ANZ HealthPay Medicare Claiming Merchant Operating Guide
22
9. Services Data Details
Below are details of the information shown in step
10 of Section Making a Claim. Listed are all
possible values that may be shown after you have
selected an MBS item. The values presented will
vary depending on choices made earlier in the
claim and options selected from the Medicare
Setup menu (see Section Customising Medicare
Easyclaim).
Amount
The Item Amount option is presented if the claim is
not Bulk Bill. This is the full amount charged to the
claimant, including the scheduled fee and any
additional payment.
The value is displayed to the right of this line. If
the item was not selected from a list, the default is
$0.00.
•
Select this option, key in a new dollar value then
press ENTER.
Patient Contribution
The Patient Contribution is presented if the claim
is Partially Paid.
The value of the patient contribution is displayed
to the right of this line. The default is $0.00.
•
Select this option, key in a new dollar value then
press ENTER.
Date
The Date of Service option is always presented.
The current item’s Date of Service is displayed to
the right of this line. The default is today’s date. If
other items have been added to the claim already,
the default date is the one set for those items (this
allows quick entry of all claims that occurred on
the same date).
•
Select this option, key in a new date then press
ENTER.
Override Code
The Item Override Code option is always
presented.
The default is ‘N/A’. The current Item 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.
Restrictive Override Code
The Restrictive Override Code option is presented
if the service provided is not Pathology.
The default is ‘N/A’. The current item Restrictive
Override Code is displayed on the right of this line.
Its values can be ‘N/A’, ‘SP’ (Separate Sites), ‘NR’
(Not Related) and ‘NC’ (Not for Comparison).
•
Select this option then select the appropriate
value from the list.
LSPN
The LSPN option is presented if the service
provided is not pathology.
For services that are not diagnostic, the default is
for no LSPN. For a diagnostic service this field is
mandatory and has no default. The current LSPN
is displayed on the right of this line (‘N/A’ indicates
that there is no LSPN).
If LSPN Items have been setup (see Section LSPN
Setup):
•
Select this option. The ANZ HealthPay terminal
will show the LSPN List
•
Select the LSPN or N/A from the list
•
If the required LSPN has not been added
previously select SEARCH option, key in the
LSPN and press ENTER.
Note:
The ‘N/A’ option is unavailable if Service =
Diagnostics.
If LSPN Items have not been setup:
•
Select this option. Key in the LSPN or leave the
field blank (for N/A) and press ENTER.
Note:
This cannot be left blank if Service = Diagnostics.
Substituted Service
The Substituted Service option is presented if the
service provided is diagnostic and a Requesting
Provider was supplied.
The default value is ‘No’, indicated by an ‘N’ in the
right column of this line. If the value is changed to
‘Yes’, this is represented by a ‘Y’ in the right
column.
•
Select this option then select YES or NO.