There are times when an invoice will not be paid in the amount claimed. This scenario may result in an error message stating, "The Invoice marked as completed, despite not being sent." The key to fixing this problem is to discover and rectify these partial payments by investigating the processing status of individual invoices.
In this Quick Reference Guide, we will discuss how to discover invoices that need attention and how to launch a processing report to investigate payment issues or abnormalities.
Discovering Invoices that Need Attention
Navigate to Accounting → Online Eclipse Payments.
The Status button will provide a status report for all invoices currently being processed by Medicare (this runs hourly during business hours).
| Status | Description | Required Action |
| Raised | Invoices has been raised, but not yet sent. | Click View for the invoice and select Inpatient Claims. |
| Sent | Invoice has been sent to Medicare and awaiting response. | Invoice statuses are fetched automatically every hour. If in doubt, an invoice status update can be forced by visiting the Invoices page and selecting Fetch Processing Report. |
| With Medicare | Invoice is being processed by Medicare. | As above. |
| Problem | Errors have been detected. | Locate the invoice and select Show Request History. Review the history log for errors, rectify and re-send the invoice. |
| Rejected | Payment of the invoice has been refused. | As above. |
| Paid / Completed | Invoice has been paid and updated in CareRight. | None. |
Invoice Investigation Workflow
View Transmission History
If the status of a report indicates that there is a "Problem", then the first step is to view the report's transmission history.
Navigate to an invoice and then select Show Request History. This displays the transmission history of the invoice.
If an invoice has been re-transmitted due to the original transmission being unsuccessful or rejected, then there will be several entries in the list. If your report status was "Problem", then review the history log for errors
To view a list of available reports related to a transmission, click on a Request ID number, as shown above.
The report list are denoted by type — either STS (status report) or a Processing Report.
Using the Processing Report
The Processing Report shows payment contributions by fund, Medicare and, when applicable, any notes regarding why the payment was made at a rate different than the schedule.There are several possible reasons why an invoice was not paid in the amount claimed; for example, the prices may be incorrect and you may need to simply adjust the difference or an item may be incorrectly claimed.
To fix, adjust the item in the original invoice and raise a new invoice with the correct details and then submit — do not include items already paid in the original invoice.
To view a Processing Report, click on the Request ID for an entry with the Processing Report request type, as shown in the graphic above.
