Daily Medicare Tasks

Each morning, check the Medicare claim status for the previous day's encounters.

The Medicare claim status for each encounter is displayed in the Claims Status (Online Claiming) window. Select File > Online Claiming > Bulk Bill Claims tab.

Table 1. Medicare tasks by status
Claim Status Description
Error: Claim not sent - please retry There was an error and the claim wasn't submitted to Medicare Resubmit the claim

Claim waiting in queue

Claim sent - Awaiting processing

Claim processed - Awaiting Payment

One or more of the claims for the service are in progress

No action required if the transmission date is within the previous week

Contact Medicare Australia if a claim is still in progress after a week

Claim paid by Medicare Australia

All claims are paid or processed awaiting payment

By default, paid claims are not displayed

No action required
Claim partially paid by Medicare Australia Some claims are paid and the rest have been rejected

Click View Medicare Australia Report and read the report.

Fix the problem in the claim:

  1. In Service Recording or Biographics, open the claim details.
  2. Make the required changes, then either:
    • To resend the claim, click Claim Now.
    • Deselect the items that are not claimable and click Save.
Claim rejected - View Report All claims have been rejected

Click View Medicare Australia Report and read the report.

Fix the problem in the claim:
  1. In the Claims Status (Online Claiming) window, click Reset Bulk Bill.
  2. In Service Recording or Biographics, open the claim details.
  3. Make the required changes, then either:
    • To resend the claim, click Claim Now.
    • If the claim can't be resent, click Not Claimable.
Claim discarded When a rejected claim is retransmitted, the original claim is discarded No action required

Associated Reports

To display the reports associated with Medicare:
  1. Select Report > Search Reports.
  2. In the Reports Search window, in the Search field, enter medicare.

When required, generate a list of patients whose Medicare details are incorrect, run Report > Patients > Invalid Medicare Details. Send this list to Medicare Australia who can provide the correct numbers and other details.

At a convenient time run the Payment Report for all claims. This may take some time depending on the number of claims currently awaiting payment.

See Reports for more information.