The following sections explain how to process different claims with Medicare Easyclaim.
The following items are not accepted through Medicare Easyclaim:
In-hospital items
ACIR information
Bulk bill claims more than 2 years from date of service
Patient claims more than 2 years from date of service
Time duration dependent items
Notional charges
Patient claims pathology items excepting group 9 items
Bulk bill pathology items which are self-deemed or rule 3 exemptions
Patient claims and bulk bill claims with non-standard referrals
Items where the charge exceeds $9,999.99
Department of Veterans' Affairs (DVA ) claims
Radiation Oncology items
If you attempt to process a claim type not accepted by Medicare Easyclaim you will be prompted accordingly, and given the option to process the claim via Medicare Online as the alternative.
In the unfortunate event that Medicare Easyclaim is not available at the practice the practice needs to issue the patient/claimant an account/statement and advise the patient/claimant to lodge their claim through an alternate channel, i.e. at the appropriate Medicare office. Bulk Bill claims need be the completed as with the current existing processes. Since Medicare Easyclaim works independent from EFTPOS services, it is possible that Medicare is available while EFTPOS is not and vice versa.