HearAid Version 5.0

Processing e-Claims

Processing e-Claims

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Processing e-Claims

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HearAid uses the following process for the preparation of OHS claims for electronic lodgement using the Medicare internet facility:

1.Prepare the claim (this part is identical for both paper- and electronic-claiming!) Make sure you print out a paper copy of the claim for signing and retaining in the client's file
2.Click the Send to e-Claims Pending button
3.When Prepare Batch is clicked HearAid reads the Pending records and checks the Authorised Person Signed and Client Signed dates for each
4.If both those dates are either the same as, or earlier than, the computer's current date, the claim will be included in the test batch; claims for which either of these dates is in the future will be held over
5.A Batch File is prepared
6.Finally, the batch file is uploaded to Medicare by the user

 

Except in situations where Medicare asks you to re-lodge a batch, or you receive an "Out of sequence" error, you should always upload the file called EClaims.txt

 

Once the batch has been processed by Medicare it can be downloaded from the Medicare web site

1.The downloaded response file, called ohsiohsxnnnn.zip, where nnnn is a number generated by Medicare (which bears no relationship to the batch number) should always be saved into the ..\EClaims folder
2.The batch is Reconciled
3.Rejected items are corrected and Sent to e-Claims Pending

 

It is strongly recommend that you download and reconcile response files for each batch before lodging the next batch. In other words, the process should be:

1.Prepare and Upload a claim batch
2.Download the response
3.Reconcile the response
4.Prepare and Upload the next batch