Why are referrer details not being sent with Claim?
A specialist who sees patients on a referral basis, a few items need to configured or created for the claim to be submitted and processed successfully. Without these steps, your claims may return error codes like the ones below:
9308: Referring Practitioner's Provider Number must be supplied
9630: Please check the request or referral details
To ensure claim is being submitted correctly, ensure that you have configured and created the below:
1. Invoice configuration:
When sending an invoice via Medicare or ECLIPSE, as a specialist below details need to be configured.
To get to this page follow these instructions:
- Select the Person Icon in the top right corner of your screen
- Select Preferences
- Select Invoices
- Scroll down to Include referral for Medicare Billing and select YES
- Confirm Medicare provider type as Specialist Select SAVE
2. Completing Referrer Details:
Referrer details are set from your Health Professional Contacts page. To confirm the required information has been set follow the below instructions.
- Select More from the top of your MediRecords screen
- Select Resources
- Select Contacts
- Select Health Professional Contacts
- Search for the name of referring provider
- Select the Providers Name (Create the provider if not already in the system by selecting NEW)
- Confirm the providers Full Name, Address, Contact number and Provider Number have been saved correctly (Update where necessary)
- Navigate to the patient you have attempted invoicing for and select Details Tab
- Select Referral from the far right of the details screen
- Select tick-box to the left of referral, followed by Edit.
- Re-write the surname of referring provider and select the correct contact from the list of names provided
- Reprocess invoice
NOTE: Once a referrer has been created once, they will not need to be created a second or third time
How Do I Delete Adjustments? Click here.
If you need further assistance please contact support on 1300 103 903 or email at firstname.lastname@example.org