Related Manuals for ANZ HealthPay
Summary of Contents for ANZ HealthPay
- Page 1 ® ANZ HEALTHPAY MEDICARE CLAIMING OPERATING GUIDE Medicare Easyclaim Merchant Support: 1300 633 269...
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Page 2: Table Of Contents
Contents 1. Welcome 1.1 Merchant Agreement 1.2 Important Contact Details for Practitioners 1.3 Important Contact Details for Claimants 2. Claim Types 2.1 Patient Claims 2.2 Bulk Bill Claims 2.3 Medical Practitioner General Information 3.1 Patients and Claimants 3.2 Bank Accounts 3.3 Optional Fields 3.4 Medicare Easyclaim Reference Guide 3.5 Express Claims... - Page 3 7. Other Administrative functions 7.1 Updating details for providers and MBS item numbers 7.2 Updating details on replacement terminals 7.3 Reconciling Bulk Bill claims and payments 7.4 LSPN Setup 7.5 Equipment Setup 7.6 Referring and Requesting Provider Setup 7.7 SPC ID Setup 7.8 Receipt Setup 8.
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Page 4: Welcome
Your ANZ Merchant Agreement contains valuable information and important requirements relating to operating procedures. Instructions in this Merchant Operating Guide form part of the ANZ Merchant Agreement and may be changed or replaced by us in accordance to the terms of the merchant agreement. -
Page 5: Claim Types
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. -
Page 6: Bulk Bill Claims
2.1.3 Unpaid Patient Claim An Unpaid Patient claim exists when a claimant has not paid a medical practitioner’s account. 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 Medicare address that is recorded with Medicare Australia. -
Page 7: General Information
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. -
Page 8: Receipts
Medicare Australia approval, the claim will time-out. When a time-out occurs in this scenario, the terminal will return to the ANZ Idle screen and the claim details will need to be entered again. -
Page 9: System Unavailability
Practitioner Receipt’ will be produced. 3.9 System Unavailability Should the Medicare network become unavailable for a period of time, the ANZ HealthPay terminal will display a message when you attempt to next process a claim. In this event, you may advise the claimant to lodge their claim through an alternative channel. - Page 10 SERVICES From the SERVICES menu, press FUNC. 1 MEDICARE EASYCLAIM 9 ADMIN SERVICES 1 END SESSION Press 4 to select MERCHANT SETTINGS. 2 BARCODE PRINTING 3 TERMINAL UPDATES 4 MERCHANT SETTINGS SYSTEM ADMIN Enter Master User Id (default Id is 467263) then press ENTER.
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Page 11: Modifying Terminal Operator Ids
4.2 Modifying Terminal Operator IDs. Repeat the steps in section 4.1 until you reach the OPERATOR ADMIN menu. OPERATOR ADMIN 1 ADD OPERATOR Press 2 to select MODIFY OPERATOR. 2 MODIFY OPERATOR 3 REMOVE OPERATOR 4 OPERATOR LIST MODIFY OPERATOR Select PREV or NEXT from the menu by pressing OPERATOR NAME the CHQ or CR soft-function keys until you locate... -
Page 12: Printing An Operator List
In order to gain the most out of your ANZ HealthPay service it is advisable to set up a few options relating to your service. This will affect the options you are presented with when you process a claim. -
Page 13: Services Setup
5.1 Services Setup To go to the Setup Services menu: Start from the ANZ Idle screen. For example: Press ENTER. ANZ EFTPOS MENU 1 PURCHASE 2 CASH OUT 3 REFUND ANZ EFTPOS MENU Scroll down to select the SERVICES option and press ENTER.If you have set up an Operator ID on... -
Page 14: Provider Setup
Note: Only the Services set to “Yes” will be available choices when making a claim or when setting up other preferences. 5.2 Provider Setup To go to the Provider menu: Start from the ANZ Idle screen. For example: Press ENTER. ANZ EFTPOS MENU 1 PURCHASE... - Page 15 CANCEL CLAIM Enter your Operator ID, then press ENTER. Terminal will display the services screen. OPERATOR ID? SERVICES 1 HEALTHPONT Press 2 for MEDICARE EASYCLAIM. 2 MEDICARE EASYCLAIM 3 ADMIN MEDICARE EASYCLAIM Press 9 for SETUP. 1 CLAIM 9 SETUP SETUP 1 SERVICE SETUP Press 2 for PROVIDER SETUP, the terminal will...
- Page 16 PAYEE PROVIDER If payment for this Provider’s services is to go 1 N/A into the bank account they have registered with 2 GP1 Medicare, select N/A. Otherwise select a provider to be the Payee Provider. SEARCH PAYEE PROVIDER 1 PROVIDER NUMBER The screen will display the Provider’s details.
