No Gap & Known Gap Settings - Bupa and HCF
Bupa and HCF allow providers to register individual provider numbers for either KNOWN GAP or NO GAP. To update your individual Hospitals/Provider numbers - this is done in the facilities database - select the relevant fee schedule from the dropdown Menu DATABASES > FACILITIES - open the Hospital.
You can also set your primary setting on the SETTINGS > ONLINE page
Related Articles
BUPA schedules
BUPA has three schedule types which affect the rebate: BUPA Known Gap, which allows a gap of up to $500 BUPA No Gap, which pays a higher rebate but doesn't allow any gap MBS only, used for facilities where gap scheme rebates do not apply. Providers ...
RT Health joins HCF
From 1 November 2021 RT health became a wholly owned subsidiary of HCF. Unlike HCF, RT Health has only two scales 100% of MBS Medicover which is the HCF Known Gap rate. See this PDF from RT Health and the HCF website Although HCF has a No Gap ...
Editing Default Settings
On the Prompts, Quotes and Invoice Colours tabs you can edit your default settings. Prompts On the Settings/Prompts screen you can select specific Cutting Edge operations so that they become your default settings. Estimates On the Settings > ...
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 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 ...