Troubleshoot billing & claims

Error: "Not Assessed"

Problem
This error occurs when attempting to submit a rebate via MA Online for Outpatient billing. It means that the invoice did not have a referral attached to it. When you invoice a consultation that the patient had a referral for, the New Invoice screen will have the referral selected, but this drop-down can be accidentally changed.

Solution 
Check if there is a referral when you view the invoice. If there is not, create a new invoice with the referral attached to it.  You may need to reverse the allocation, leaving a credit on the patient, then void the invoice and allocate that credit to the new invoice.
Summary of steps:
1) Select Payments button to open Receipts screen > Select the receipt > Reverse Allocation > Close and Save.
     This will leave a credit on the patient.
2) Select the invoice > Adjustment > Select the Service (S) > Void.
3) Create a new invoice (with the referral selected) > Suppress > goto Account enquiry > Allocate the credit to the invoice. 

Error: "The claim was rejected, see individual items for details"

Problem
This error occurs when attempting to submit a rebate via MA Online for Outpatient billing. It means that the referral needs to be checked. 

Solution
•  Check the address and provider number of the referring practitioner. 
•  Check the clinic practitioner is allocated to the referral. 
•  Add a new referral with the correct details if required. 
•  Create a replacement invoice with the correct referral.

Information: "Will be paid via a 'Pay Doctor Via Claimant (PDVC)' cheque sent to the claimant's address"

Problem
This error occurs when attempting to submit a rebate via MA Online for Outpatient billing. It means that the invoice has not been receipted.

Solution
Receipt the invoice and submit to MA Online.

Information: "One or more items on the claim needs review before it can be submitted, see individual items"

Description
This is just a notification that one of the items requires additional assessment by Medicare. You can search the Medicare code shown to get more information. 

For example, Code 9601 = Claim successfully transmitted and pended for further assessment by a Customer Support Officer. Claimant will be advised of outcome by mail.

An invoice has been receipted twice

Description
Sometimes a patient's invoice may have been accidentally receipted twice. This will cause the Invoice to show as not receipted, even though it has been.

Solution
To get the invoice to show as receipted, you will need to reverse the allocation of the second receipt and allocate it again.