Submitting fully paid accounts

Submitting fully paid accounts

With Cutting Edge you can submit fully paid Medicare Claims and Inpatient Claims, with the rebate going directly to the patient. Effectively you are submitting a fully paid claim on behalf of the patient, saving them the need to submit it themselves.

The process is the same for both types of claims:

  1. Create the invoice in the usual way, selecting the appropriate claim type in the Account Handling box.
  2. After taking payment in full, ensure that the payment is recorded in CE, so that the claim has a balance of $0.00.
  3. Submit the claim as usual, it will be marked as fully paid.
  4. Rebates will be paid directly to the patient's nominated account.
Please note:
  1. There will be no payment reports available in CE from Medicare. It's up to the patient to check with Medicare and their fund.
  2. This only works when the claim is fully paid. Part paid claims are treated as regular Medicare and Known Gap claims.
See Types of Claims for more information