To perform an eligibility check, the computer being used must have an active internet connection.
A successful OPV check does not guarantee payment from Medicare. Other criteria for a claim must also be met in order for it to be paid.
The eligibility of a patient for Bulk Billing can be determined in real-time using the Online Patient Verification (OPV). This allows the practice to make an informed decision as to whether they want to admit the patient for services, whether they are likely to be paid for the service, and to update the patient record from Medicare records.
After the OPV has been completed, Medicare may return updates to patient information. Other advisements as to the eligibility of the patient to receive benefits may also be supplied and will be made available to the user.