To add or update payor information click on the 'Maintain Payors' tab which will bring you to the 'Manage Payors' page.
To add a payor click on the 'Add a Payor' button at the top of the grid.
To edit a payors information click on the payor line item and the grid will expand out for the payor information to be edited.
Please note that if you update a payor it will also affect historical accounts associated with that payor.
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To update the price of an existing contract, you will first need to modify the price of the existing service item.
From the 'Billing Administration' drop-down-list, select 'Maintain Services' (1). This will open the 'Service Master', where you will be required to select (click) the 'service item' you wish to update (2). Once clicked, a detailed drop-down page will display, where you will be able to 'Lookup' (3)....
To create or manage a health fund group click on 'Maintain Health Fund Groups' tab on the left side menu (1) under the billing administration section.
To add a group click on the 'Add A Group' button.
To update information on a group click on the group line item and the grid will expand out.
If you click add group the grid will expand out to display the following fields.
1 Enter the name of the group
2 Enter...
To add a service click on the 'Maintain Services' tab on the left side menu.
The Services Master is a list of all services provided by your organisation.
Services with a red x next to them may be deleted from the list as they have not been added to a contract. If you have saved them to a contract you can only delete them if you remove them from the contract first.
NB: Deleting services from contracts may affect historical accounts if that service has been used on them
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This tutorial covers how to add a service to the Master Services list and then add that service to a contract
Click on the link to access the tutorial
http://ior.ad/shv
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Clicking on the 'Contract Management' tab on the left side menu will bring you to the 'Contracts' page where all contracts for your organisation are stored.
The contracts module is where you stipulate how much you charge each health fund for a service provided to their members and how much you expect each health fund to pay you for a particular service.
Generally speaking most organisations create a contract for each different health fund.
NB: If there is a price change for any service...
The bind visit service page is where you set the default services for each visit reason and type. As can be seen below for the visit reason ‘Colorectal cancer’ and the visit type ‘Dr consult (o/p) initial’ the default service is 110.
To add or change default services on a visit reason & type combination
1 Go to the bind visit service page (Under billing administration)
2...
When you add a service to the 'Service Master' you will be prompted to select a 'Service Type' and then a 'Service Type Detail'. Below is a guide to what each one means.
Service Type: Medical- Includes any service with a provider number including allied health that is billable under medicare
Service Type Detail; MBS Outpatient - services that are billable to medicare that are provided by a medical practitioner or other health care provider (service setting...
1 'Is Bulk Bill'
Check this box for Medicare contracts that charge 85% of the schedule fee for outpatient services, bulk bill outpatient services must have their own contract and must be correctly flagged as this affects the claim formatting.
2 'Includes No Gaps'
Inpatient health fund contract where the medical provider has medical purchaser agreement with the fund. Make sure that you tick this if you have MPPA agreement as it will affect the formatting of Eclipse...
