MOC - Patient Details

Any fields not required for the particular claim being lodged will be greyed out.
MOC - Patient Details
1

Patient Names

1. Patient Names
 
Family Name - As per the Medicare Card. Maximum of 40 characters long
First Name -  Where a patient has only one name, that name should appear in the Family Name field and the word "Onlyname" be entered in the First Name field. Maximum of 40 characters long
 
2

Date of Birth and Gender

2. Date of Birth and Gender
 
The options for Gender are:
1: Male
2: Female
3: Indeterminate
9: Unknown or inadequately described
M: Male
F: Female
3

Medicare Details

3. Medicare Details
 
Medicare Number - this is the patients Medicare Card Number. Maximum of 10 characters maximum.
Medicare Ref No. - this is the patients Medicare Reference Number. This number appears to the left of the patients name on their Medicare card. It is one (1) character and can not be a zero (0)
 
4

Alias

4. Alias
 
Alias First Name - Is the patient's First Name as known to the Provider for DVA if different to that known by Medicare (or DVA). Maximum of 40 characters long
Alias Family Name -  Is the patient's Family Name as known to the Provider for DVA if different to that known by Medicare (or DVA). Maximum of 40 characters long
 
5

Lodge Claim

5. Lodge Claim
To enable the Lodge Claim button to be enabled the user must type CONFIRM
This is a requirement to have the claim be lodged akin to having to sign it. It is a way of acknowledging that this claim has been purposely put through. This can be done on any of the claim screens.