The Health Fund you've selected on an invoice will dictate which claim type (Medicare, DVA or Private Health) is used. This also sets the Fee Calculation to the correct value.
Known as IMC (Inpatient Medical Claims) this claim type is used to send claims to health funds.
Cutting Edge will verify the patient's Medicare and Funds details. You need to resolve any verification errors before you can send a claim.
To submit the claim, in the Account Handling box change Account To to Inpatient Claim if necessary, then click the Submit Now button
Note: If Inpatient Claim is not visible this fund doesn't accept electronic claims,
If the Submit Now button is not visible
You haven't selected an electronic claim type in the Account handling box, or
The invoice status is not set to Queued, or
There are no items on the invoice
Bulk Bill Claims
Electronic Bulk Bill claims allow you to claim the MBS rebate amount for consultations and procedures without the need for paper submissions, with payment directly to the provider.
You can only charge the rebatable amount, out of pocket amounts are in breach of Medicare legislation - when you select Bulk Bill on the Account To tab, Cutting Edge will calculate the correct fee for your items
75% of the MBS fee for in-hospital
85% of the MBS fee for out-of-hospital
100% for certain designated items
Click the Submit Now button
Print a DB4 form if required. This is also stored as a PDF in the invoice's History tab, even if you don't print it at the time.
Payment goes directly to the provider's bank account, and Medicare Online returns a payment advice to the software