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ANZ Medicare Easyclaim, Руководство по эксплуатации

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If a claimant has not received their Medicare rebate processed via Medicare Easyclaim, 

they should contact the financial institution that issued the EFTPOS card used in the 

transaction. 

 

NOTE:  * Call charges apply. 24 hour service.

 

  ** Call charges may apply from mobile phones or payphones only. 

2. claim Types

2.1 Patient claims

There are three types of patient claim:
• Paid;
• Partially Paid; and
• Unpaid
Any Medicare benefit payable in respect of a patient claim is payable to the claimant, who 

may or may not be the patient.

2.1.1 Paid Patient claim

A Paid Patient claim is in respect of an account of the medical practitioner that the 

claimant has fully paid.
For this patient claim type, where Medicare Australia assesses that a Medicare rebate is 

payable, the Medicare rebate will be paid to the claimant.
To process a Paid Patient claim, please refer to:
• Section 6.1 for General Practitioners
• Section 7.1 for Specialists, Allied Health and Dental providers
• Section 8.1 for Diagnostic Services

2.1.2 Partially Paid Patient claim

A Partially Paid Patient claim exists when a portion of an account of the medical 

practitioner has been paid. 
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 claimant’s 

address that is recorded with Medicare Australia. Where no benefit is assessed as payable, 

only a statement will be forwarded to the claimant’s address that is recorded with 

Medicare Australia.
The claimant is then responsible for forwarding the cheque, with any outstanding amount, 

to the medical practitioner.
To process a Partially Paid Patient claim, please refer to:
• Section 6.2 for General Practitioners
• Section 7.2 for Specialists, Allied Health and Dental providers
• Section 8.2 for Diagnostic Services

179896_Medicare_Merch_op_Guide_74719.indd   5

6/08/10   5:11 PM

Содержание Medicare Easyclaim

Страница 1: ...hant Operating Guide ANZ POS TURBO Medicare Easyclaim Merchant Support 1300 633 269 Merchant Trading Name Merchant Identification Number Terminal Identification Number 179896_Medicare_Merch_op_Guide_7...

Страница 2: ...al Timeout 8 3 9 System Unavailability 9 4 Setting up the Terminal 10 4 1 Adding Terminal Operator IDs 10 4 2 Modifying Terminal Operator IDs 11 4 3 Removing Terminal Operator IDs 12 4 4 Printing an O...

Страница 3: ...Claims 36 8 Processing Medicare Claim Transactions Diagnostic Services 39 8 1 Paid Patient Claims 39 8 2 Partially Paid Patient Claims 43 8 3 Unpaid Patient Claims 45 8 4 Bulk Bill Claims 47 9 Proces...

Страница 4: ...re Easyclaim online training guide is also available at anz com merchantconnect Please take time to read this manual thoroughly and ensure that your staff read it too 1 1 Merchant Agreement Your ANZ M...

Страница 5: ...refer to Section 6 1 for General Practitioners Section 7 1 for Specialists Allied Health and Dental providers Section 8 1 for Diagnostic Services 2 1 2 Partially Paid Patient Claim A Partially Paid P...

Страница 6: ...he relevant Medicare rebate s as full payment for the service s provided by that medical practitioner to the patient and where the right to that Medicare rebate s has been assigned to the medical prac...

Страница 7: ...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...

Страница 8: ...wing the 4 digit error code e g 9611 3 8 Terminal Time out There are a number of scenarios where the Medicare Easyclaim application can time out Scenario 1 Patient Claim If the Medicare Easyclaim oper...

Страница 9: ...ion will be cancelled and a Cancelled by Practitioner Receipt will be produced 3 9 System Unavailability Should the Medicare network become unavailable for a period of time the terminal will display a...

Страница 10: ...by pressing the CHQ soft function key SERVICES 1 MEDICARE EASYCLAIM 9 ADMIN From the SERVICES menu press the FUNC button SERVICES 1 END SESSION 2 BARCODE PRINTING 3 TERMINAL UPDATES 4 MERCHANT SETTIN...

