From time to time you may be advised by health funds to submit a claim as a "two way claim". Cutting Edge is not able to submit two-way claims on behalf of patients or providers. Strictly speaking a two way claim can only be submitted by a patient.
The electronic equivalent in CE is a fully paid patient claim. We recommend trying this first. To submit a patient claim:
- Take payment in full and record it on the invoice in CE.
- Select the appropriate claim type, Medicare Claim for uninsured patients, or Inpatient Claim for insured patients.
- Submit the claim as usual, the medicare +/- fund rebate will go to the patient.
- Note that there will be no processing or payment reports available in CE for this type of claim.
For an actual two-way claim, the patient must submit it themselves, either via their MyGov portal or at a Medicare office. The process is:
- The patient completes a Two-way form available online at https://www.servicesaustralia.gov.au/ms001
- The patient signs into their myGov account or myGov app.
- They select "Make a Medicare claim," and attach images of the original accounts/receipts along with a completed Two-way form.
- Alternatively they can submit it to a Medicare office.
- The patient may also need to contact their Health Fund to get the fund component of the rebate.