Pracsoft User Guide
Medicare Easyclaim

See also:

The information below includes references to TYRO device menus. If these menu references differ to what you see on your TYRO device, please consult your TYRO device's associated user guide for information.

 

Medicare Easyclaim is a system that allows patients to claim instant Medicare rebates at the practice, via your EFTPOS terminal while at the surgery. You can process Patient Claiming and Bulk Bill via Medicare Easyclaim using Pracsoft's Integrated Easyclaim functionality. Detailed information on Medicare Easyclaim can be found from the Medicare Australia Easyclaim web site at: http://www.medicareaustralia.gov.au/public/claims/easyclaim.jsp

How It Works

Accounts paid in full:

1.      After the patient/claimant pays their account (using cash, credit card or EFTPOS), their Medicare card details are automatically transmitted from Pracsoft.

2.      Pracsoft sends the claim details to Medicare Australia for verification. The claim is checked and an approval is sent back a few seconds later.

3.      The patient/claimant then swipes their EFTPOS card through the EFTPOS / Easyclaim terminal, enters their PIN and their rebate is paid into their nominated cheque or savings account on the same day.

4.      Practice staff give the patient/claimant an EFTPOS receipt to confirm their rebate has been paid.

Important: Easyclaim rebates can only be deposited into cheque or savings account.

Unpaid or partially paid accounts (rebates obtained by Medicare Online):

1.      Medicare card details are automatically transmitted from Pracsoft.

2.      The claim is checked and claim submission is accepted or declined instantly. A cheque made out to the health service provider is posted to the patient/claimant within 14 days.

3.      When the patient/claimant receives the cheque, they will send it to the health service provider along with any other outstanding balance payment.

For bulk-billing:

1.      If the patient is bulk-billed, the patient will press a button on the EFTPOS keypad to assign their benefit to the health service provider. No signature is required.

2.      The Claim and patient Medicare card details are automatically transmitted from Pracsoft.

3.      Claim is checked and approval is sent within seconds.

For Large Practice Bulk Bill (optional):

1.      Patient presents to Reception and OPV/OCV check is performed.

2.      Administrative staff print a DB4 form and attach it to the patient file if desired.

3.      Patient has consultation with the Practitioner who fills in the DB4 form and has the patient sign.

4.      Administrative staff collect DB4 Forms and process claim through Medicare Easyclaim at a later time. Consider also Medicare rulings regarding this.