Before You Begin

There are settings you must configure in both your clinical package and Pracsoft in order to process immunisation claims.

Ensure you have configured your clinical package to export immunisation data. Pracsoft will need to know the name and location of this file. Please consult your System Administrator if you require assistance with this.

Ensure that you have configured Pracsoft for Online Claiming.

In Pracsoft, select MedicalDirector > Medical Director Link Options. The Medical Director Link Options window appears. Select the Import Settings tab.

Note that the settings on this tab will not be available if you have configured Pracsoft to link to Clinical (via the Links tab)

 

Indicate here the name and location of the clinical package's immunisations file referred to in Step 1. Click to browse to and select the file.

Click

Processing Immunisation Claims

Immunisation claims are batched and sent via online claiming to notify ACIR of a child's vaccination record. This system is an alternative to contacting ACIR directly, saving your Practice time.

Before you can process an immunisation claim in Pracsoft, the patient must first have received a vaccination, recorded in your clinical package.

In Pracsoft, select Processing > Online Claiming.

You will be prompted that there are immunisations claims to import from MedicalDirector Clinical. This prompt refers to those immunisations recorded in your clinical package since you linked it with Pracsoft.

 

Click to import the claims.

The Medicare Australia Online Claiming window appears. Notice that the immunisation claims are already listed for you to prepare. Note that this is the same window used for processing 'normal' online claims. for information about the normal online claiming process, see Online Claiming.

 

Click to continue. You are presented with the Prepare Claim Data tab.

Preparing claim data validates the immunisations within the claim, and notifies you of any issues, such as a patient without a recorded Medicare number, or date-of-birth.

 

Click to prepare the claims. You will be prompted to confirm this action.

 

The results of the preparation are presented to you. If preparation has failed for any reason, you must resolve any issues now, and attempt to process the claim again later.

 

Click  You are presented with the Print Claim Reports tab.  You have an opportunity here to print hardcopy reports of what you have sent to Medicare.

Click  You are presented with the Transmit Claims tab.

Click  The Transmit Claims window appears. Select which claims you wish to transmit by ticking the associated Selected check box.

 

Click  The claim will be automatically sent electronically to Medicare for processing. You should receive confirmation of its success, as shown in the example below.

Medicare may return a '9501- Assessment Report' if claim assessment has failed. This report will be sent automatically to your printer. If you receive any errors, please consult the topic Troubleshooting Immunisation Claims for assistance.

This concludes the steps necessary for make an immunisation claim for ACIR .