HBA assigns providers with a 'Practice ID' number when they register to use their no-gaps 'Ezyclaim' system, and recommends that providers quote the Practice ID in all communications with the fund. Beginning in December 2009, this number must be submitted with all Eclipse claims to HBA or the claims may be rejected. HBA state that they wrote to all doctors in November 2009 advising of this change. While some of our clients have received this letter, others have not. Of those we spoke to who did receive the letter, most did not realize that their HBA Eclipse claims would be rejected without the Provider ID.
Access Anaesthetics has always had the ability to send a 'Practice ID'. In the Eclipse system, Medicare refers to this number as the Fund Payee ID. It is an optional field that can be used by all funds, although most do not require it. Consequently, Access Anaesthetics does not check for it when it checks the data for the Eclipse claim. The Fund Payee ID can be entered on the second page of the IMC (Eclipse) claim dialog box, as shown below.
The Provider ID is the name used by HBA. Medicare call the field the Fund Payee ID.
HBA advises that a Payee ID is required for HBA, ANZ Health Insurance, St George Health Insurance, Healthcover Direct and Bupa Australia. |
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In version 5.71, we have added some features to streamline the entry of the Fund Payee ID. Specifically you can store a Fund Payee ID with each Eclipse Code so that when a claim is created using a specific fund code, the Fund Payee ID is entered automatically.
To edit the list, click the Fund Payee ID button in the Eclipse claim window.
Alternatively, click the <Eclipse Fund Payee ID> button on the Miscellaneous tab of the Options form. |
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Options > Miscellaneous tab. |
The window shown will open. Enter the Payee ID into the named field and select the matching fund from the dropdown list labelled 'Fund'. This shows the list of Eclipse codes for funds participating in Eclipse. This is the same code as shown on the account's Fund page.
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Once you have entered the Payee ID and matched it to the the appropriate Eclipse code, the Payee ID will be automatically entered when an Eclipse claim is created which uses the specified fund code. This will happen for IMC-AG and IMC-SC claim types.
For multi-provider installations, the Practice IDs should be set up for each provider separately. The easiest way to do this is to use the button on the Options > Miscellaneous page to open the lookup table. Switch to the next provider and go to Options > Misc > Fund Payee ID. Note that sending an incorrect Fund Payee ID is inadvisable, as the payment for the claim may be directed to the incorrect provider.
Entering a Fund Payee ID has always been optional. This will remain so in version 5.71 and later. However, from version 5.71, if you create a claim without a Fund Payee ID and the fund code is ANZ, HBA, HCD or STG, you will receive a prompt advising that a Payee ID is recommended.