Adding your Online Claiming Details for BUPA and HBF

Adding your Online Claiming Details for BUPA and HBF

BUPA
It's important to put your correct BUPA Schedule Type and Payee ID on the Settings/Online screen. You will not be able to transmit claims to BUPA funds until you do.
 
BUPA pays some providers at 100% of MBS; those providers should set MBS as the BUPA schedule type.
 
Each provider has a BUPA Payee ID, call them if you need to find out what it is.
 
HBF (for WA only)
HBF has 3 schedules:
  1. the Basic HBF schedule;
  2. the Basic HBF schedule PLUS 10%;
  3. a schedule for preferred anaesthetists.
On your settings Choose the appropriate one for you—HBF100, HBF110 or HBF-AN respectively.
For all other providers outside of WA - you should set this to AHSA.


    • Related Articles

    • Adding your Online Claiming Details for BUPA and HBF

      BUPA It is important to have the correct BUPA Schedule Type and Payee ID entered on the Settings/Online screen.  Claims to Bupa will not process if transmitted without the Bupa ID.  You also need to update the Bupa Payee ID for each facility/hospital ...
    • Adding Hospitals/Facilities/Rooms

      Adding hospitals or facilities Facilities or Hospitals are required for claiming, and for the Invoice Report. To add a new Facility, go to the Databases/Facilities or Databases/Hospitals screen and click + on the top right. The following information ...
    • Adding additional providers

      You can have any number of providers at your site. Just contact support@cesoft.com.au for further information and pricing. We will need: the provider name their speciality the provider number they use for your site No Gap or Known Gap status for Bupa ...
    • Online Provider Agreement Form

      Medicare/Bulk Bill and DVA claims will not be processed online if the Online Provider Agreement Form ( HW-027) has not been completed. This allows for one provider number. If the provider has multiple provider numbers, these need to be added to the ...
    • HBF Schedules

      HBF has several different schedules. For all states except WA On 13 February 2017, HBF joined the AHSA Gap Cover system for all states except WA. Cutting Edge will load the appropriate state AHSA schedule. Copayments rules are in the the AHSA ...