The following table shows the various statuses displayed in the Claims Window during IMC Claim Processing via ECLIPSE.
Action |
Status |
Message in the Claims Window |
Transmit Claim |
Service outage or connection failure. |
Awaiting Submission |
Response status is negative. |
||
Response status is successful. |
Processing |
|
ECLIPSE Claim Validation |
Service outage or connection failure. |
|
Response status is negative. |
||
Status is successful, but claim has failed ECLIPSE validation. |
Rejected (Validation) |
|
Status is successful, and claim delivered to Medicare and Private Health Fund. |
Awaiting Processing Report |
|
Get Statement of Benefit Report |
Service outage or connection failure. |
|
Response status is negative. |
||
Response status is successful, but claim is fully rejected by Medicare. Can be receipted manually or adjusted and resubmitted as a new claim. |
Ready to Finalise (R) User must click the Rejected button to finalise the claim, after which the message will read 'Finalised (Rejected)' |
|
Response status is successful, and claim is partially accepted. |
Awaiting Payment Report |
|
Response status is successful, and claim is fully accepted. |
||
Get Remittance |
Service outage or connection failure. |
Awaiting Payment Report |
Response status is successful, and Remittance (RMT) Report retrieved. |
Ready to Receipt |
|
Allocate Receipt |
Receipt is automatically created and allocated to the invoice. |
Finalised (Receipted) |