From July 2019, BUPA has assumed management of healthcare services for Australian Defence Force personnel. Previously this was managed by Medibank Health Solutions.
In Cutting Edge select the ADF fee schedules. The fund and schedule details are already set up for you.
Registration and invoicing methods
Invoices for defence personnel can be submitted using Bupa's online gateway, iRBS, or by email to email@example.com
Details are available at the links below.
All providers who are currently registered with BUPA will have received an email with a link inviting them to register as an 'ADFrecognized provider' and to become part of the Provider Network. Once registered, providers will have access to the IRBS Portal (Intelligent Referral Booking System) where all claims can be lodged. Invoices created in Cutting Edge can be uploaded as a PDF via the portal. Claims will then be processed and paid within 10 days (expected) and providers notified of payments via the portal. The payments can then be entered into Cutting Edge like any standard manual payment. Note that there is no online Eclipse-like system to manage claims directly.
Providers DO NOT have to register to be part of the ADF provider network in order to be paid and they will not be penalized as such. If they choose not to register they will not have access to the IRBS, but can still make a manual claim via fax (03 9937 3010) or mail (ADF, Central Support Team, 33 Exhibition Street, Melbourne, VIC, 3000). There is no need for a batch header as long as all details are on the invoice. BUPA Payee IDs need to be documented on the invoice and this is done automatically in CE. Manual claims processing time is expected to be approximately 4 weeks.
Note: Patients who are members of the health fund 'Defence Health' are not part of the above scheme, and are covered under the AHSA group.