Who can do this?
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All users and access levels
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Practice groups with HICAPS Digital Claims integration
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Requires Halaxy credits*
*Credits will only be charged for successful transactions.
If you have already connected HICAPS Digital Claims to your Halaxy account, you can start processing claims for NDIS, TAC and WorkSafe Victoria straight from an invoice.
Processing an insurance claim with HICAPS Digital Claims in Halaxy costs 1 credit per successful transaction.
To ensure your claims are approved, follow these requirements in Halaxy.
|
Item |
Description |
|---|---|
|
Claim Number / Participant Number |
The patient's claim or participant number must be added in their claim details. This number is provided by TAC, WorkSafe Victoria or the NDIS. (Note: For WorkSafe Victoria claims, you only need to enter the 11-digit patient claim number, not the 19-digit HICAPS number.) |
|
Provider Number |
|
|
Patient Details |
The patient's first name, last name and date of birth must be entered in their patient profile. |
|
Practice Address |
Your practice location's business address must be entered in your Locations page. |
|
Fee |
The invoice must have an eligible fee under any of the funders Traffic VIC - TAC, WorkSafe Vic or National Disability Insurance Scheme (NDIS). Tip: It's recommended to import the preset fees from Halaxy's database. |
|
Invoice payer |
Set the default payer to Organisation (new invoice or existing invoice, same patient), instead of Patient. To do this, edit the patient's claim details in the Funding page of their profile. |
|
Funder type (NDIS only) |
For NDIS claims, make sure the funder type (for the fee's funder) is set to NDIS. |
|
Patient on invoice |
There must be only one patient listed on the invoice. Organisation invoices that contain multiple patients cannot be processed through HICAPS Digital Claims. |
If you have followed the requirements above, you can begin processing claims with HICAPS Digital Claims.
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Open the invoice.
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Under the Payments section, click Process NDIS / Process TAC / Process WorkSafe Victoria.
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In the pop-up, for Provider Number, select the relevant identification required for your claim.
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For TAC claims: Select your Medicare provider number or your AHPRA number. (You can add these on your Identifications page or profile page respectively.)
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For WorkSafe Victoria claims: Select your Medicare provider number or your WorkSafe Victoria provider number. (You can add these on your Identifications page.)
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For NDIS claims: You do not need to select an identification. (The Provider Number dropdown does not appear.)
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NDIS claims only: For agency-managed claims, you must create a service booking number in the NDIS portal and enter it in the service booking number field in Halaxy. If you are claiming a cancelled appointment, you must also select a cancellation reason. (Note: Plan managers and self-managed claims are no longer supported by HICAPS Digital Claims.)
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Select the rebates you wish to claim by ticking the checkboxes. (Note: You can only claim rebates that are dated today or earlier.)
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Before processing, confirm that the details are correct. If applicable, check the following:
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If the fee is an item-based fee (such as completion of reports), you can change the quantity.
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If the fee is pro-rata based, and there was no appointment linked to this invoice, you can enter how many minutes the service is for.
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Click Process.
The claim will be sent to HICAPS Digital Claims. You can track the claim status in your HICAPS Digital Claims online portal or on your Halaxy invoice.
To view the claim history, click the link in the Status column. For TAC claims, you can click the document icon to see the online claim statement, which you can print.
Updated