IMC Claim Process Status Messages via Eclipse

 

The following table shows the various statuses displayed in the Claims Window during IMC Claim Processing via ECLIPSE.

Action

Status

Message in the Claims Window

Transmit Claim

Service outage or connection failure.

Awaiting Submission

Response status is negative.

Response status is successful.

Processing

ECLIPSE Claim Validation

Service outage or connection failure.

Response status is negative.

Status is successful, but claim has failed ECLIPSE validation.

Rejected (Validation)

Status is successful, and claim delivered to Medicare and Private Health Fund.

Awaiting Processing Report

Get Statement of Benefit Report

Service outage or connection failure.

Response status is negative.

Response status is successful, but claim is fully rejected by Medicare. Can be receipted manually or adjusted and resubmitted as a new claim.

Ready to Finalise (R)

User must click the Rejected button to finalise the claim, after which the message will read 'Finalised (Rejected)'

Response status is successful, and claim is partially accepted.

Awaiting Payment Report

Response status is successful, and claim is fully accepted.

Get Remittance

Service outage or connection failure.

Awaiting Payment Report

Response status is successful, and Remittance (RMT) Report retrieved.

Ready to Receipt

Allocate Receipt

Receipt is automatically created and allocated to the invoice.

Finalised (Receipted)