ADF claims through the BUPA Defence Contract

From July 2019, BUPA has assumed management of healthcare services for Australian Defence Force personnel. Previously this was managed by Medibank Health Solutions as Garrison Health.

 

In Cutting Edge select the ADF fee schedules. The fund and schedule details are already set up for you.  

Registration and invoicing methods

These claims are for serving defence members.  They do not need a Medicare number.

​

You will need to enter the DAN and EP ID - this can be entered in the Procedure Details Box.

 or as a line of text on the invoice

Invoices for defence personnel are submitted manually and emailed to adfinvoices@bupa.com.au

Note - that there is no online Eclipse-like system to manage claims directly. 

All providers who are currently registered with BUPA can register as an 'ADF recognised provider 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. 

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. 

  

Note: Patients who are members of the health fund 'Defence Health' AHB/DHF  are not part of the above scheme, and are covered under the AHSA group.

 

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