Private Health

Step One: To process a health fund claim transaction from the home screen, swipe or tap a patient’s membership card on the terminal. Alternatively for Health Funds that allow key entry, you can manually enter the card number by tapping Enter health card on the home screen. Note: Patients with digital health fund membership cards can use their Android or Apple devices to commence a claim. Note: Some of the HICAPS participating health funds will not be supporting Wi-Fi or mobile terminal claiming. Claims processing is supported by all participating health funds when the terminal is Bluetooth paired with the base, with an ethernet cable connected. A list of the participating health funds that support mobile transactions is available on www.hicaps.com.au/partners/participating-health-funds
Step Two: Select a health care provider from the list, or search for a provider by entering part of the provider’s name or ID in the search bar. Note: This prompt will only be displayed if more than one provider is loaded into the terminal.
Step Three: Enter the Patient ID (this is the number next to their name on the membership card) The Patient ID defaults to 01 on the terminal. Tap NEXT to proceed. Note: For digital membership cards, if the patient has multiple members on their card they can get their Patient ID by tapping the ellipse (°°°) on their device or from their health fund’s app.
Step Four:
Select the claim item or search for items by number or name. As you type in the Search field at the top of the screen, options will be displayed. Tap on the relevant item to add it to the claim.
Step Five:
Enter clinical code if required, enter the amount for the item and tap to proceed. When all details are complete, tap ADD TO CLAIM. Note: The item cost will display the amount that was last used for that item. The first time you use an item, you will need to add an item cost amount. The date of service defaults to the current date. Use the calendar icon to select another date
Step Six:
Before proceeding with approval to the health fund, details of the claim will display. From here you can add, delete or modify items and patients. To add additional items, tap ADD ITEM. To make a claim for a different patient, tap Add Patient. When ready, tap SEND TO FUND. Note: The first copy of the receipt is required to be signed by the health fund member and retained for your office records. The health fund may require you to produce it
Step Seven:
The claim will be sent to the member’s health fund for assessment. After the claim has been processed by the fund, the claim summary will be displayed. If there is a gap payment to be paid, it will be displayed here. Tap PAY to continue, or use the “Additional Sale” drop down to add to the sale amount (See STEP 8).
Step Eight:
Additional sales can be added to the transaction prior to payment of any gap payment. Tap on the Additional sale drop down menu to add an amount for payment. Tap PAY to proceed to the payment screen. Note: The additional sale amount will be added to the gap payment amount. The total payable amount will be displayed on the payment screen (See STEP 9).
Step Nine:
Ask the customer to present their payment card to finalise the transaction.