Any fields not required for the particular claim being lodged will be greyed out.
This documentation is provided for informational purposes. In most instances the default settings will be correct.
Service Type
Service Type indicates the type of service that makes up the claim. All Item Numbers within the claim must be consistent with the Service Type selected.
For Bulk Bill and Patient Claims, including Allied claims
P: Pathology services
S: Specialist. For Allied claims with a referral this is the claim type usually used. Note, if no referral is required, then see the Override code on the Referral Details tab.
O: General. If this is used, then these claims are manually managed at Medicare, so this option is not recommended.
For Allied DVA
F: Community Nursing
G: Dental
L: Optical
I: Speech Pathology
J: Allied
K: Psych
Account Paid
Indicates whether or not an account has been paid in full.
This is required to be ticked for a Patient Claim to be made successfully.
Date and Time of Lodgement
Date of Lodgement is the date of lodgement of the claim.
NOTE Should be the computer system date when the claim was created.
Time of Lodgement is the time of lodgement for the claim.
Other fields not relevant to Allied Health:
Certified Indicator indicates the provider has certified the services within the claim have been provided. Must be Y to submit the claim.
Hospital Indicator indicates if service rendered in hospital or not.
NOTE If not set, it is assumed the service was not rendered in hospital.
Admission Date is the date the patient was admitted to hospital or nursing service.
Discharge Date is the date the patient was discharged from hospital.
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