One click. Your patient's rebate arrives overnight.
When a patient pays the full fee, you can submit their claim to Medicare and have their rebate processed from the invoice. You don't need to visit a Medicare office, make submissions on the Medicare website or buy an EFTPOS terminal.
Note
This article is about patient rebates, which are different from practitioner rebates in Process bulk bill and DVA claims.
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Credits: Processing a Medicare patient rebate requires Halaxy credits. Each rebate costs 1 credit per successful transaction. Halaxy charges credits only for successful transactions.
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Prerequisites:
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Add your provider number for the Medicare funder on the Identifications page.
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Set up Medicare online claims processing for your practice.
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Medicare may also require you to verify your patient's Medicare or DVA details before you process a claim.
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Claims submitted for you. Halaxy submits the claim to Medicare and processes the rebate electronically.
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Rebates paid overnight. Medicare pays the rebate overnight into your patient's bank account.
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Results straight away. Halaxy shows a confirmation with the Statement of Claim and Benefit, or the Medicare error codes with what to do next.
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No Medicare office visit. You don't need a Medicare office, the Medicare website or an EFTPOS terminal to process a rebate.
Process the rebate from the invoice after your patient has paid.
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Open the relevant invoice.
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Under Payments, process the payment:
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If you're receiving payment electronically through your patient's stored payment details, click Process Now.
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If you received payment outside of Halaxy, click Mark as Paid.
Important
Mark the invoice as Paid in Full before you process the rebate, or Medicare sends the rebate as a cheque in your name to your patient's address.
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Under Patient Rebates, click Process Rebate.
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In the pop-up, you can:
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Select which fees to process if the invoice has multiple eligible fees.
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Click Additional Information to add details in case the claim would be ineligible based on the general details. Note: Entering information here sends the claim to a Medicare representative instead of processing it automatically, which can delay the rebate by 1 to 2 days.
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Indicate whether the treatment was aftercare-related, for patients who have recently been in hospital according to Medicare's records. Note: Medicare doesn't pay the rebate if the treatment is aftercare-related (not relevant for DVA claims).
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Click Process.
Halaxy sends the claim to Medicare, and Medicare pays the rebate overnight into your patient's bank account.
Note
If a claimant is listed (such as a parent), Medicare pays the rebate into the claimant's account, not the patient's.
When you submit a claim, Halaxy shows one of these results.
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Result |
What happens |
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The claim meets Medicare's criteria and is successfully submitted. |
A confirmation message appears, with the Statement of Claim and Benefit that you can give to your patient. |
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Medicare accepts the claim but can't immediately process it. |
You receive the Lodgement Advice, which you can give to your patient. A Medicare officer checks the claim and the rebate is processed up to three days later. |
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The claim is unsuccessful. |
Medicare shows one or more error codes. Click Accept to continue submitting the claim for a case officer to review (you receive Lodgement Advice), or click Reject to stop processing so you can fix the errors first. A rejected claim shows as Not processed and you can reprocess it from the invoice. You can also reset, edit and resubmit your claim. |
Tip
Try to resolve the issue first by following the instructions for the error codes. If the issue continues, contact the Medicare eBusiness Service Centre at 132 150.
Patient rebates connect to the rest of your billing in Halaxy, from taking the payment to claiming the rebate.
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Take payment and claim from one invoice. The Guide to Halaxy Auto Payments shows how Halaxy takes the payment from your patient's stored payment details, ready for you to process the rebate.
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Process rebates in the background. Set up automatic rebate processing so Halaxy processes your rebates for you.
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Process practitioner rebates. Process bulk bill and DVA claims when you bill Medicare directly.
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Fix claim errors quickly. Troubleshoot Medicare error codes to find the fix for an error code and reprocess the claim.
Updated