IHC Registration Process – Onboarding for Claiming Online with New Health Fund

• Complete all required forms to receive Medicare site eCertification and Medicare registration (will take 3-4 weeks)
• Contact Medicare eBusiness (1800 700  199)

• eHealthwise will allocate a Location ID which will be in the format of “ICSXXXXX”
• Use this value in OnlineClaimingIHCSiteReg.pdf
• Other details required for THELMA setup from client;

  • Hospital provider number

  • Address

  • Phone number

• Client registers with all funds for online IHC Submission (Please cc info@clintel.com.au into any email requests to health funds as we’ll need to know which funds)
• Registration can take 5 working days for the larger health funds
• Larger health funds will have an onboarding process that lasts about a week, where they check the claims coming through.
• Some smaller health funds may not have onboarding process but still need to be contacted and informed that you wish to submit online claims to them
• You let us know when each health fund has responded/confirmed. We will require the details listed under ‘Specific information we require from you from your Healthfunds
• We activate online IHC for the health funds requested
• Clintel contacts eHealthwise to let them know the client is about to start submitting claims for the health fund - email the client name and fund details Thelma.helpdesk@ehealthwise.com.au

Go live – start submitting

• eHealthwise will check the first few claims that come through
• If the fund has an onboarding process, they may require extra processes to be followed, such as emailing through a copy of the claim as well as sending it online, but this will be down to the individual health fund’s preferences.  This could be for a set number of claims or a set period of time e.g. 1 week.

• Psychiatric Hospitals

  • Program codes

  • Contracted services

  • Contract rates

  • Service codes

• Other Hospital Types

  • Prothesis charges

  • Miscellaneous charges

  • Casemix

*At times, health fund processing/claiming cannot proceed unless a medical certificate can be quantified. There are some treatments the Health funds wont pay for unless a Medical provider has signed off that the treatment is required. For full details - see Medical Certificate from the CarerRight Manual