How to bill Bupa for a Portflush

Some sites have negotiated with Bupa for payment of portflushes, however these claims need to be submitted in a particular format or the claim will be rejected by either Medicare or Bupa.

1. Although Bupa states that the portfulshes should be billed as an outpatient this is in fact a misnomer, any claims submitted to a healthfund need to be transmitted as an inpatient service or they will not go through the correct channels and will be rejected by Medicare.
This means that you will need to book an in-patient appointment for the portflush, admit, code and discharge the appointment as you would with any other in-patient treatment.


2. On the account tab you will need to add two services