Health Fund Billing Options

It is possible to send your No Gap Health Fund invoices in batches to the various health funds that you deal with. This is only recommended, however, if you have a small number of account classes, because having more than 12 classes can slow the speed with which invoices and receipts are printed out, for all classes of patient. If this limitation means that you will not be able to successfully implement batched Health Fund billing, follow this link and explore the alternatives: Alternative methods for Health Fund billing.

A class in Bluechip determines the fee level that will be applied to invoices, and the addressee for its accounts, among other things. It also determines the details that can be recorded in account details, such as Health Fund, Health Fund No, Card Holder, etc.

In order for a class to be batched, every patient with an account of that class must have their debts paid by the same person/company.

If you intend to batch Health Fund invoices, then you will need to have a separate class for each health fund that you intend to batch to, and a separate batch type for each health fund. Note that it will not be possible to batch invoices to AHSA health funds, unless there are only one or two that you deal with.

As an example, you may have the following classes:


Class	Addressee (Payer)	Batchable	Fee Level	Contacts	Number Fields	Date Fields	Other Fields
Private	Patient	No	Set arbitrarily by Practice	Parent, LMO, Health Fund	Health Fund No, Pension No
Bulk Bill	MEDICARE	Yes	Medicare Benefit	LMO	Pension No, HCC No
Veterans	DVA	Yes	Medicare Schedule	DVA
Workers Comp	Insurer	No	Set by Practice	Insurer, Solicitor, Employer	Claim No, Solicitors Ref	Injury Date
AHSA	Health Fund	No	Set by AHSA	Health Fund	Health Fund No		Cardholder
AXA	AXA	Yes	Set by AXA	Health Fund	Health Fund No		Cardholder
HCF	HCF	Yes	Set by HCF	Health Fund	Health Fund No		Cardholder
MBF	MBF	Yes	Set by MBF	Health Fund	Health Fund No		Cardholder
MBP	MBP	Yes	Set by MBP	Health Fund	Health Fund No		Cardholder
NIB	NIB	Yes	Set by NIB	Health Fund	Health Fund No		Cardholder

Note:

AHSA is marked as a non-batching class. This is because you will most likely have patients who are members of many AHSA-Member Health Funds. It is still worth having AHSA as a class, though, because you are able to input the AHSA fee schedule, and have the correct fee appear automatically for your AHSA invoices.

If you would like to implement batched Health Fund billing in your Bluechip system, contact the MedicalDirector Customer Service for assistance.