MediRecords ECLIPSE Configuration

MediRecords ECLIPSE Configuration

 

What you will need:

• Fund Payee ID for all relevant Health Funds
• Claim Type: Agreed claim type by health fund e.g Agreement, Scheme, or Patient Claim
• Facility Details: The Facility ID/ Hospital ID for the hospital you're billing in-patient services from, name, and address

This tutorial will be split into two parts:

1. Configuring a Provider's ECLIPSE settings
2. Creating a Hospital Contact
3. Adding a Room

 

Configuring a Provider's ECLIPSE Settings

Select More then Settings.

Select Subscription Details.

Select Users.

This will bring you to a list of active users in your MediRecords account. Select the check-box to the left of the employee's name you would like configure for ECLIPSE billing, followed by More and Configure.

This will open a table of options to be edited for the selected user. Select ECLIPSE and complete the required ECLIPSE information including Claim Type, Fund Payee ID, and Max Known Gap for all required health funds, followed by Save.

TIP: A doctor's provider number can be used for most Health Funds, exept BUPA, in place of a Fund Payee ID. 

If details have been saved successfully, you will return to the list of active users in your practice.

You now need to ensure that the user has the correct fee schedule assigned to them. This is important so that MediRecords knows what fee schedule to use when billing patients. 

You will need to navigate through More > Settings > Accounts > Schedules > Search for the schedule you wish to use (such as Bupa No Gap) > Select the tickbox next to the schedule > More > Assign Schedule > Locate the Practice the user is in and then select the User's Name > Assign 

There is a difference between No Gap and Known Gap schedules. Health Funds such as HBF, HCF, and BUPA offer both types of schedules however only 1 type can be assigned to a user at any one time.

You have now successfully assigned a schedule to the user. You will need to repeat this process for all the schedules you wish this user to be able to bill under. If you need further help undertaking this task, please consult this article: Assigning or Unassigning a Schedule.

Important to Note: You should not assign more the 1 type of fee schedule for a particular health fund to the same doctor. For example, a user should not have the Bupa No Gap AND the Bupa Known Gap fee schedule. This will cause neither schedule to be used.

2. Creating a Hospital Contact

Hospital contacts are required for ECLIPSE billing and must include the hospital's Facility / Hospital ID. 

Create a hospital as a Service Provider Contact that your employee(s) will be billing in-patient services from. Select More followed by Resources.

 

Select Contacts.

Select Service Providers.

This will open a list of all Active Service Provider Contacts. To create a new contact, select New.

Complete the New Contact card ensuring the below required fields have been entered correctly:

1. Name (1)
2. Work Phone (8)
3. Provider Type (12): Select either Public or Private Hospital
4. Sharing (13): Ensure sharing is set to Practice
5. Facility ID (14): This ID will be transmitted as part of the ECLIPSE claim

Then select Save.

3. Adding a Room

Now that the contact has been created, it can be added as a room to bill from your chosen practice. To do so, select More followed by Settings.

Select Subscription Details.

Select Practices.

This will bring you to a list of all your active practices. Select the name of the practice you would like to add a Room to for ECLIPSE billing purposes.

Select Rooms.

Add a Room by searching for the Hospital Contact you previously added by selecting the PLUS icon. As you begin typing the hospital's name, a drop-down selection will appear. Ensure you select the hospital name from the drop down provided, otherwise the room may be added as free text.

Once you've added your room(s) select Save.

Now that you've successfully configured both Provider ECLIPSE settings and added hospital room(s) to your billing practice(s) you can now start claiming through ECLIPSE.