Making adjustments to ECLIPSE claims

Making adjustments to ECLIPSE claims

Once an ECLIPSE claim is submitted electronically, it is generally not possible to make adjustments electronically.
Typical reasons for requiring adjustments may include
  1. changing date or place of service
  2. amending the fees charged
  3. adding services that were omitted, where they form part of a multi-procedure, multiple operations, anaesthetic services, diagnostic multiple services 
If you have made a mistake and need to correct the error, you will have to wait until the claim has been paid.

In most cases you will then need to contact the fund by email, phone or post. You can use the ECLIPSE adjustment claim Form HW023 

Complete a separate form for each claim that needs to be adjusted.

Where there is an omitted or rejected item that is not part of a multi-procedure, you should create a new invoice and submit that as a separate electronic claim.

    • Related Articles

    • Workers compensation claims

      Workers compensation claims cannot be submitted via ECLIPSE electronically, they can be emailed via CE8 - click on the email box in the Contact Details box and tick the Use Fund Address in the bottom left corner. Cutting Edge offers the schedules and ...

    • Claims with incorrect information

      Most claims can't be cancelled electronically. Once they've been sent you generally need to wait to see if they are accepted or rejected, then request a manual adjustment with Medicare. Bulk Bill Claims You can call the Medicare provider enquiries ...

    • Dealing with Rejected Claims

      From time to time electronic claims will be rejected. In this case they will appear on the Rejected Claims tab on the ECLIPSE page.  The Invoice Status will also get changed to Follow Up, so you can easily locate rejected claims on the Follow Up tab ...

    • 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.   In Cutting Edge select the ADF fee schedules. The fund and schedule details are ...

    • DVA Claims

      In Cutting Edge you can submit DVA claims electronically, much like any other claim. Simply create a new invoice, enter the patient name and DOB then select DVA as the fund. In most cases CE will look up the Veteran's File Number for you, but if not ...