There are settings you must configure in both your clinical package and Pracsoft in order to process immunisation claims.
1. Ensure you have configured your clinical package to export immunisation data. Pracsoft will need to know the name and location of this file. Please consult your System Administrator if you require assistance with this.
2. Ensure that you have configured Pracsoft for Online Claiming.
3. In Pracsoft, select MedicalDirector > Medical Director Link Options. The Medical Director Link Options window appears. Select the Import Settings tab.
o Note
that the settings on this tab will not be available
if you have configured Pracsoft to link to Clinical (via the Links tab)
4. Indicate here the name and location of the clinical package's immunisations file referred to in Step 1. Click to browse to and select the file.
5. Click
Immunisation claims are batched and sent via online claiming to notify ACIR of a child's vaccination record. This system is an alternative to contacting ACIR directly, saving your Practice time.
Before you can process an immunisation claim in Pracsoft, the patient must first have received a vaccination, recorded in your clinical package.
1. In Pracsoft, select Processing > Online Claiming.
2. You
will be prompted that there are immunisations claims to import
from MedicalDirector Clinical. This prompt refers to those immunisations
recorded in your clinical package since you linked
it with Pracsoft.
3. Click to import the claims.
4. The
Medicare Australia Online Claiming
window appears. Notice that the immunisation claims are already
listed for you to prepare. Note that this is the same window
used for processing 'normal' online claims. for information about
the normal online claiming process, see Online
Claiming.
5. Click
to
continue. You are presented with the Prepare
Claim Data tab.
Preparing claim data validates the immunisations within the claim,
and notifies you of any issues, such as a patient without a recorded
Medicare number, or date-of-birth.
6. Click
to
prepare the claims. You will be prompted to confirm this action.
7. The
results of the preparation are presented to you. If preparation
has failed for
any reason, you must resolve any issues now, and attempt to
process the claim again later.
8. Click You are presented with the Print Claim Reports tab. You have an opportunity here to print hardcopy reports of what you have sent to Medicare.
9. Click You are presented with the Transmit Claims tab.
10. Click
The
Transmit Claims window
appears. Select which claims you wish to transmit by ticking the
associated Selected check
box.
11. Click
The
claim will be automatically sent electronically to Medicare for
processing. You should receive confirmation of its success, as
shown in the example below.
Medicare may return a '9501- Assessment Report' if claim assessment
has failed. This report will be sent automatically to your printer.
If you receive any errors, please consult the topic Troubleshooting
Immunisation Claims for assistance.
This concludes the steps necessary for make an immunisation claim for ACIR .