Payee Provider Numbers

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A Payee Provider Number is a Provider Number linked to Medicare for payment, where the benefit is paid into the bank account associated with that number instead of the servicing Provider Number. If you have a Payee Provider Number listed on an invoice, Medicare will pay the benefit into the bank account registered against the Payee Provider Number rather than the servicing Provider Number. The servicing Provider Number must still be shown on the invoice.

Any Provider Number registered with Medicare can be used as a Payee Provider Number. For example, you may choose to use one practitioner's Provider Number as the Payee Provider Number for everyone in your practice group so that all Medicare benefits get paid into the same bank account.

Another advantage of using a Payee Provider Number is that only the Payee Provider Number needs to be registered with Medicare for online claiming; the servicing Provider Number does not need to be registered (but must still be shown on the invoice).

Using a Payee Provider Number is also ideal for practitioners who work in multiple practices. For example, by using a different Payee Provider Number for each practice, a practitioner can have bulk bill claims paid into different bank accounts for each practice accordingly.

Note that a Provider Number (including a Payee Provider Number) can only be registered at one practice location. If a practitioner works at a different clinic, they will need to have a different Provider Number for that clinic. A practitioner may use a Payee Provider Number to receive benefits at one location and their own Provider Number (or a different Payee Provider Number) to receive benefits at another location.

How to add a Payee Provider Number to your invoices

To being using Payee Provider Numbers, you need to configure the Medicare funder to ask for a Payee Provider Number on your invoices. This only needs to be done once per practice.

Follow the steps below:

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

  2. Enter "Medicare" in the search field and click the Medicare entry.

  3. In the Identification (Secondary) field, enter the words “Payee Provider Number” (this is just a label; do not enter your actual Payee Provider Number).

    In the Edit Funder page for Medicare, the field "Identification (Secondary)" is highlighted
  4. Click Save.

RESULT: You have now updated the Medicare funder to ask for a Payee Provider Number, and your Medicare invoices will have a new field to display the Payee Provider Number.

The next step is to assign the Payee Provider Number in use for each practitioner.

Assigning the Payee Provider Number in use for each practitioner

Now that you've set up your invoices to ask for Payee Provider Number, you need to assign the Payee Provider Number in use for each individual practitioner. Follow the steps below:

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

    The user clicks Finances > Fees > Identifications, then Edit, and adds a Payee Provider Number

    Image: Adding your Payee Provider Number to Identifications

  2. Click the Practitioner drop-down menu in the top-right and select the practitioner.

  3. Click Edit at the top-right of the page.

  4. Under Medicare, you will see a new field for "Payee Provider Number" at each of your practice locations. Add the Payee Provider Number you want to use for receiving Medicare benefits (ensure you add it to the appropriate practice location) and click Save Identifications at the bottom of the page.

  5. (Optional) Repeat Steps 2-4 for each practitioner you want to assign a Payee Provider Number to.

RESULT: The practitioners you set up will have the Payee Provider Number shown on their invoices from the specified practice locations, in addition to their own Provider Number. Medicare will pay bulk bill and DVA rebates into the bank account associated with the Payee Provider Number.

Note

Each practitioner using a Payee Provider Number must use the Medicare Location ID registered against the Payee Provider Number. You can configure a practitioner's Medicare Location ID on the Settings > Users page. If you do not see Location IDs on the Users page, you do not need to do this.

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