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Medicare Submission/ Processing/ Payment report summary
Medicare Submission/ Processing/ Payment report summary

Learn about the various Medicare processing, claim and payment reports

Updated over a week ago

To claim via Services Australia, you must use an authentication system called Provider Digital Access (PRODA).

Once you have summited a bulk bill, patient, or DVA claim, the system will provide you with the appropriate forms.

In this article, we will discuss:

1. DB4


DB4 Form

You will receive the DB4 form after you submit the claim for bulk billing and DVA claims, and this is a form your client will need to sign to receive the rebate.

You can retrieve this via Invoices > Actions > BB/ DVA> View Reports > DB4


Processing form

This form will display errors and if the claim has been processed.

You will see green writing The Task has been submitted successfully if the claim has gone through to Medicare. Please note that this does not mean the claim is successful; it just means that it has been submitted to Medicare, and any errors will be displayed below.

The form also breaks down the claim ID and benefits paid.

You can retreive this form via Invoices > Actions > BB/ DVA > View Reports > Processing Report.


Payment Summary Report

This form tells you if the rebate has been successfully paid out.

This form contains the claim details, payment, benefit paid, and account details.

You will see green writing The Task has been submitted successfully if the claim has been paid, and you will see the payment run and payment run date.

You can retreive this form via Invoices > Actions > BB/ DVA > View Reports > Payment Report.


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Patient Claiming Medical Claim

This section tells you that the patient claim has been submitted and shows you the transaction ID, payee provider, servicing provider, the charge amount, and patient benefit.

It will display in green writing "submitted" if successfully submitted.

This form can be retrieved via Invoices > Actions > PCI
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Patient Claim Report

This lodgement report shows you if the claim has gone through
successfully and displays your Claim ID, Patient Details, and Service Details. If an error occurs, it will display under the date of service.

Every submitted claim will state, "This claim has been Referred to Services Australia". This means that the claim has gone through to web services. This message will still appear if you receive an error, as Medicare is assessing the claim.
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Other articles regarding PRODA:

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