Manage Medicare scanning 111-17050402
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Digitisation, Solutions and Classification > Resources > Educational resources
- Effective Scanning Processes - Medicare. A one-page document which:
- provides information to avoid common scanning issues
- includes helpful resources
- Cleaning a Multi-Functional Device (MFD). A one-page resource with details of how to clean an MFD. A clean MFD:
- ensures quality images are received, and
- reduces the need for rescan requests, which prevents further customer delays
- Customer Journey Medicare. Customer journeys showing two different outcomes for the customer:
- a successful outcome when the service officer effectively scans the documents
- the challenges a customer may face when documents are scanned incorrectly
Medicare documents accepted for Medicare IGA scanning in service centres
All documents must be scanned separately unless indicated below.
Table 1: work types that may be escalated due to complexity and whether an escalation form is needed. Column details:
- Work type - the work type name and description
- Document Checklist - documents required to complete the work type
- Escalation form - whether the work type needs an escalation form and where to find it
- MFD Listing - the form type to choose on the MFD for scanning
Note: any work types/forms not listed below must be actioned at point of receipt in the service centre.
| Work Type | Escalation Form | Document Checklist | MFD Listing |
| Patient claims | No |
| Medicare Patient Claim |
| Patient claims with Two-way claim form Patient claim (MS014) received with Medicare Two-way claim (MS001) and are for the same customer must be scanned together. | No |
| Medicare Patient Claim |
| Organ Donor Consent Confirmation To confirm a donor’s consent to becoming an organ and/or tissue donor. | No | AODR Consent Confirmation | |
| Organ Donor Objection To record a donor’s objection to becoming an organ and/or tissue donor. | No | AODR Objection | |
| Organ Donor Registration To record a donor’s consent or objection to becoming and organ and/or tissue donor. | No | AODR Registration | |
| Organ Donor Objection To record a donor’s consent or objection to becoming an organ and/or tissue donor. | AODR Objection | ||
| Patient Claim ART/IVF Assisted Reproductive Technology (ART) claims escalated by service officer before payment of Medicare benefit, includes ART express app claims. | No |
If the claimant has supplied a Medicare Safety Net Confirmation 'Letter F' - check that it is signed and dated. Note: the MS032 is no longer issued but may still be in circulation. They should be accepted and scanned for processing. | Assisted Reproductive Technology/IVF |
| Continence Aids Payment Scheme (CAPS) Correspondence General Any correspondence referencing CAPS. | No | CAPS - Correspondence General | |
| Continence Aid Payment Scheme (CAPS) Return to Sender Any Return To Sender mentioning CAPS program. | No | CAPS - Return to Sender Statement | |
| Continence Aids Payments Scheme (CAPS) Application Forms | No | CAPS Application Manual | |
| Cheque Trace | Request for cheque trace details (PP043) | Cheque Trace | |
| Child Dental Benefit Scheme Enquiries | No | Child Dental Benefit Scheme | |
| Application to Copy or Transfer | No | Copy Transfer Enrolment | |
| Disaster Health Care Assistance Scheme claim (MS035 claiming out of pocket health care expenses associated with one of the following adverse events:
| No | ||
| Disaster Health Care Assistance Scheme Motor Vehicle and/or Accommodation Out of Pocket Travel Application form (MS042). | No | ||
| Department of Child Protection Complex enrolments from Department of Child Protection, and include Child and Family Services (foster children, state wards and adopted children). | Medicare enrolment form and other certified documents. See Child protection agencies - Medicare card number requests for children and young people in out-of-home care (OOHC). | Dept Child Protection | |
| Easyclaim Easyclaim adjustment. | Medicare Easyclaim enquiry. | EFT Trace | |
| EFT Trace | EFT Trace | ||
| External Breast Prosthesis Reimbursement Processes claims for a reimbursement of up to $400 per new or replacement external breast prostheses for women who have had a mastectomy due to breast cancer. | No | NH005 External Breast Prosthesis Reimbursement form. | External Breast Prosthesis |
