Patient Identifiers - Private Health Fund Cards & Patient Verification Fund (PVF)

A Patient Verification File (PVF) check is an essential step when working with health fund claims in MediRecords. This service allows you to quickly validate a patient’s health fund details against the information held by their insurer, confirming that their membership is active and correctly recorded. Performing a PVF check before billing ensures you avoid delays or rejected claims caused by mismatched information, giving both your practice and your patients peace of mind at the time of service.

Running a PVF check when a patient arrives for their appointment is strongly recommended, as it allows you to address any discrepancies immediately. While the PVF will only confirm whether a membership is active (and not the specific level of cover), this process is still a vital safeguard in preventing issues later in the billing workflow. By using the PVF feature consistently, your practice can streamline billing, improve claim acceptance rates, and maintain smoother financial operations.

What is a PVF Check?

The PVF service allows you to validate whether a patient's health fund information is correctly matched with the records held by the health fund. It is vital that you perform a PVF check on a patient's record before you attempt to bill their health fund, to ensure that their cover is still active. We would strongly recommend running a PVF against a patient record when they present for their appointment to avoid any issues with claiming their invoice at a later stage.

Note: The PVF service will validate that the patient's membership is currently active. If a patient's health insurance only provides Extras cover but no medical claiming, then you will be presented with a error on trying to validate the patient's health fund. No other checks are available at this time to check a level of cover for a patient.

Contents:

1. Running a PVF
2. Failed PVF Checks

Running a PVF

1. Open the patient's Details page
2. Open the Settings tab
3. Click PVF
4. MediRecords will check the patient's membership number against the fund's recorded details. If the details are correct, you will  receive a toast message confirming the details were validated successfully. 
   
   

Failed PVF Checks

Occasionally you may find that the details were unable to be validated correctly against those stored by the health fund.  This is usually caused by a mismatch in patient information.

To resolve these issues, first ensure that the following information is correctly entered in the patient record:

Demographics Tab

• First Name and Last Name
• Date of Birth
• Gender
  
  
   

Settings Tab

• Health Fund
• Membership Number
• URN or reference number (if included on the card)
  
  
  

If you need further assistance please contact support on 1300 103 903 or email at
 support@medirecords.com