Receipt

i.Click No But Save as Though We Did

ii.Claim is Held In Patient Claims Store and Forward for Lodged with Medicare Australia at a Later Time

iii. Lodgement Advice will print


Not Full: NO Payment

i.Payment Screen opens

ii.Select Button Lodge Without Payment. [ Bottom Taskbar]

iii.Claim is Held In Patient Claims Store and Forward for Lodged with Medicare Australia at a Later Time

iv. Lodgement Advice will print 


Medicare\Patient Claims


Main Screen Of Impulse Top Taskbar

  1. Select Stored for Later Transmission
  2. Click 1- Forward Claims
  3. Claim Is forwarded to Medicare Australia
  4. A Lodgement Advice Prints 
  5. Claim is Now in Tab Referred to Medicare

If an Unacceptable Error is received from the Medicare Portal a Lodgement advice will print with the error code

Claim can then be viewed in Medicare\Patient Claims\Correction or Cancellation

  1. Where Patient information held in Patient details can be corrected this should be done and the current Invoice or Invoice\Receipt should be journalled.


Journal Invoice \Receipt 

i.Right Mouse Click on the Patient Claim In Corrections and Cancellations and to go to Patient Details

ii.Select System\Account Enquiry

iii.Select Invoice

iv.Patient\Journal 

v.Reverse Payment

vi.Select Receipt

vii.Click Reverse payment

viii.Click OK

ix.Select Invoice Private

x.Select Invoice

xi.Reverse Invoice.

xii.Click OK

This claim will now be removed from the Patient Claims\Corrections and Cancellations view

Re-Invoice Patient

i.Re- bill the patient with correct details. 

ii.Click Pat.C.Online

iii.Complete details

iv.Lodge Patient Claim




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