ANZ HealthPay Medicare Claiming Merchant Operating Guide
ANZ HealthPay Medicare Claiming Merchant Operating Guide
17
PROCESSING
PLEASE WAIT.....
The terminal will then connect to the server and send the
claim request for processing.
Refer to Sections
For Approved Fully Paid Patient Claims; For
Unpaid or Part-Paid Claims; For Bulk Bill.
6.1 FOR APPROVED FULLY PAID PATIENT CLAIMS
You will be presented with the Medicare Applicable Benefit. Press ENTER to continue, or CANCEL to
decline the benefit.
SERVICE DEPOSIT
TOTAL
$45.00
ENTER TO CONTINUE
•
If you continue, the EFTPOS rebate is processed
•
If you select cancel the terminal will print out a Paid Claim –
Cancelled receipt
•
Swipe the claimant’s EFTPOS card or enter the card details
•
Select savings or cheque
•
Ask the claimant to enter their PIN and press ENTER
•
The terminal will then connect to the server again.
If the payment transaction is successful, provide
the Medicare and terminal receipts to the claimant.
If a duplicate copy of the receipt is printed (unpaid
and partially paid claims only), this is retained by
the medical practice (see Section Receipt Setup).
If the payment transaction is declined, you may
ask the claimant if they wish to try another
EFTPOS card. If the payment transaction cannot
be completed successfully, cancel the claim and
provide the claimant with the cancelled claim
receipt that is printed from the terminal and an
invoice/statement for lodgement by other
alternative means.
Press YES to retry, or NO to cancel the claim.
Note.
If the EFTPOS transaction is unsuccessful (e.g.
Issuer declined, User cancelled), then it may be retried –
with a different EFTPOS card &/or account type (if
desired).
6.2 FOR UNPAID OR PART-PAID CLAIMS
If the claim is unpaid, or part paid the benefit is
not electronically 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
entitlement:
•
Press 1 to Accept (continue) the claim
•
Press 2 to Decline (cancel) the claim.
If the patient is not eligible for a concessional
entitlement:
•
Press 1 to Override (continue) with the claim
•
Press 2 to Decline (cancel) the claim.
Note:
This screen only appears if concessional
entitlement verification was requested and the patient
was not eligible.
The patient must view the partially printed receipt
and then agree to assign the benefit payment to
the practitioner by pressing 1 (Assign benefit). A
completed receipt will then be printed.
Where the patient declines to assign the benefit
payment to the practitioner, they must press 2
(don’t assign).
If no option is selected, the claim will be reversed
and should be reprocessed.
If the claim is successful the completed Bulk Bill
Assignment Advice must be provided to the
patient. If a duplicate copy of the receipt is
printed, this is retained by the medical practice
(see Section Receipt Setup).
If the claim cannot be completed successfully,
process the Bulk Bill claim by completing the
respective Bulk-Bill forms in triplicate and
providing copies to the patient and to Medicare
Australia.
The receipt indicates that Medicare Australia has
accepted the claim as valid (that is, there is no
missing or invalid data), but the claim has not yet
been assessed for payment. This is why the
receipt shows the benefit estimate for the item,
and not the actual benefit value that will be paid
by Medicare Australia.
Medicare Australia will assess the claim for payment
later that day. During assessment it is possible that
individual items may be rejected. Practitioners
should verify claim payment details using Medicare
Australia’s Provider Hotline on 132 150.