Patient Claiming: Processing Gap Payments

This article explains how to process gap payments in Bp Premier using Patient claiming.

Gap payments can be used in situations where there is a gap in cost between an item's practice fee and the Medicare rebate.

Processing a gap payment is different from processing a regular patient claim, in that the patient is not required to pay the full amount owing for the invoice up front. Instead, the patient only pays the gap between the Medicare rebate and the practice fee.

Gap payments can also be processed via Medicare Easyclaim. See Online Claiming: Medicare Easyclaim and HICAPS or Online Claiming: Medicare EasyClaim and Tyro for more information.

IMPORTANT   Interactive Patient Claims can only be sent within six months of the date of service. If the claim falls outside this period, please direct the patient to claim this service with Medicare directly.



Last updated: 15 December 2023.

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