When an invoice is issued to the patient to pay in full, the provider is not participating in a scheme or agreement with the health fund such as MediGap or GapScheme etc. The funds will therefore only pay 25% of MBS and Medicare will pay 75% of MBS - the provider will receive 100% of MBS as the full rebate for the procedure.
When issuing an invoice, estimate or a payment link to a patient, the Pay In Full box should be ticked in the Fee Calculation Box in order to adjust the fund rebates correctly.
Please note that taking payment in full will result in the patient having a higher out of pocket compared to using the gap scheme.