Batch Bulk Bill Claim (without TYRO) to Medicare

Before you begin

When Bulk Bill claims (without TYRO) are invoiced within the patient's account, the claim transfers to the Medicare Australia module. To access, open the Practice Explorer, and from the margin menu select Medicare Australia.

Due to the claims having not yet been submitted, they are not displayed on the main Medicare window. The New Batch selection holds the claims not yet batched, unprocessed, resubmitted either being looked into or ready to action (red in colour).

You can view claims associated with individual practitioner or all practitioners. You can examine claims within a specific date > range, individual or all claim types, and indicate to display finalised > claims. When changes are made to these options, ensure you click the Refresh button or the Quick > Refresh check box is selected to auto-refresh the display. The status of claims determines the action required on the claim.

The following statuses will display once a Bulk Bill claim has been batched to Medicare:

Claim Status Description and Action
Awaiting Submission Claim is waiting to be sent to Medicare. Click on the Transmit button.
Awaiting Processing Report Waiting for the processing report for the claim. It can take up to 3 business days to process. Click on the Transmit button to retrieve the process report.
Awaiting Authorisation Claim requires to be authorized. Open the claim and send to Medicare from the edit screen.
Awaiting Payment Report Claim has been successfully processed, however awaiting payment report. It can take up to 6 business days to process. Click on the Transmit button to retrieve the payment report.
Ready to Receipt Claim has been successful in processing and payment with Medicare. It is ready to receipt. Reconciling with the Bank Statement and payment is recognized, click on the Receipt button. Once receipted; the receipt will generate to the Banking, EFTPOS, as a Direct Debit payment.
Rejected Items within the claim have been rejected. Click on the Reject button to display the Medicare Error Code & Description, and to decide to resubmit or write off the claim

Procedure

  1. From the Practice > Explorer button on the lower-right hand side of the screen, select Medicare > Australian from the margin menu.
  2. Select Practitioner, Claim > Type as Bulk > Bill and Date > Range if required. If not selected from this window, these options can be selected when sending the Bulk Bill or DVA batch (next step).
  3. To batch the new Bulk Bill claims, click New
    • The Claim > Type defaults to Bulk > Bill. Select the appropriate Practitioner and Service > Type (if multiple are available), and Service > Location if required.
  4. Click Single arrow pointing right to select a single claim, or to select all claims. Ensure that the resubmitted claims (red in colour) are not included within the selected invoices to batch, if you are only batching new claims.
  5. Click Send.
  6. In the Claim Authorisation window, from the Authorisation Method select a method if required, or click OK.
    Claim Authorisation window

Results

Once the batch has been sent to Medicare, the Medicare Claiming window now displays the batch, along with a status of Awaiting Process Report.

What to do next

To ensure all online claims have been batched to Medicare, refer to the Unclaimed Invoice Report. This report lists any issued invoices or claims that have not yet been submitted or batched to Medicare per Practitioner. To access the report; either click the button, or select Reports > Audit Trail Reports Printer > Unclaimed Invoices Report.