Medicare Processing and Payment Reports

When a claim is submitted to and processed by Medicare or ECLIPSE, the software will receive a Processing Report and, if the claim is successful and paid, a Payment Report. Note that the Payment Report arrives when the fund makes the deposit to your nominated account, which may be days or even some weeks after the Processing Report shows they have accepted it for payment.

A Processing Report can be seen for any claim type by going to the invoice in question, and going to the History tab on the lower half of the screen. There will be a tab that shows that a Processing Report has been returned for the claim:

By clicking the link icon on the left most column of the row containing the Processing Report, the user can view the report, which has been formatted to make it simple to understand without losing any of the data or context:

If a payment has been returned for the claim, you can go to the Invoice Items screen to see that payment reference has been added to the invoice items - This helps to reconcile the payment, and also acts as a link to view the full payment report:

To view the Payment Report details, the user may click the chevron on the left most column of the row containing the payment/remittance advice in order to go to the Payments screen. This screen shows all the details contained in the payment report, and allows users to go through any other payments that were included in the same payment run:

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