Health Fund (Eclipse) billing

To create an ECLIPSE invoice:

1. Open the Patient Details screen.
2. Check there is a current referral under Referrals. 
3. Add the Health Fund as the 3rd Party Payer.
4. Select the Fund Name from the drop-down.
5. Type in the Membership number.
6. Select Close to save.
7. If the Health Fund has been added as a Payer without the patient membership details, select Details under the Payer.
8. This will open the Payer Account Status screen.
   1. Select the Fund from the drop-down.
   2. Type in the Membership number.
   3. Select Close to save.
9. Select Patient Verification to confirm eligibility.
10. Open the New Invoice screen.
11. Check that:
    1. The Payer is the Health Fund.
    2. The Doctor field shows the correct treating doctor.
    3. The Request/Referral Dr fields contain the correct information.
12. If required, backdate the service date under Services - Date.
13. Enter the first item number to be billed.
14. Check the item’s Fee field shows the fund fee.
15. Select Properties.
16. Select the Hospital, then select Close to save.
17. Select Add to add the item to the invoice.
18. Add any additional items.
19. If you add items with the same service date, update those items as follows:
    1. Select the item.
    2. Select the Change button.
    3. Select Properties.
    4. Tick Not duplicate service.
    5. Change the Time of service.
    6. Select Close to save and exit.
20. Select Eclipse then select Yes to confirm when prompted.
21. The Eclipse information screen will open.
22. Enter the Admission date.
23. Make a selection for the Financial Consent field.
24. Select OK to submit the claim.