How to Find Medicare Payments
There are 2 types of payments that can be received for Medicare Eclipse claims:
- Fund payments for IMC or IHC claims
- Batch Payments for Medicare or DVA bulk bill claims
trying to reconcile these payments from bank remittance advice into Careright can sometimes be tricky. If the payment has come from Medicare or DVA then following the instructions below on Medicare / Dva batches should help you identify the batch(s) a payment is associated with. If the payment is from a healthfund then following the instructions bellow on IMC / IHC will help you identify the invoice(s) associated with the payment.
Note: Both Healthfunds and GovernmenHealthfundst payments are sometimes paid in a single payment whereas Careright receipts payments individually. Eclipse Remittance Advice and Medicare Batch Payment Reports group these individual receipts together.
IMC / IHC
Dashboard > Invoices & Claims > Manual Era Payments show the payments made by healthfunds for IMC and IHC services. There are 3 tabs:
- Manual - These are claims that need manual intervention by a user to allocate payments. This may be due to overpayments, underpayments, or reversed invoices that need to be reconciled
- In Progress - These claims have been sent and are waiting a response from the health fund. This can sometimes take up to 30 days
- Archived - These claims have been reconciled allocating money to invoice items.
The Search box on all of these screens allows users to find payment references found in your bank reconciliation reports.
Note: Sometimes what Careright receives back from health fund does not match the bank reconciliation precisely eg 744 may sometimes be found as 0744 in Careright. Healthfunds can also use the same reconciliation for different doctors but the deposit date will be the same as what you find in your bank reconciliation.
Healthfunds
Fetch Payment Report for a Date Range
There are times when a healthfund payment has not been fetched. Dashboard > Invoice & Claims > Claims allows the user to download all payments made to a medicare location for up to 30 days. Users must supply a date time range less than 31 day. Then clicking Payment Reports will fetch any payments made within this date range.
Note: date range must not exceed 31 days
The report returned will detail all payments made from healthfunds. Any Payment that shows with a button has not been downloaded creating payment reports in careright. Any Payment that have had payment reports created will show as a hyperlink. Clicking any Complete buttons will fetch the payment report creating the appropriate records in Careright for automatic or manual receipting of money.
Medicare / DVA Batches
Dashboard > Invoices & Claims > Manual Batch Payments show the payments made by Medicare or DVA for bulk bill services. There are 3 tabs:
- Manual - These are payments that need manual intervention by a user to allocate payments to batches. This may be due to overpayments, underpayments, reversed batches or reversed invoices in batches that need to be reconciled.
- In Progress - These claims have been sent and are waiting a response from the Medicare or DVA. This can sometimes take up to 7 days
- Archived - These claims have been reconciled allocating money to invoice items.
The Search box on all of these screens allows users to find payment run references found in your bank reconciliation reports.
Note: Sometimes what Careright receives back from health fund does not match the bank reconciliation precisely eg 629 may sometimes be found as 0629 in Careright. Medicare / DVA can also use the same reconciliation for different doctors but the deposit date will be the same as what you find in your bank reconciliation.
Another way to reconcile bank details to batches may be on the Dashboard > Patients > Advance Search. The Financial tab will search both:
- batch number
- Medicare / DVA batch number
If only 1 result is returned users will be taken directly to the Batch but if multiple records are returned further search can be done with the search box. This will search both:
- Batch Number
- Medicare Number
Note it is more lightly to find the medicare number from your bank reconciliation.