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Page 17: Mbs Item Setup
5.3 MBS Item Setup To go to the MBS Item menu: Start from the ANZ Idle screen. For example: Press ENTER. ANZ EFTPOS MENU 1 PURCHASE 2 CASH OUT 3 REFUND MBS ITEM MENU Scroll down to select the SERVICES option and press ENTER. -
Page 18: Other Settings
SETUP 1 SERVICE SETUP Press 3 for MBS ITEM SETUP the terminal will 2 PROVIDER SETUP display the SERVICE TYPE list. 3 MBS ITEM SETUP 4 LSPN SETUP SERVICE TYPE 1 GP Select the SERVICE TYPE. 2 SPEC/AH/DENTAL 3 DIAGNOSTIC 4 PATHOLOGY DIAGNOSTIC ITEMS To add a new MBS ITEM, Select ADD option by... -
Page 19: Making A Claim
When you have completed setting up your terminal, the process will be streamlined to your practice. The options you selected during setup affect which options you are given when you come to raise a claim. Start from the ANZ Idle screen. For example: Press ENTER. - Page 20 Swipe the claimants Medicare Card or enter the PATIENT CARD card number. SWIPE CARD OR KEY Note: Medicare card can be swiped at Idle status and it will directly take you to step 6. Enter the IRN and press ENTER. PATIENT CARD Note: The IRN is number that is listed next to the patient’s SWIPE CARD OR KEY...
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Page 21: For Approved Fully Paid Patient Claims
Terminal will display the Service Item details; LEVEL A CONSULTATION check that the information is correct and press ENTER. 1 AMOUNT $23.50 2 DATE 11/10/14 To change/modify any of the service item details, 3 OVERRIDE CODE select the number corresponding to it (eg press 1 to modify Amount) DISCARD Select DISCARD option you want to discard the... -
Page 22: For Unpaid Or Part-Paid Claims
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. -
Page 23: Other Administrative Functions
7.2 Updating details on replacement terminals If a ANZ HealthPay terminal is replaced, the lists and settings do not carry over. To retrieve the lists set up in a previous terminal, go to the Easyclaim Setup menu in the new terminal, select each setup menu in turn. -
Page 24: Equipment Setup
The ANZ HealthPay screen will show the information entered. Check that it is correct and press ENTER • The ANZ HealthPay screen will show the list of LSPNs. Add LSPNs as necessary and press ENTER to accept changes • The ANZ HealthPay terminal will print a confirmation receipt once completed. -
Page 25: Referring And Requesting Provider Setup
• Enter a short name for the Equipment and press ENTER • The ANZ HealthPay screen will show the information entered. Check that it is correct and press ENTER • The ANZ HealthPay screen will show the list of Equipment IDs. Add Equipment as necessary and press ENTER to accept changes •... -
Page 26: Spc Id Setup
• Enter a short name for the Provider and press ENTER • The ANZ HealthPay screen will show the information entered. Check that it is correct and press ENTER • The ANZ HealthPay screen will show the list of Providers. Add Providers as necessary and press ENTER to accept changes •... -
Page 27: Receipt Setup
The ANZ HealthPay screen will show the information entered. Check that it is correct and press ENTER • The ANZ HealthPay screen will show the list of SCPs. Add SCPs as necessary and press ENTER to accept changes The ANZ HealthPay terminal will print a confirmation receipt once completed. -
Page 28: Claim Data Details
8. Claim Data Details Below are details of the items which might be shown in step 12 of Section Making a Claim. The values displayed will vary depending on the options previously selected as well as the options entered during Setup (see Customising Medicare Easyclaim). Claimant The Claimant option is presented for all Fully Paid, Partially Paid and Unpaid claims. - Page 29 If Providers have been setup (see Section Provider Setup): • Select this option. The terminal will show the Provider List (this is the same as the list for Servicing Providers) • Select the Provider or N/A from the list (N/A indicates that the Servicing Provider should be the Payee Provider) •...
- Page 30 If Referring Providers have not been set up and a Referring Provider is being indicated: • Press 1 SELECT PROVIDER • Key in the Referring Provider number and press ENTER • Key in the Referral issue date and press ENTER •...
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Page 31: Services Data Details
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). - Page 32 (‘N/A’ indicates that there is no Equipment ID). If Equipment Items have been setup (see Section Equipment Setup): • Select this option. The ANZ HealthPay terminal will show the Equipment ID List • Select the Equipment ID or N/A from the list •...
- Page 33 SCP ID). If SCP IDs have been setup (see Section SCP ID Setup): • Select this option. The ANZ HealthPay terminal will show the SCP ID List • Select the SCP ID or N/A from the list •...
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Page 34: Medicare Receipts
10. Medicare Receipts Fully Paid Medicare Easyclaim Patient Claim This is an example of a fully paid Medicare Easyclaim patient claim receipt. - Page 35 Unpaid / Partially Paid Medicare 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.
- Page 36 Pended Medicare Easyclaim Patient Claim This is an example of a pended Medicare Easyclaim patient claim receipt.
- Page 37 Cancelled Medicare Easyclaim Patient Claim...
- Page 38 Medicare Easyclaim Bulk Bill Claim This is an example of a receipt for Medicare Easyclaim Bulk Bill claim.
- Page 39 Cancelled Medicare Easyclaim Bulk Bill Claim This is an example of a receipt issued when the patient declines a Medicare Easyclaim Bulk Bill claim.
- Page 40 This is an example of an error receipt for Medicare Easyclaim. The message displayed will vary depending on the Error code. Instructions appearing in this Merchant Operating Guide form part of your Merchant Agreement and may be varied or replaced by ANZ at any time.
- Page 41 anz.com.au...