Medicare Claiming
If you use Medicare Online Claiming at your practice, you will need to configure and update the Medicare settings for your practice and providers.
Here is a list of the steps that need to be completed. Please complete them in the order that they appear on the list -
- Link all existing providers to your new Minor Site ID
- Configure Medicare Settings within MediRecords
- Configure individual Medicare profiles for your providers
Once you have completed these steps, your practice will be able to submit Medicare claims online.
If you are a new practice and don't already have a Medicare Certificate, click here to find out how to apply for one.
If you are setting up a new provider, click here to find out how to apply for a new provider number.
1. Link all existing providers to your new Minor Site ID
In Step One, you will need to link all your existing providers to your new Minor Site ID.
To begin with, you will need to make note of your MediRecords Minor Site ID.
To find your Minor Site ID, navigate to the top of the page and click More to reveal a drop-down list.
Click Settings to open the settings menu and then choose and select Configuration Settings.
Click the Name of the Practice on the following page to open the configuration settings.
Click Claiming PRODA, and then write down your Location Code.
You now need to download the Medicare Online Claiming form for linking provider numbers to a Minor Site ID.
Click here to download the application form.
At the top of the form, you will need to make note of your old Minor Site ID, and the date you want your new MediRecords Minor Site ID to take effect.
Please make the Effective Date at least 5 days after the date you switch over to MediRecords (this will not affect new Medicare claims).
There is only room for six provider names on the form. If you are migrating more than six providers, you will need to fill out a second form.
Please allow at least 5 business days for Medicare to process your current claims, and continue downloading your Processing and Payment Reports from your old clinical software package.
All new claims (Bulk Bill & Patient Claims) can be stored in MediRecords, and transmitted to Medicare once the new Minor Site ID has taken effect.
Here's how you can locate your old Minor Site ID in your existing clinical software package -
Best Practice:
Click Setup -> Configuration -> Online Claiming
Medical Director 3:
If you have applied for new Medicare Site Certificates, wait for them to arrive by mail before proceeding to the next step. However, if you are using your existing certificates, please proceed to the next step.
2. Configure Medicare Settings within MediRecords.
In step two, you will need to upload your Medicare Sites Certificates into MediRecords.
To do this, navigate to the top of the page and click More to reveal a drop-down list.
Click Settings Click Configuration Settings.
Click the Name of the Practice on the following page to open the configuration settings.
Click eHealth to open the configuration form.
Under eHealth, go to PIC- Personal Identification Code and type in your Medicare pass-phase (known as a PIC code) that you would have received in a letter after you received your certificates. 
Navigate to P12 Certificate File (encrypt), and click Select File to open a file explorer window.
Navigate to the folder where your Medicare certificates are located, and select the file called fac_encrypt for upload.
Click Upload File to upload the certificate.
Once the certificate has been uploaded, there will be a message "100% done" next to it.
Check the form, and make sure you have filled in data for the Medicare Pass-Phrase, and uploaded certificates for the P12 Certificate File (encrypt) and P12 Certificate File (sign).
Once you have completed the check, click Save to apply the changes.
Once the claiming configuration has been saved, the system will automatically populate the Medicare-Sender field with the sender information.
This process will also need to be undertaken in the Health Identifier section found right beneath eHealth.
3. Configure individual Medicare profiles for your providers
The final step for setting up Medicare claiming is to configure individual Medicare profiles for your providers.
To configure a provider, click More at the top of the page, and then click Settings.
Click Subscription Details.
Click Users to open the list of users registered on your subscription.
To configure a provider, click the Tick-box next to the name to reveal a list of options. Click More to reveal a drop-down list, and then click Configure.
Click Invoices, and navigate to the bottom of the form. Click Medicare Provider Type, and select General, Specialist, or Allied.
Click Save to apply the changes.
Once this last step has been completed, your practice should be ready to start submitting Medicare claims online.