Add a Medicare payee provider number

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A payee provider number is a single provider number registered to Medicare for receiving a practice location's online claim rebates. By using this, Medicare pays all claim rebates at that location to the bank account registered with the payee provider number, instead of the servicing provider.

To use a Medicare payee provider number, you must follow these two steps:

Note

Each provider number (including payee provider numbers) can only be registered at one practice location. Practitioners who work at multiple locations must have different provider numbers for each location.

How it works

  1. One practitioner at a practice location registers with Medicare to be the payee provider for online claims. Any practitioner with a provider number can be assigned to do this. They must complete the Online Claiming Provider Agreement (HW027), entering their Medicare provider number and the location's bank account details. Their provider number becomes the payee provider number.

  2. Every practitioner must add the payee provider number in their Identifications page. By doing this, their individual Medicare provider number and the payee provider number are both displayed on their invoices with Medicare fees.

  3. All Medicare rebates are deposited to the bank account registered with the payee provider number.

The main benefit of using a payee provider number is that practitioners at your practice location don't have to individually register to receive rebates. Rebate payments can continue whenever practitioners join or leave your practice.

Tip

It's recommended that the registering payee provider is the practice owner or any practitioner who will be with the practice location indefinitely or permanently. If the payee provider leaves the practice, another practitioner must register to be the payee provider.

Note

If you operate in a solo practice, you don't need to use a payee provider number. However, if a practitioner joins your practice, they can simply add your provider number as their payee provider number.

Add payee provider number as Medicare identification

The first step is to add payee provider number as a secondary Medicare identification. This configures your Medicare invoices to display a payee provider number on your invoices. This step only needs to be done once for every practice group.

  1. Click Finances > Fees, then click the Funders tab.

  2. In the Funder list, click Medicare to open it.

  3. For Identification (Secondary), enter the words Payee Provider Number. (Note: This is just the label. Do not enter the actual payee provider number here.)

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  4. Click Save.

You've now updated the Medicare funder to ask for a payee provider number and your Medicare invoices now display the payee provider number field.

The next step is to assign the payee provider in use for each practitioner.

Assign a payee provider number for practitioners

Now that you've configured your invoices to display a payee provider number, you need to assign the actual payee provider number for each individual practitioner.

  1. Click Finances > Fees, then click the Identifications tab.

  2. (Optional) In the top right, click the Practitioner dropdown and select the practitioner to view their funder identifications.

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  3. In the top right, click Edit.

  4. In the Medicare row, enter the payee provider number to use at the appropriate practice location.

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  5. Click Save.

  6. (Optional) Repeat steps 2 to 4 for each practitioner.

The practitioner's invoices with Medicare fees now display the assigned payee provider number for the specified practice locations, in addition to their own provider number.

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All processed Medicare, DVA and bulk bill rebates are now paid into the bank account associated with the payee provider number.

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