ANZ HealthPay Operating Manual Download Page 2

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Contents

1.  

Welcome 

3

1.1  Merchant Agreement 

3

1.2  Important Contact Details for Practitioners  

3

1.3  Important Contact Details for Claimants 

3

2.  

Claim Types 

4

2.1  Patient Claims 

4

2.2  Bulk Bill Claims 

4

2.3  Medical Practitioner 

4

3.  

General Information 

5

3.1  Patients and Claimants 

5

3.2  Bank Accounts 

5

3.3  Optional Fields 

5

3.4  Medicare Easyclaim Reference Guide 

5

3.5  Express Claims 

5

3.6  Receipts 

5

3.7  Ineligible Claims and Error Codes 

5

3.8  Medicare EasyClaim Time-Out 

6

3.9  System Unavailability 

6

4.  

Setting up the ANZ HealthPay Terminal 

7

4.1  Adding Terminal Operator IDs. 

7

4.2  Modifying Terminal Operator IDs. 

8

4.3  Removing Terminal Operator IDs. 

9

4.4  Printing an Operator List 

9

5.  

Customising Medicare Easyclaim on your ANZ HealthPay terminal 

10

5.1  Services Setup 

10

5.2  Provider Setup 

11

5.3  MBS Item Setup 

13

5.4  Other Settings 

14

6.  

Making a Claim 

15

6.1  For Approved Fully Paid Patient Claims 

17

6.2  For Unpaid or Part-Paid Claims  

17

6.3  For Bulk Bill  

17

7.  

Other Administrative functions  

18

7.1  Updating details for providers and MBS item numbers  

18

7.2  Updating details on replacement terminals  

18

7.3  Reconciling Bulk Bill claims and payments  

18

7.4  LSPN Setup  

18

7.5  Equipment Setup  

18

7.6  Referring and Requesting Provider Setup  

19

7.7  SPC ID Setup  

19

7.8  Receipt Setup  

20

8.  

Claim Data Details 

20

9.  

Services Data Details  

22

10.   Medicare Receipts 

24

Summary of Contents for HealthPay

Page 1: ...ANZ HealthPay 03 22 Medicare Claiming Operating Guide...

Page 2: ...2 Modifying Terminal Operator IDs 8 4 3 Removing Terminal Operator IDs 9 4 4 Printing an Operator List 9 5 Customising Medicare Easyclaim on your ANZ HealthPay terminal 10 5 1 Services Setup 10 5 2 P...

Page 3: ...nformation and important requirements relating to operating procedures Instructions in this Merchant Operating Guide form part of the ANZ Worldline Payment Solutions Merchant Agreement and may be chan...

Page 4: ...dical Practitioner s account Where Medicare Australia assesses that a rebate is payable Medicare Australia will issue a statement and a Pay Doctor via Claimant PDVC cheque which is mailed to the claim...

Page 5: ...E For more information about Medicare Easyclaim including services that are not supported by Medicare Easyclaim please refer to the Medicare Easyclaim Reference Guide or visit www medicareaustralia go...

Page 6: ...er a PIN the transaction will be cancelled and a Cancelled by Practitioner Receipt will be produced Scenario 3 Bulk Bill If the Medicare Easyclaim operator pauses for more than approximately 30 second...

Page 7: ...ANZ HealthPay Press ENTER ANZ EFTPOS MENU 1 PURCHASE 2 CASH OUT 3 REFUND ANZ EFTPOS MENU 8 SUPERVISOR 9 BALANCE INQUIRY 10 SERVICES Scroll down to select the SERVICES option and press ENTER If you hav...

Page 8: ...perator is added to the terminal ADD NEW OPERATOR OPERATOR NAME If another operator is to be added please repeat the previous 3 steps If there are no more operators to be added press CANCEL to return...

Page 9: ...RATOR 2 MODIFY OPERATOR 3 REMOVE OPERATOR 4 OPERATOR LIST Press 2 to select REMOVE OPERATOR REMOVE OPERATOR OPERATOR NAME OPERATOR1 PREV NEXT Select PREV or NEXT from the menu by pressing the CHQ or C...

