Stage 3: Create and Configure IHC Batch

Before you begin

Procedure

  1. Select Setup > Practice > Batch Types. The Batch Setup Window appears.
  2. Click New The New Batch Type window appears.
    • Enter a name (e.g.., IHC)
    • Select ECLIPSE-IHC (In Hospital Claiming) from the Method drop-down box.


  3. Click OK to confirm your selection. You will be returned to the Batch Setup window.
  4. Click

    The ECLIPSE-IHC Setup window appears.
    • Select the Patient Verification tab.
    • Make the selections show in the image below.


  5. Select the IHC Insurers tab.
  6. Click

    Bluechip will automatically update the insurers list (requires an active Internet connection), after which all insurers who participate in IHC will be flagged.
  7. Select the Medicare Australia System tab. Set the following URLs:
    • Server: mcoe.humanservices.gov.au/ext
    • Recipient: ebus.@medicareaustralia.gov.au


  8. Select the Network tab to define your network information. This is used when sending claims to Medicare Online Claiming over a network.
  9. Select the Location and Authentication tab.
    • Enter the Location ID, Passphrase and Crypto Store Location for your encryption certificate, as supplied to you by Medicare. You will already have this information recorded if you have configured Bluechip for Medicare Online Claiming.


  10. Click

    The IHC Setup Wizard appears. You will indicate which Company Group(s) from the database are health funds for In Hospital Claiming.
    • The left section of the window lists the Company Groups to select from.
    • The right section lists the Company Groups that are health funds for IHC. Initially this section will be empty.
    • Within the Company Groups section, locate and double-click the group/s you want to add to the Health Fund Groups section. Alternately, you can select a group and then click the to move them into the Health Fund Groups section.


  11. Click Next You will see a list of all your setup health funds. You will need to select:
    • Their Insurer Code (double-click within this field to reveal a drop-down list of options)
    • The Fee List to use when billing (double-click to reveal drop-down options – ensure to associate each fund with their specific IHC fee list)
    • Tick the Equitable Payment Model (EPM) check box if you have an EPM contract. This is a contracting model used by the Australian Health Services Alliance (AHSA) Health Funds.


  12. Click Next In this step you will need to indicate for each of the Health Funds, which practitioners have EPMs.
    • Select a health fund from the Health Fund section. The Practitioners in Non-EPM section will become populated with the practitioners associated with the selected health fund. It is initially assumed that none of the practitioners have EPM contracts.
    • Locate and double-click on each practitioner who has an EPM contract with that health fund and they will be moved to the Practitioners in EPM section.
    • Repeat steps a. and b. for each Health Fund.


  13. Click Finish
  14. Exit the Setup window.

Results