About e-Claiming

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About e-Claiming

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Before using the HSP electronic claiming facility you must complete the HSP Provider, Practitioner and Site details for your practice.

HearAid uses the following process for the preparation of HSP claims for electronic lodgement using the HSO Portal facility:

1.Prepare the claim If the client consents to a Maintenance Agreement, print and scan the signed agreement and add to Documents, or retain the hard copy in the client's file

2.Click the Send to e-Claims Pending button. Make sure you either print and scan the claim for signing, or retain the paper copy in the client's file, or if you have scanned signatures stored in the Authorised Person list, you can create and store an electronic copy in the client's Documents record using the Send Claim to Documents function
 
SendClaimToDocuments

3.When Prepare Batch is clicked HearAid reads the Pending records and checks the Service, Authorised Person Signed and Client Signed dates for each. If those dates are either the same as, or earlier than, the computer's current date, the claim will be included in the test batch; claims for which any of these dates is in the future will be held over, as will claims created within 3 days of the voucher date

4.A Batch File is prepared

5.Finally, the batch file is uploaded to HSO by the user

Once the batch has been processed by HSO it can be downloaded from the HSO web site

1.The downloaded response file should always be saved into the ..\EClaims\Response Files folder

2.The batch is Reconciled

3.Rejected items are corrected and Sent to e-Claims Pending

It is strongly recommend that you download and reconcile response files for each batch before lodging the next batch. In other words, the process should be:

1.Prepare and Upload a claim batch

2.Download the response

3.Reconcile the response

4.Prepare and Upload the next batch

Detailed instructions for the batch upload and download process can be found in the Processing e-Claims topic