Resubmit a declined IMC Claim

Only a complete decline can be resubmitted from Bp VIP.net. If an In-patient Medical Claim (IMC) is partially paid, it can not be resubmitted from Bp VIP.net.

1. Click the Medicare button from the toolbar and select IMC Claim Reporting to run the IMC claims reports. Choose Declined.



IMPORTANT   HEALTH_FUND_REJECTED in the yellow reporting area indicates the entire claim has been rejected. Partially paid declines will show with the Status of COMPLETE and display a Total Paid, Total Charge Amount and Deposit Amount.

2. Select one declined claim and click Transaction History.

The patient’s Transaction screen is displayed, and the declined invoice is selected (ED – Electronically Declined).



3. To modify the error, click Resubmission.
4. Read the warning and enter the code on the Resubmission to Medicare screen.

The Batch column updates to ERD (Electronically Resubmitted Decline).

5. Click the Modify button at the bottom of the screen.
6. Modify the invoice and select 'Resubmit' from the Notes section and click OK.



7. Click OK.

The E disappears from the Batch column in the Transaction screen.



8. Select the INV line.
9. Ensure Medicare is Authorised is ticked.



10. Verify details and click Send Claim to resubmit.

 

Last modified: October 2021