Support.cesoft.com.au
Finding the correct Health Fund code
WebTeachers Union Health (QTU) is not the same fund as Teachers Federation Health (TFH) ADF Health Services for serving Australian Defence Force personnel is managed by BUPA from 1 July 2019 - use Fund Code ADF. NOTE this is not the same as Defence Health (DHF) which is a normal health fund for families of service personnel.
Actived: 8 days ago
URL: https://support.cesoft.com.au/portal/en/kb/articles/finding-the-correct-health-fund-code
Registering with Health Funds
WebFor new Cutting Edge accounts, if you have previously given your details to health funds, there is no need to inform them that you are using ECLIPSE, unless you need to change your banking details or ABN.As the funds already have your bank account details linked to your provider number(s) they can process the claims and make payment into your …
Types of Online Claims
WebTypes of Online Claims. 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. Bulk Bill Claims. Electronic Bulk Bill claims allow you to claim the MBS rebate amount for consultations and procedures without the need for paper
Online Eligibility Check
WebSome health funds do not yet have OEC implemented and you will receive a null response from them when you attempt to use the OEC function. When looking for the presenting illness code, users can just search for a specific presenting illness by typing in the code or a part of the text in the description, instead of scrolling through the entire
Cessnock District Health Fund
WebRegistering with Health Funds; Finding the correct Health Fund code; Additional fund updates; Health Fund Contact Details; Overseas claims (OVS) including Overseas student health cover (OSHC), Overseas Visitors Health Cover (OVHC) and Reciprocal health care agreements (RHCA)
Overseas claims (OVS) including Overseas student health cover …
WebOverseas Visitors Health Cover (OVHC) is a similar form of health insurance which is designed for visitors to Australia who do not have access to Australia's public Medicare system for medical or hospital expenses. OVHC insures against potential expenses visitors may incur if they require medical or hospital treatment.
Online Provider Agreement Form
WebOnline Provider Agreement Form. Medicare/Bulk Bill and DVA claims will not be processed online if the Online Provider Agreement Form ( HW-027) has not been completed. This allows for one provider number. If the provider has multiple provider numbers, these need to be added to the Online Claiming Banking Details Form ( HW- 052) Please forward
Health Fund Contact Details
WebFor new Cutting Edge accounts, if you have previously given your details to health funds, there is no need to inform them that you are using ECLIPSE, unless you need to change your banking details or ABN. As the funds already have your bank account
Online functions available in Cutting Edge
WebIMC - In-Patient Medical Claim (Submit a claim to both Medicare and the health fund - Agreements and Gap Cover Schemes); PCS - Patient Claims Store and Forward (Private patient Medicare claims can be lodged with Medicare electronically saving patients from queuing at a Medicare office); Bulk Bill claims - claim the rebatable amount directly from …
How to report incorrect Medicare payments
WebBatch payments are available. On the Navigation panel got to Payments - click on the + (New record) icon on top navigation bar, select the fund or 000 for Medicare, enter the date and the amount and tick the patients that should be included on the
Cutting Edge Software Knowledge Base
WebThe correct order for anaesthetic claims is as follows: 1. pre-op consult 2. anaesthetic base item 3. anaesthetic time item 4. physical status modifiers 5. other modifiers 6. procedural items (lines, transfusions etc) 7. any intensive care items 8.
An Overview of Cutting Edge Software
Web• Allied Health claims (including DVA) • Overseas Claims (OVS) Cutting Edge manages all your claiming, electronic, patient claims - Gap invoices etc. To send electronic claims, providers must register with Medicare. Once that's done we securely manage all electronic transmissions from our server to Medicare, DVA and Health Funds.
Registering for GST (Allied Health)
WebFrom 1 November 2021 RT health became a wholly owned subsidiary of HCF. Unlike HCF, RT Health has only two scales 100% of MBS Medicover which is the HCF Known Gap rate. See this PDF from RT Health and the HCF website Although HCF has a No Gap
Billing Accurately Under Medicare
WebIf services have been billed incorrectly, the servicing provider is responsible for the repayment of benefits. The Commonwealth are legally obliged to recover such debts. What you need to do: Ensure that all items are billed in accordance with MBS requirements. Ensure you're able to substantiate all claims made under your provider number.
ADF claims through the BUPA Defence Contract
WebPreviously this was managed by Medibank Health Solutions. In Cutting Edge select the ADF fee schedules. The fund and schedule details are already set up for you. Registration and invoicing methods. Invoices for defence personnel can be submitted using Bupa's online gateway, iRBS, or by email to adf [email protected].
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