WorkCover Queensland Claim Lodgement

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You can lodge WorkCover Queensland claims directly with WorkCover Queensland, bypassing the need to email claims to WorkCover Queensland. After you have registered and authenticated yourself through Halaxy with WorkCover Queensland, you can lodge claims. After WorkCover Queensland has paid you, you can then manually reconcile the claim.

Setup and authentication

When you register with WorkCover Queensland for claiming purposes, WorkCover Queensland gives you a username and password that is specific to WorkCover Queensland, which is used in the authentication process (in group practices, the username and password may be the same or different for each practitioner in the group).

In order to integrate your Halaxy with WorkCover Queensland, you will need to set your location to Queensland. You can do this under Locations by clicking on Edit next to your location name and under Address change the Region to QLD (Queensland). Alternatively you can change your default State by going to Settings > General, clicking on Edit next to General Settings and changing the Default State field.

You can then integrate your Halaxy with WorkCover Queensland on your Settings page. Under Integrations, click the Add New button and select WorkCover Queensland. Enter the username and password provided by WorkCover Queensland next to your name and click the Save button. You are now set up and authenticated to lodge WorkCover Queensland claims directly with WorkCover Queensland. 

Once you have completed your integration you can set your location back to your original location if required.

Lodging claims

When you select a WorkCover Queensland fee as the fee for an appointment (it is highly recommended that you import the WorkCover Queensland fee from the Halaxy global fee database) and access the invoice, you can lodge the claim directly with WorkCover Queensland by clicking the Process WorkCover QLD button in the Payments section of the invoice. After the WorkCover Queensland B2B claim details form appears, confirm that the details are correct and then click the Process button.

The claim is then lodged automatically with WorkCover Queensland. If the claim lodgement is:

  • Successful: you receive a WorkCover QLD B2B Online Claim statement that summarises the claim details; or
  • Unsuccessful: you receive an error message immediately with a short description of the error provided by WorkCover Queensland.

You can also confirm that the claim has been successfully lodged by clicking on the claiming status hyperlink on the invoice, and viewing the claiming history.

Manual reconciliation after payment

As WorkCover Queensland's claiming process is different to Medicare/DVA online claiming, you do not receive any report or formal confirmation of payment from WorkCover Queensland. However, you can manually reconcile invoices after you have received payment from WorkCover Queensland by clicking the Reconcile button on the invoice and entering:

  • The amount you received; and
  • The date of payment.

Cancelling claims

In general, you need to contact WorkCover Queensland if you want to cancel a claim that has been lodged. If you want to cancel a claim that has been lodged on the same day that you lodged it, you can click the Reconcile button and change the status from Successful to Unsuccessful, which prevents the claim from being processed.

Deactivating direct lodgement capability

You can terminate your integration with WorkCover Queensland by clicking the Edit button next to WorkCover under Integrations and then clicking the Cancel icon (which looks like a cross) next to your name or the name of the practitioner whose integration you want to terminate.

Purchasing Halaxy credits

Claims processed through WorkCover Queensland are 3 Halaxy credits. One credit is $0.22 AUD.

To purchase Halaxy credits, go to the Payments page under your Profile tab and click the Purchase Credits icon. Enter the value of Halaxy credits that you would like to purchase, and Halaxy tells you the number of credits that can be purchased for that credit amount (for example, $30 gets you 137 credits). Complete your payment details, and click the Add button to confirm purchase.

You can also buy and top up Halaxy credits in bulk and save, whilst improving your practice. You can read about bulk discounts on your Payments page.

Automatic top up of Halaxy credits

You can set Halaxy credits to automatically top up when there are 10 credits left, thus ensuring that you always have enough credits for claims to be processed without you needing to check how many credits you have left.

Auto top up is initially disabled, and you can enable it by clicking the Modify button. In the Amount field, enter the amount that you wish to be automatically added when you have 10 credits left. Click the Enable button to enable Auto top up.

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