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RUNNING TRANSMISSIONS
| • | <Run all transmissions> now routinely searches the last 29 days for READY ERAs, instead of only the days since the last search. This is to try to avoid missing ERAs. |
| • | For group practices, <Run all transmissions> now gives the option to run in all doctors' files at once. There is also an option to exclude processing reports, to speed up the process. |
| • | Removed the requirement to close all data files before retrieving ERA reports as this caused unnecessary difficulty. |
| • | When retrieving ERAs, the function only searches for ERAs with status of READY (previously searched for all status types). This may speed up searches, especially manual <Retrieve status> searches from line s6 on Eclipse menu. (Can still do specific status searches here using 's' flag.) |
| • | Open online claims which exist in closed accounts are not shown in the Eclipse menu. This is to avoid retrieving unnecessary reports. |
| • | When running all transmissions, ERA reports are retrieved before IMC processing reports. This is because if the ERA closes the account, the processing report is not required. This reduces the number of reports that need to be retrieved. |
NEW TIME FIELD
A time field has been added to the items page to record the time of specific items. Click here for more details.
MINOR ECLIPSE UPDATES
| • | The Date received for Online payments is the date that the payment was entered into AA - previously if was the same as the date banked which was the Payment run date. |
| • | Revised the claim buttons on the Eclipse tab. |
| • | Added a new IMC-PC button to avoid clients inadvertently sending PC claims if the fee was not a fund fee. |
| • | Included an extra prompt if an AG or SC claim is initiated with a non-fund fee. The same happens if PC is selected with a health fund fee. The user can override the option and select any claim type. |
| • | Items 18219 and 18227 cannot be used with a referral date. Added a check to alert the user to this. |
| • | Allowed the user to delete an account where only patient verifications have been done - previously any online claim prevented account deletion. |
| • | If an IMC claim is sent with incorrect Medicare number, reference number or first name, the claim was always rejected by Access Anaesthetics. However Eclipse sometimes returned an 8014 code, indicating acceptance of the claim despite the failed verification. AA now accepts the claim and automatically inserts the modified patient information. Previously this may have caused the user to resubmit the claim, only to have it rejected due to the previous claim having already been paid. |
| • | Removed the 16 item limitation from IMC-AG/SC claims. This now only applies to PC and IMC-PC claims. Where diagnostic imaging claims are split into two vouchers, each has a limit of 14 items. However, note that Medicare will probably reject anaesthetic claims which are split over two vouchers. Consequently, we always recommend limiting one anaesthetic claim to 14 items or less. |
| • | Adjusted the multiple voucher data check so that if a referral is used for a post op visit, when an imaging item is used with SD, the data check does not disallow the claim due to having both referral + SD. |
| • | Disabled the ability to send AG or SC claims with Medibank Private as they do not accept them. When the time comes, users can override this by entering the text 'Allow IMC' in the Phone field for the MPL entry in the addresses lookup table. (A later program update after MPL begins accepting claims will make this no longer necessary.) |
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