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Document last updated on: 23/08/2023

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Software as a Service Cloud Practice Management

Medicare Online Billing - Bulk Billing Claim Process

Overview 

See Also
This guide refers only to SAAS Web Medicare Online Patient Billing Claim Process.



Bulk Billing Claim Process 

When the billing process has been completed, click the [Continue] button to proceed with the Medicare Claim Process.

The Start the claim process presents 3 options:-


Start Claim Process


or


Bulk Bill Stored for later transmission


or


Save Patient Voucher for later claim



Start Claim Process will send the claim now


As SAAS Web is always on-line - this is the easiest process for most practices.


Bulk Bill Stored for later transmission


This method puts the claim in a batch - which must be processed manually at a later time.


Save Patient Voucher for later claim


This method only creates the Invoice/Voucher which will be included with other voucher(s) for the same patient for claiming at a later date.

Start Claim Process

After selecting Start Claim Process - the claim will be submitted to Medicare - and (in most cases) - a Successful response will be received in just a few moments.


At this point - you now have the option to print the DB4 (this can also be printed at any time if required).



Continue .. returns to Patient Billing screen

The status of submitted Bulk Bill claims can be accessed from the Medicare Online menu.

Patient Claim Process 

Types of patient payment options

There are 3 payment options for patient claims that can be lodged through Medicare Online.

  • Fully paid account - patient or claimant has paid their account in full
  • Part paid account - patient or claimant has paid a contribution toward settlement of the account
  • Unpaid account - account has not been paid

(1) Payment Type (Select from drop-down list)

(2) Enter Amount (If not fully paid - or the the payment is composed of multiple parts)

(3) Add this payment - will be shown on the summary line (4)


You can add multiple payment parts - when completed you can Print the Receipt if required (5)


For full details - refer to the Medicare Online Patient Claim Payments Guide



`When payment details have been entered - click on [Continue] - the Medicare Patient Claim - Start Claim Process screen will be displayed.


Click [Start Claim Process]





Patient Claim Payment Instructions

Claim is MEDICARE PENDABLE

If Medicare returns a status of MEDICARE_PENDABLE - first view the Detailed Response.


(In this example - Medicare says this is a duplicate service which has already been paid.)


There are 3 options when the claim is MEDICARE_PENDABLE.


Option 1 : Refer Claim to Medicare Operator


Option 2 : Go Back to the Patient Billing Screen and resolve the issues


Option 3 : Cancel the claim.







Option 1 : Refer Claim to Medicare Operator

Option 2 : Go Back to the Patient Billing Screen and resolve the issues


From the example above (duplicate service which has already been paid)


You are returned to the Patient Billing screen.




Option 3 : Cancel the claim

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