Страница 11: ...2 Modifying Terminal Operator IDs Repeat the steps in section 4 1 until you reach the OPERATOR ADMIN menu OPERATOR ADMIN 1 ADD OPERATOR 2 MODIFY OPERATOR 3 REMOVE OPERATOR 4 OPERATOR LIST Press 2 to s...

Страница 12: ...TOR1 PREV NEXT Select PREV or NEXT from the menu by pressing the CHQ or CR soft function keys until you locate the operator you wish to delete and then press ENTER REMOVE OPERATOR OPERATOR NAME PREV N...

Страница 13: ...SERT CARD From the ANZ idle screen keep pressing ENTER until the SERVICES screen is displayed SERVICES XTRA Select XTRA from the menu by pressing the CHQ soft function key SERVICES 1 MEDICARE EASYCLAI...

Страница 14: ...oners to enter the terminal will print a Service Provider List then return to the ANZ idle screen 5 2 Removing Practitioners To remove a practitioner follow the steps in section 5 1 until you reach th...

Страница 15: ...red in a list that is displayed each time that particular entry is required 01 01 2010 12 08 SWIPE OR INSERT CARD From the ANZ idle screen keep pressing ENTER until the SERVICES screen is displayed SE...

Страница 16: ...an additional MBS item repeat the above 3 steps If there are no more MBS items to add press ENTER to return to the ANZ idle screen You can create lists for Practitioner Numbers including servicing pay...

Страница 17: ...CARE EASYCLAIM 5 MEDICARE SETUP Press 5 to select MEDICARE SETUP MEDICARE SETUP 1 SETUP SERVICES 2 PROVIDER SETUP 3 MBS ITEM SETUP 4 LSPN SETUP Select the next screen from the menu by pressing the CHQ...

Страница 18: ...01 2010 12 08 SWIPE OR INSERT CARD From the ANZ idle screen keep pressing ENTER until the SERVICES screen is displayed SERVICES XTRA Select XTRA from the menu by pressing the CHQ soft function key SER...

Страница 19: ...the card number CLAIMANT IRN Enter the number corresponding to the claimant on the Medicare card then press ENTER SERVICE PROVIDER 1 NAME 1 2 NAME 2 3 NAME 3 4 NAME 4 PREV NEXT Select the provider of...

Страница 20: ...ode applies press 1 RESTRICTIVE OVERRIDE CODE 1 N A 2 SEPARATE SITES 3 NOT RELATED 4 NOT FOR COMPARISON If N A is selected in the previous screen select the appropriate restrictive override code if no...

Страница 21: ...ction before completing the Medicare claim If rejected the terminal will display an error message outlining the reason Please refer to the Terminal Error Messages section 18 in your ANZ Turbo Merchant...

Страница 22: ...1 until you reach the ACCOUNT PAID menu ACCOUNT PAID 1 FULLY PAID 2 PARTIALLY PAID 3 UNPAID Press 2 to select PARTIALLY PAID ACCOUNT REF NO Enter the account reference number or just press ENTER DATE...

Страница 23: ...celled 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 6 3 Unpaid Pati...

Страница 24: ...E OVERRIDE CODE 1 N A 2 SEPARATE SITES 3 NOT RELATED 4 NOT FOR COMPARISON If N A is selected in the previous screen select the appropriate restrictive override code if no restrictive override code app...

Страница 25: ...is displayed SERVICES XTRA Select XTRA from the menu by pressing the CHQ soft function key SERVICES 1 MEDICARE EASYCLAIM 9 ADMIN Press 1 to select MEDICARE EASYCLAIM MEDICARE EASYCLAIM 1 PATIENT CLAI...

Страница 26: ...rovider from the list e g press 2 to select NAME 2 DATE OF SERVICE DDMMYY 080208 Press ENTER to accept default date If a different date is required press CLEAR to remove default date then enter correc...

Страница 27: ...to OVERRIDE or press 2 to DECLINE the transaction ASSIGN BENEFITS 1 OK ASSIGN BENEFITS 2 NO DO NOT ASSIGN The patient must agree to assign the Medicare benefit payment to the practitioner by pressing...

