Setup Medicare Online Claiming Defaults

Your coreplus claiming defaults allow you to enable the various types of Medicare claiming. You can also pre-define some options that should make the claiming process run more smoothly.

 

Step 1 - Select "Add-Ons" followed by Medicare

 

 

Step 2 - Select the 'Defaults' button

 

What can be changed?

Online patient verification

 

Both of the above check boxes are used to enable Verification tools. These can be used to confirm that your Site Certificate is working and verify that client's details on record are up-to-date.

 

Bulk Billing

 

Enable Bulk Bill functionality
This option allows you to submit Bulk Bill claims to Medicare. If this check box is not selected you will not have the option to create a bulk bill claim on the invoicing page.

 

Service Type
The definition of your profession under Medicare. Typically allied health professionals and specialists should select "Specialist" and General Practitioners select "General". It is important to select the correct service type as Medicare will often reject claims that are submitted with the incorrect service type.

 

Principal Provider number
This field is otherwise known as the payee provider number and indicates where payments for Bulk Bill claims are directed to.

 

User can change this when claiming
Enabling this options grants practitioners the ability to change the Payee Provide Number while creating invoices. Once this is enabled an additional field (Payee Provider Number) will be displayed on the invoices.

 

Patient Claiming

 

Enable Patient Claiming Functionality
This option allows you to submit Patient claims to Medicare. If this check box is not selected you will not have the option to create patient claims on the invoicing page.

 

Service Type
The definition of your profession under Medicare. Typically allied health professionals and specialists should select "Specialist" and General Practitioners select "General". It is important to select the correct service type as Medicare will often reject claims that are submitted with the incorrect service type.

 

Principal Provider number
This field is otherwise known as the payee provider number and indicates where payments for Bulk Bill claims are directed to.

 

User can change this when claiming
Enabling this options grants practitioners the ability to change the Payee Provide Number while creating invoices. Once this is enabled an additional field (Payee Provider Number) will be displayed on the invoices.

 

DVA Claiming

 

DVA claims can be broken down into two sections - Medical and Allied Health. Although they are both DVA claims, they each represent different areas within the health industry. Please see below for which area may be relevant to yourself.

 

  • DVA Allied Health Claim - Relevant to the following areas - psychology, Community Nursing, Dental, Optical, Orthroptics, speech, chiropractics, physiotherapy, podiatry.
  • DVA Medical Claim - Relevant to the following areas - Pathology, Specialist, General, Services, Optical, Radiation oncology, Diagnostic Imaging.

 

Enable DVA Medical Claiming functionality
This option allows you to submit DVA Medical claims to Medicare. If this check box is not selected you will not have the option to create DVA Medical claims on the invoicing page.

 

Default DVA Medical Service Category
Select the appropriate category for the claims that you will be submitting to Medicare

 

Enable DVA Allied Health Claiming functionality
This option allows you to submit DVA Allied Health claims to Medicare. If this check box is not selected you will not have the option to create DVA Allied Health claims on the invoicing page.

 

Default DVA Allied Health Service Category
Select the appropriate category for the claims that you will be submitting to Medicare.

 

Principal Provider number
This field is otherwise known as the payee provider number and indicates where payments for Bulk Bill claims are directed to.

 

User can change this when claiming
Enabling this options grants practitioners the ability to change the Payee Provide Number while creating invoices. Once this is enabled an additional field (Payee Provider Number) will be displayed on the invoices.

 

Medicare Reports

 

Email Reports to
The email address that the bulk bill and DVA reports will be sent to. It is important to note that patient claims are not included on this report. More information on this report can be found here.

Please note: it is recommend that the emailed bulk bill reports are directed to your internal coreplus email address (e.g. 'jsmith@coreplus.com.au'). This keeps the emails and data within the coreplus system and makes them easier to access (for example, you'll receive notifications on your dashboard when you receive the email). Instruction on how to access your coreplus inbox can be found here.

Adam Kluga -

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