SAAS Medical Systems

https://saasmedical.com.au

User Guides

and

Documentation

Online Help

User Guide Home
Document last updated on: 26/11/2020

Search All User Guides & Documentation

Help on Search 

Enter any keyword or topic to search online documentation

Software as a Service Cloud Practice Management

Special Note regarding User Guides

SaaS Web ECLIPSE User Guide 

Sections in this ECLIPSE User Guide.

1
2
3
4
5
6

Medicare Online ECLIPSE Claiming with SaaS Web 

1 - ECLIPSE Claiming channel with SaaS Web


ECLIPSE - (Electronic Claim Lodgement and Information Processing Service Environment) is an extension of Medicare Online claiming. It offers a secure connection between:


  • Health Professionals
  • Public and Private hospitals
  • Billing Agents
  • Private Health insurers
  • Department of Veterans' Affairs
  • Medicare


    • It includes direct communication in the one transaction between your Practice, Medicare and Private Health Insurers.

    ECLIPSE can be used for both paid and unpaid In-Patient Medical Claims and is lodged directly to Medicare with SAAS Web. 

    2 - Setting the User Default for ECLIPSE Billing

    To utilise the SAAS Web Medicare Online ECLIPSE Billing channel, set or change the User Default Billing Mode to Medicare ECLIPSE In-Patient and Save the Defaults.

    The Billing Mode on the Home screen will indicate that Medicare ECLIPSE In-Patient billing is active.


    Now, when Patient Billing is selected / clicked - the ECLIPSE Billing screen will be activated.



    3 - In-Patient Billing - Medicare ECLIPSE - Set CLAIM Details

    Active Guide

    To assist in Getting Started - you can click Show Active Guide. This will assist by displaying prompts and the basic procedure to follow when entering ECLIPSE claims. ( You can turn this off at any time by clicking Hide )

    Step 1 - Find / Select the Patient




    Use the Find / Select Patient function that is common throughout.

    Step 2 - Select the Claim Details


    Setting the correct ECLIPSE Claim Details is of course, the crucial task (if you are familiar with SAAS Web Medicare Online billing - that doesn't change).


    Please refer to the notes and addendums if you are unfamiliar with ECLIPSE claim TYPES.



    Select the Hospital or Facility


    Use the Drop-Down to select the Hopital or Facility / Clinic.


    The drop-down list is set for your Practice.


    To modify this list - you need to configure the Hospitals and Facilities list. To access this list - go to Administration Setup > Hospitals and Facilities. You can sort by Suburb/Postcode etc. to find the correct hospital.


    Just click on Use for the selected Hospital/Facility to appear in the drop-down list.


    (see below)

    Select the Claim Type


    Use the Drop-Down to select the Claim Type.


    There are 5 distinct Claim Types that can be processed via ECLIPSE.


    1. Agreement
    2. Scheme
    3. Patient Claim
    4. Medicare Benefits
    5. Medicare Only (No private health insurer)

    If you are not familiar with ECLIPSE Claim Types - you must necessarily refer to the Medicare ECLIPSE documentaion and learning guides available online.




    Select the Patient Account / Principal Provider


    If there already is an ECLIPSE Patient Account for the Principal Provider - you can select from the list.


    If the ECLIPSE Patient Account does not yet exist - then it must be created.


    Note that an ECLIPSE type must be used - even if there are other Patient Accounts fro this doctor.




    Lookup the Fund Payee ID






    4 - In-Patient Billing - Medicare ECLIPSE - Create INVOICES for this Claim

    Note that each Invoice in SAAS Web is transmitted to Nedicare as a "Voucher". A maximun or 14 Invoices can be associated with each Claim.


    If you are familiar with any of the other Billing screens in SAAS Web = you will notice that they all are very similar. The difference of note when Invpices as part of an ECLIPSE Claim - is the addition of a few data entry fields:-


    Date of Admission :

    Date of Discharge :


    Financial Interest Disclosed :

    No Financial Interest Disclosed :


    Clain is not part of compensation

    Claim may be part of compensation


    Informed Financial Consent (IFC)

    Click on New Invoice to begin