Страница 28: ...rd In this case commence at the MEDICARE EASYCLAIM screen 01 01 2010 12 08 SWIPE OR INSERT CARD From the ANZ idle screen keep pressing ENTER until the SERVICES screen is displayed SERVICES XTRA Select...

Страница 29: ...d number then enter the claimant s Medicare card number and press ENTER If the claimant is on the same Medicare card as the patient press ENTER to accept the card number CLAIMANT IRN Enter the number...

Страница 30: ...OVERRIDE TYPE REF ISSUE DATE DDMMYYYY If REFERRING PROV NO is entered please enter the referral issue date and press ENTER REF PERIOD TYPE 1 STANDARD 2 INDEFINITE If REFERRING PROV NO is entered refer...

Страница 31: ...press ENTER SERVICE DEPOSIT TOTAL 56 00 ENTER TO CONTINUE The claim is submitted to Medicare Australia for consideration and if approved details of the Medicare rebate to be paid will be displayed Pr...

Страница 32: ...ncelled claims also provide a medical account receipt to enable the claimant to make a claim through an alternative channel 7 2 Partially Paid Patient Claims A Partially Paid Patient claim exists when...

Страница 33: ...FERRING PROV NO is entered please enter the referral issue date and press ENTER REF PERIOD TYPE 1 STANDARD 2 INDEFINITE If REFERRING PROV NO is entered please enter the referral period type MBS ITEM 1...

Страница 34: ...imant to make a claim through an alternative channel 7 3 Unpaid Patient Claims An Unpaid Patient claim exists when a claimant has not paid a medical practitioner s account Where Medicare Australia ass...

Страница 35: ...2 INDEFINITE If REFERRING PROV NO is entered please enter referral period type MBS ITEM 1 Select first MBS ITEM NUMBER Select PREV or NEXT from the menu by pressing the CHQ or CR soft function keys u...

Страница 36: ...s A Bulk Bill claim is a claim made by a medical practitioner who undertakes to accept the relevant Medicare benefit s as full payment for the service s provided by that medical practitioner to the pa...

Страница 37: ...g press 1 to select NAME 1 Select PREV or NEXT from the menu by pressing the CHQ or CR soft function keys until you locate the provider of the service If you wish to add a different provider enter 99...

Страница 38: ...OVERRIDE CODE 1 1 N A 2 NOT DUPLICATE 3 NOT NORMAL A CARE Select appropriate item override code from the list if no item override code applies press 1 to select N A RESTRICTIVE OVERRIDE CODE 1 N A 2 S...

Страница 39: ...patient claim type where Medicare Australia assesses that a Medicare rebate is payable the Medicare rebate will be paid to the claimant Follow these steps when the claimant has paid their account in...

Страница 40: ...are card number is the same as the patient s press ENTER If not swipe the claimant s Medicare card or press CLEAR to delete the patient s Medicare card number then enter the claimant s Medicare card n...

Страница 41: ...press ENTER REQ OVERRIDE TYPE 1 SELF DEEMED 2 LOST 3 EMERGENCY If no requesting provider number was entered in the previous screen select the number that represents the REQ OVERRIDE TYPE REQ ISSUE DA...

Страница 42: ...lect N A If you wish to add a different equipment ID number enter 99 then enter the relevant equipment ID number and press ENTER MBS ITEM 2 If applicable enter or select a second MBS item number Other...

Страница 43: ...e 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...

Страница 44: ...he previous screen select the number that represents the REQ OVERRIDE TYPE REQ ISSUE DATE DDMMYYYY If REQUESTING PROV NO is entered REQ PERIOD TYPE must also be entered MBS ITEM 1 Select first MBS ITE...

Страница 45: ...nt ID number and press ENTER MBS ITEM 2 If applicable enter or select a second MBS item number Otherwise press ENTER The terminal will produce a Medicare lodgement receipt for each claim including can...

Страница 46: ...mber just press ENTER REQ OVERRIDE TYPE 1 SELF DEEMED 2 LOST 3 EMERGENCY If no requesting provider number was entered in the previous screen please select the number that represents the REQ OVERRIDE T...

