ANZ HealthPay Medicare Claiming Merchant Operating Guide
ANZ HealthPay Medicare Claiming Merchant Operating Guide
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3. General Information
3.1 PATIENTS AND CLAIMANTS
Medicare Easyclaim makes references to both
patients and claimants. The patient is the recipient
of a medical service. The claimant is the person
receiving the Medicare rebate relating to the
service provided.
The patient and claimant may be the same person
or different people e.g. a child receiving the
service is the patient and the child’s parent or
guardian may be the claimant. Multiple patients
can be listed on a single Medicare card, but each
patient claim must be processed individually.
3.2 BANK ACCOUNTS
Medicare rebates can only be paid into a cheque
or savings account, not into a credit card account.
However credit cards can be used to pay for the
service provided in accordance with your usual
business processes.
3.3 OPTIONAL FIELDS
In certain circumstances, you may be asked to
enter additional information to allow Medicare
Australia to assess the service and process the
claim. Omission of this information may result in
either a rejection or Medicare Australia contacting
you for clarification.
Examples of optional fields include, Item Override
Code, Equipment Identification Number, Self
Deemed Code, Account Reference Number and
Location Specific Practice Number (LSPN).
Please refer to your Medicare Easyclaim Reference
Guide to view definitions of the above optional
fields. The Medicare Easyclaim Reference Guide is
included in the Medicare Easyclaim Starter Kit and
is available directly from Medicare Australia.
3.4 MEDICARE EASYCLAIM REFERENCE
GUIDE
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
and click on the
link for Health Professionals.
3.5 EXPRESS CLAIMS
The Medicare Easyclaim application has an
Express Claim option for Paid Patient claims and
Bulk Bill claims.
Depending on the type of Medical Practitioner
processing the claim, the following steps may not
be presented:
•
Payee Provider
•
Item Override Code
•
Location Specific Practice Number
•
Equipment ID.
3.6 RECEIPTS
The ANZ HealthPay terminal will produce a
Medicare receipt for each claim (including
cancelled claims), please hand this receipt to the
claimant. For cancelled claims, also provide a
medical account receipt to enable the claimant to
make a claim through an alternative channel.
For Bulk Bill claims, a two-part receipt will be
printed. Please hand the completed receipt to the
patient.
The ANZ HealthPay terminal can print a duplicate
of the EFTPOS receipt from the last transaction.
This would be used in circumstances where the
terminal runs out of paper mid-receipt. If the
medical practice requires copies of all Medicare
receipts refer to Section 5.4 to enable duplicate
receipt printing.
Sample receipts are contained in Section 10 of
this guide.
3.7 INELIGIBLE CLAIMS AND ERROR
CODES
Where a claim is lodged for a patient who is not
eligible for Medicare benefits or service, Medicare
Australia will reject the claim and a brief message,
including an error code, will be displayed on the
HealthPay terminal indicating that the Patient is
not eligible. Please refer to the Medicare
Easyclaim Reference Guide for error code
definitions.
A receipt is printed showing the 4 digit error code
e.g. 9611.