If you are encountering issues with this topic, you may be able to troubleshoot these issues yourself first. If your issue is still not resolved, you can contact Halaxy for assistance.
Open the patient profile and click the Funding tab. Next to the claimant's name, click the bin icon.
If you select Delete, the claim is retained but the claimant is permanently removed. If you select Archive, the claim with the claimant is archived, and a new claim with no claimant is created.
Note: This does not affect existing invoices. you will need to navigate to these invoices and then edit the Medicare claim so that the invoice uses the new claim with no claimant.
In order for a patient's referral details to automatically appear on an appointment, you need to link the fee to the referral type that is being used for the appointment. This is especially important if you using a new fee (such as a telehealth fee when you previously used face-to-face fees only).
Once linked, adding the fee to an appointment will automatically find the linked referral type in the patient's claim details and use it for the appointment. The referral must also be added to the patient's claim under the funder.
If a referral has no referral type, Halaxy will apply the referral to any appointment that uses a fee under that funder. Referral types allows you to specify exactly which fees should be used for a particular referral rather than just any fee under the funder.
Halaxy is integrated with both Medical-Objects and HealthLink as secure messaging providers.
You can set up a connection with either of these providers in your Settings > Integrations page.
To change this for an individual existing referral:
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Open the patient profile and click the Funding tab.
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Under the Claims & Referrals section, open the claim with the referral. Next to the referral, click the
pencil icon.
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In the pop-up, change the Limit from Appointments to Hours.
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Click Save.
To change this for future referrals, you can set this up when creating referral types.
There are a number of reasons why the referral may not be showing:
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the patient may have exceeded their appointment limit;
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the expiry date may have passed; or
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there is a problem with who the referral has been assigned to.
You can change these when you add or edit the referral on the appointment/invoice or the patient's Funding page in the profile.
The referral may be invalid for various reasons. These include:
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the maximum number of appointments allowed under this referral type has been reached;
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the expiry date has passed;
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the Provider Number is incorrect;
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the referral has been assigned to the wrong practitioner;
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the referral date is incorrect; or
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the dollar limit has been reached for the referral type.
This list is not exhaustive; please contact Medicare on 132 150 for more information.
By default, Halaxy works behind the scenes to determine (based on fees, funder, expiry date, limits etc.) which is the most recent and valid referral and assigns that one to the invoice. However, you can choose between referrals from the invoice or from the Appointment Information from that appears when you click the appointment on the Calendar.
You can create a report that shows referrals by following the steps below:
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Click Reports > Contact.
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On the top right, click New Report.
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Select the report parameters you require, such as Referral Date.
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Click Run.
The referral count is based on the number of appointments with a status of Attended, plus the number of "prior appointments" you specified when creating the referral ("prior appointments" count towards the limit but are not appointments on your Halaxy calendar).
You can quickly check which appointments are linked to the referral by navigating to the patient's Funding page, then hovering your mouse cursor over the "appointments attended" part of the Limit column:
From within the popover, you can click to jump to any appointment or invoice shown. From the Appointment Information panel or the invoice, you can modify the referral details and unlink the referral if needed.
To edit the number of "prior appointments" (which count as part of the limit but are not appointments in your Halaxy calendar):
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Open the patient profile and click the Funding tab.
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Expand the patient's claim under the relevant funder, then click the
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Click Add prior appointments. A new field appears where you can enter the number of prior appointments to count towards the limit.
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Click Save.
The appointment limit should now include the number of prior appointments you specified, along with any linked appointments in your Halaxy calendar.
You will need to contact Medicare directly on 132 150 and ask for advice. Once you submit a claim for processing, it is sent straight to Medicare for review and is out of Halaxy's control.
To avoid this happening in the future, make sure to update your patient's bank account details. Open the patient profile and click the Funding tab. Under the Bank Account section, click the pencil icon to enter the correct bank account details. Then click Save.
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