Страница 47: ...nt equipment ID number and press ENTER MBS ITEM 2 If applicable enter or select a second MBS item number Otherwise press ENTER The terminal will produce a Medicare lodgement receipt for each claim inc...

Страница 48: ...CLAIM Press 4 to select BULK BILL EXPRESS for more information on Express Claims please refer to section 3 CLAIM TYPE 1 GENERAL PRACTICE 2 SPECIAL AH DENTAL 3 DIAGNOSTIC 4 PATHOLOGY Press 3 to select...

Страница 49: ...CLEAR to remove default date then enter correct date in format ddmmyy and press ENTER REQUESTING PROV NO Enter the requesting provider number and press ENTER if there is no requesting provider number...

Страница 50: ...ber enter 99 then enter the relevant equipment ID number and press ENTER MBS ITEM 2 If applicable enter or select a second MBS item number Otherwise press ENTER NO CONCESSION ENTITL 1 OVERRIDE 2 DECLI...

Страница 51: ...010 12 08 SWIPE OR INSERT CARD From the ANZ idle screen keep pressing ENTER until the SERVICES screen is displayed SERVICES XTRA Select XTRA from the menu by pressing the CHQ soft function key SERVICE...

Страница 52: ...e If not select the payee provider from the list e g press 2 to select NAME 2 DATE OF SERVICE DDMMYY 080208 Press ENTER to accept default date If a different date is required press CLEAR to remove def...

Страница 53: ...nt SCP ID number enter 99 then enter the relevant SCP ID number and press ENTER NO CONCESSION ENTITL 1 OVERRIDE 2 DECLINE If CEV was requested and the patient does not have any entitlement press 1 to...

Страница 54: ...Medicare Receipts 10 1 Fully Paid Medicare Easyclaim Patient Claim This is an example of a fully paid Medicare Easyclaim patient claim receipt 179896_Medicare_Merch_op_Guide_74719 indd 54 6 08 10 5 11...

Страница 55: ...Easyclaim Patient Claim This is an example of a partially paid Medicare Easyclaim patient claim receipt The receipt for an unpaid or pended claim will contain the same information 179896_Medicare_Mer...

Страница 56: ...10 3 Pended Medicare Easyclaim Patient Claim This is an example of a pended Medicare Easyclaim patient claim receipt 179896_Medicare_Merch_op_Guide_74719 indd 56 6 08 10 5 11 PM...

Страница 57: ...56 57 10 4 Cancelled Medicare Easyclaim Patient Claim 179896_Medicare_Merch_op_Guide_74719 indd 57 6 08 10 5 11 PM...

Страница 58: ...10 5 Medicare Easyclaim Bulk Bill Claim This is an example of a receipt for Medicare Easyclaim Bulk Bill claim 179896_Medicare_Merch_op_Guide_74719 indd 58 6 08 10 5 11 PM...

Страница 59: ...6 Cancelled Medicare Easyclaim Bulk Bill Claim This is an example of a receipt issued when the patient declines a Medicare Easyclaim Bulk Bill claim 179896_Medicare_Merch_op_Guide_74719 indd 59 6 08 1...

Страница 60: ...0 7 Error Receipt This is an example of an error receipt for Medicare Easyclaim The message displayed will vary depending on the Error code 179896_Medicare_Merch_op_Guide_74719 indd 60 6 08 10 5 11 PM...

Страница 61: ...1 Instructions appearing in this Merchant Operating Guide form part of your Merchant Agreement and may be varied or replaced by ANZ at any time 179896_Medicare_Merch_op_Guide_74719 indd 61 6 08 10 5 1...

Страница 62: ...179896_Medicare_Merch_op_Guide_74719 indd 62 6 08 10 5 11 PM...

Страница 63: ...62 63 179896_Medicare_Merch_op_Guide_74719 indd 63 6 08 10 5 11 PM...

Страница 64: ...nz com Australia and New Zealand Banking Group Limited ANZ ABN 11 005 357 522 ANZ s colour blue is a trade mark of ANZ 74719 08 2010 W179896 179896_Medicare_Merch_op_Guide_74719 indd 64 6 08 10 5 11 P...

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