| Healthcare Identifiers Service Consumer REG MS003 | Healthcare Identifiers Service Request an Individual Healthcare Identifier (MS003). | Healthcare Identifiers Service Consumer Reg MS003 | |
| Medicare Eligibility Enrolment Enrolments unable to be finalised in a service centre. Medicare enrolment form and other certified documents. See Document types for Medicare eligibility and enrolment . |
| Medicare Eligibility Enrolment | |
| Medicare Eligibility Enrolment Authorisation to act on an incapacitated person’s behalf for Medicare purposes. | Authorisation to act on an incapacitated person’s behalf for Medicare purposes (MO050). Make sure that:
| Medicare Eligibility Enrolment | |
| Medicare Entitlement Statement Persons not entitled to Medicare lodge an application to obtain a certificate of Non Entitlement to include with Tax return exempting payment of the Medicare Levy. | Application for a Medicare Entitlement Statement form (MS015). Make sure that:
| Medicare Entitlement Statement | |
| Medicare Entitlement Statement Reciprocal Health Care Agreement Enrolment Reciprocal Health Care Agreement Enrolments. | No | Same as MS015 above and make sure that a copy of the health or medical insurance documentation, showing the expiry date is supplied if the answer to Question 15 is Yes. | Medicare Entitlement Statement |
| Patient Claim over 5 years Claims lodged that are over 5 years from the date of service. | No |
| Medicare Patient Claim |
| Patient Claim Adjustment Manual/system adjustments to incorrectly claimed/paid patient claim services. | Adjustment for Patient Claims (PP045) | Medicare Patient Claim | |
| Patient claim adjustment on an adjustment Manual/system adjustments to incorrectly claimed/paid patient claim services. | Adjustment on an Adjustment for Patient Claims (PP042) | Medicare Patient Claim | |
| Patient Claim with a charge over Ten Thousand Claims lodged with a high charge, greater than $10,000. | No |
If the claimant has supplied a Medicare Safety Net Confirmation 'Letter F' - check that it is signed and dated. Note: the MS032 is no longer issued but may still be in circulation. They should be accepted and scanned for processing. | Over Ten Thousand |
| Pharmaceutical Benefits Scheme Refund PBS refunds where a patient has overpaid their PBS prescriptions. | Patient claim for refund Pharmaceutical Benefits Scheme (PB132) | PBS Patient Refund | |
| Pharmaceutical Benefits Scheme Safety Net Claim Process claim from pharmacy for issuing a PBS Safety Net card and register the family for Safety Net. | Send this form through outgoing mail to the service centre’s PO Box. Use Office Locator to find the PO Box. If there is no PO Box, send it by courier. | PBS Safety Net Claim for Payment (PB241). | PBS Safety Net Claim |
| Medicare Safety Net Adjustment | No | SNET Adjustment | |
| Medicare Safety Net Confirmation Note: the MS032 is no longer issued but may still be in circulation. They should be accepted and scanned for processing. | No | If the claimant has supplied a Medicare Safety Net Confirmation 'Letter F' - check that it is signed and dated. Note: the MS032 is no longer issued but may still be in circulation. They should be accepted and scanned for processing. | Safety Net Confirmation |
| Medicare Safety Net Registration | Medicare Safety Net registration and amendment for couples and families (MS016) | Safety Net Registration | |
| Medicare Safety Net Substantiation | No | Safety Net Substantiation | |
| Stop Cheque | Stop Cheque and reissue payment (MO051) | Stop Cheque |
Medicare/AIR documents not accepted for Medicare IGA scanning in service centres
Table 2
Work type | Redirect process |
IM017 Australian Immunisation Register Ceasing Correspondence and release of information | Form is scanned to the service officer’s office shared folder and then emailed to AIR provider. |
Bulk Bill claims and adjustments | Manual claims received - forward by outgoing mail to: Bulk Bill Processing team. |
Release of Information | Do not scan using IGA Medicare scanning solution. Request for Medicare claims information (MS031) Form is scanned to service officer's office shared folder and then emailed to the Medicare Disclosure team. |