Medicare Bulk Bill Claims

Medicare Bulk Bill Claims

Welcome to the Medicare Bulk Bill (BB) claims tutorial.

Bulk Billing means that the practice is only charging patients the amount covered under the  Medicare Benefits Scheme (MBS), with no additional fees on top. Practices bulk bill directly to Medicare and rebate claims are paid directly to the practice.

Patients must have a valid Medicare card in order to be eligible to be treated in a bulk billing practice, and the claimed service is recorded against their Medicare record. If a patient does not have a Medicare card, they will have to pay the full amount for the services received.

The practice will also need to have configured their Medicare PKI certificates in their MediRecords account, and providers will have successfully completed the online banking form to be eligible for billing at their chosen practice.

*NOTE: This process strictly relates to invoices and payments where the services are being bulk billed to Medicare. 

BB invoices can be created from most areas in MediRecords including:

MediRecords Menu tabs

• Appointments
• Waiting Room
• Patients
• Accounts > Sales

Patient tabs

• Dashboard
• Accounts

The BB invoice and claim example will be produced from the Account tab in a patients record.

To process an invoice using Bulk Billing, navigate to the Accounts section of the patient record, and then click Invoices.

Click New Invoice followed by New Invoice to open the invoice form:

*NOTE: The second option New Multi-Patient Invoice will only appear if you are currently signed in as a user with Subscription Type: Specialist.

Complete the invoice with all the required details, and make sure that the Bill To field is set to Medicare.

The Total is the total amount being billed to the Medicare, and the GAP amount should be zero.

Once you have completed the invoice form, click Claim to submit the claim to Medicare.

Once the claim has been processed, your claim will be visible from the Unclaimed Amount stage from the MediRecords Claiming screen. You can navigate to this screen by selecting Accounts followed by Claiming:

From here you can chose to submit a single invoice for claim or chose to send invoices in batch as part of the one claim.

Select Claim to reveal a claims submission summary pop-up:

Select Claim to reveal the claims submission result, which includes the new claim number e.g A0120@ as below:

Once submitted, the claim will move to In-Progress. While the claim is In-Progress, you can view the Process Report by selecting the check-box to the left of the claim, followed by More and View Process Report:

The Process Report will be available in the form of a pop-up that you can chose to print:

*NOTE: The Status of the claim, along with information around Amount claimed, total Paid, Outstanding amount, and number of Days the claim has been sitting in Progress are also available from this screen.

If your BB claim is taking a while to process, you can choose to manually run the process report in order to retrieve the payment report from Medicare as it becomes available. To do so, first select the check box to the left of the claims you would like to run the report for, followed by process:

Select Yes to confirm:

*NOTE: If payment report was successfully retrieved, the claim will move to Claims Completed.

Once the claim has been paid in full (or manually accepted depending on the circumstance), the claim will move to Claims Completed this week; here you will have immediate access to the claim payment report detailing payment date, pay run number, and total amount paid:

Similar to the process report request, the Payment Report will appear in the form of a pop-up:

You've completed another MediRecords Tutorial. You will now be able to successfully create Medicare Bulk Bill invoices, submit, and monitor claims through to the Claims Completed stage. If this is not what you're looking for, head back to our knowledge base and search for another article.

For urgent assistance, please contact MediRecords support on 1300 103 903 during business hours.