Bulk bill, No Gaps and Scheme Contract check boxes

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 inpatient medical claims. It does not affect hospital claims so you can include this tick on contracts that include both medical and hospital services.

3 'Scheme Contract for Medical Inpatient'
This is for contracts where you do not have a MPPA agreement but it contains 'No Gaps' medical claims at the default amount, make sure you check with the health fund what the arrangement is as this will affect the formatting of Eclipse inpatient medical claims. It does not affect hospital claims so you can include this tick on contracts that include both medical and hospital services.

Tick boxes 2 & 3 can be ignored by practices that are not doing any inpatient services.