4
5
1.
hicaps/EFTpOs
1.1 hicaps help desk
HICAPS Help Desk phone number is
1300 650 852
.
For HICAPS Help Desk hours of operation, please refer to
www.hicaps.com.au
Provider information section.
HICAPS fax number is
1300 725 726
.
1.2
glossary
hicaps
Health Industry Claims And Payments Service. The company
responsible for the switching of transactions to health funds
from the terminal.
issue date
The date the membership card was issued. Those cards with
issue dates have them printed on the bottom right-hand
corner of the card.
item cost
The amount charged for the given item of service.
item number
Numeric code identifying the type of service performed. Refer
to the HICAPS Quick Reference Guide or the relevant schedule
for a full list of item numbers.
member
A customer of a Health Fund.
MMF
The Multi-Merchant Facility. This is a feature of the HICAPS
terminal which optionally allows you to settle the EFTPOS
funds separately for each provider.
patient iD
A member listed on the card which identifies a given patient
within a Health Fund membership.
practice
Management
system
The PC-based system which allows a transaction to be sent
directly to the HICAPS terminal.
provider
Practitioners who provide Health Services to patients.
provider number
Is eight characters that uniquely identify each individual
provider for a specific location. Provider numbers that HICAPS
use are issued by Medicare Australia or Medibank Private.
Provider numbers are location specific, so you must have a
provider number for each location you wish to practice at.
refund
Refunds a previous EFTPOS or credit approved transaction.
reversal
Reverses an approved transaction on the same day the
transaction was processed.
RRN
Receipt reference number (unique 2 digit field).
swipe member card
Pass the membership card through the card reader on the
right-hand
side of the HICAPS terminal.
tooth number
Two digit FDI numeric identifying the tooth on which the
service was performed.
benefit
Value of rebate authorised by a Health Fund.
cancel
Reverses a transaction processed through the terminal.
card
A membership card issued by the Health Fund or an EFTPOS or
credit card, issued by a bank.
claim
After treatment is provided, details are sent electronically via
the terminal to the Health Fund.
claim declined
When a Health Fund declines to pay the request a brief
response message will print with each declined item
and/or claim.
claim receipt
Either the terminal or the associated Practice Management
System prints a receipt, which must be signed by the patient to
acknowledge services and approve the transfer of payment to
the provider.
claim to sale
The terminal facility allowing you to start an EFTPOS
transaction using the Gap amount returned from the HICAPS
Claim.
clinical code
Two digit numeric identifying the body part/primary
condition/ diagnostic intervention on which the service was
performed.
date (of service)
The date the specific item of service was performed – format
ddmm.
fallback
The terminal was unable to contact the bank to process an
EFTPOS transaction, but the transaction has been approved/
declined and will be sent to the bank with the next
transaction.
gap payment
The amount remaining after the Health Fund has approved a
benefit for the specified services.
Summary of Contents for T4200
Page 1: ...hicaps terminal user guide...