Page 10: ...t up three main fields Services Provider and MBS Items Other options including LSPN equipment Ref ReqProv SCP ID and Receipts can also be customised See Section Other Administrative Functions for more...

Page 11: ...rminal will save these settings and print a confirmation receipt Note Only the Services set to Yes will be available choices when making a claim or when setting up other preferences 5 2 PROVIDER SETUP...

Page 12: ...tion by pressing the corresponding YELLOW key PROVIDER NUM Enter the PROVIDER NUMBER and press ENTER Note The provider number must be full 8 characters including letters If a provider number is less t...

Page 13: ...nt a receipt of the list of Providers 5 3 MBS ITEM SETUP To go to the MBS Item menu Start from the Idle screen For example ANZ HealthPay Press ENTER ANZ EFTPOS MENU 1 PURCHASE 2 CASH OUT 3 REFUND MBS...

Page 14: ...ORT NAME Enter the SHORT NAME for the Item and press ENTER ITEM AMOUNT Enter the full service fee amount including the schedule fee and additional payments and press ENTER REVIEW ITEM 1 ITEM NUMBER 2...

Page 15: ...n and press ENTER If you have set up an Operator ID on your terminal you will be prompted to enter the Operator ID For example CANCEL CLAIM OPERATOR ID Enter your Operator ID then press ENTER Terminal...

Page 16: ...ation you wish to change For further information about each claim item see Section Claim Data Details After modifying a Claim Data detail the terminal will return to this screen Press ENTER when all r...

Page 17: ...ectronically payable to the claimant via the ANZ HealthPay terminal The ANZ HealthPay terminal will print a Paid Claim Pended receipt 6 3 FOR BULK BILL If the patient is eligible for a concessional en...

Page 18: ...The Location Specific Provider Number LSPN is applicable to services Within Group T2 radiation oncology services as described in the MBS Within Category 5 diagnostic imaging services as described in t...

Page 19: ...ew Referring and Requesting Providers To add a new referring and requesting provider select ADD option Enter the Provider Number and press ENTER Enter a short name for the Provider and press ENTER The...

Page 20: ...is displayed instead If the Claimant is on the same Medicare card as the patient Select this option Press 2 then key in the Claimant s IRN and press ENTER If the Claimant is on a different Medicare c...

Page 21: ...vider number and press ENTER Key in the Referral issue date and press ENTER Confirm that the details are correct then press ENTER If Referring Providers have not been set up and a Referring Provider i...

Page 22: ...em Override Code is displayed on the right of this line Its values can be N A AP Not Duplicate Service or AO Not Normal Aftercare Select this option then select the appropriate value from the list Res...

Page 23: ...in the Equipment ID and press ENTER If Equipment Items have not been setup Select this option Key in the Equipment ID or leave the field blank for N A and press ENTER SCP ID The SCP ID option is prese...

Page 24: ...laim Patient Claim This is an example of a fully paid Medicare Easyclaim patient claim receipt Unpaid Partially Paid Medicare Easyclaim Patient Claim This is an example of a partially paid Medicare Ea...

Page 25: ...lthPay Medicare Claiming Merchant Operating Guide 25 Pended Medicare Easyclaim Patient Claim This is an example of a pended Medicare Easyclaim patient claim receipt Cancelled Medicare Easyclaim Patien...

Page 26: ...m This is an example of a receipt issued when the patient declines a Medicare Easyclaim Bulk Bill claim Error Receipt This is an example of an error receipt for Medicare Easyclaim The message displaye...

Page 27: ...rship with ANZ s local expertise and existing relationships ANZ Worldline Payment Solutions aims to offer fast reliable and secure point of sale and online payment acceptance for merchants and their c...

Page 28: ...ANZ HealthPay Medicare Claiming Merchant Operating Guide 28 Item No AW2007 03 2022 WZ114701 200 0024 02_AUS_EN 03 22 anzworldline com au...

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