Using The new Hearing Services Program e-Claim Platform

 As from 23 November 2019 the procedure for processing electronic claims will change. Here is how to use the new e-Claim platform:

 

  1. In HearAid 6.0, click on e-Claims|Prepare Batch; a new CSV format batch file will be created and allocated the next batch number in the sequence. So for example, if the last batch prepared was batch 495 then the new batch will be called 496.csv

    Once the batch file has been created HearAid calls up the computer's default web browser and connects to the HSO Portal where you log in using the existing portal log in procedure

  2. Once logged in to the portal, expand the Claims accordion and click the Batch Upload button



    which takes you to the File Upload page

  3. Click the Browse button and navigate to the ..\HearSoft\HearAid 5.0\EClaims folder on your server computer (or C:\HearSoft\HearAid 5.0\EClaims if you are using a stand-alone computer)



    Normally you would select the batch file with the highest number but if you have missed overlooking some batches you can choose any file to upload... there is no longer a requirement that batches be uploaded in strict sequential order.

  4. If the batch uploads successfully this message will display


    If, however, the upload fails then the Batch Upload screen remains, displaying an error message

  5. Batch response files are usually available almost immediately, but HSP will also send an email to the Provider's registered email address to notify when the batch has been processed. A copy of the email can be found in the Service Provider Details page, accessed by clicking the Manage My Business Details on the portal Home Page:





  6. When the batch response is ready for download, return to the Claims accordion and click the Batch Download button, which opens the Batch Download page.

    When generating batch files, HearAid stores the batch number in the batch Header row so the simplest way to retrieve a response file is to enter the Batch Number into the Header ID box. Alternatively, you can enter the Claims File Reference Number into the Load Number box



    and click the Find button.

    Click on the entry in the Load Number cell.
    Depending on your web browser and its settings for downloads, you should then be prompted to Save the response file:


    Firefox



    after clicking OK the Save To dialog box appears; Internet Explorer and Chrome should just open the dialog box



    At this point it is recommended that you remove the "HearingServicesOnlineBatchUploadResponseForLoad" part of the file name and just save the Load Reference number part as shown



    It is essential that you save the response file into the ..\HearSoft\HearAid 5.0\EClaims\Response Files folder!


    Then click the Save button

  7. Once the response file has been downloaded into the ..\HearSoft\HearAid 5.0\EClaims\Response Files folder you will be able to Reconcile it in HearAid in e-Claims|Reconcile

  8. Existing batch files can be viewed in e-Claims View Batch




  9. If you ever need to recreate a batch file - if, say a batch file has accidentally been deleted or moved before it was uploaded - there is a new function in the e-Claims|Batch Log window which can be used to recreate it.

    Select the batch record in the Batch Log, right-click on it and select the Recreate Batch File item on the pop-up menu