Patient claims processing in Medicare 011-43010000
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Medicare claim needs more information (Z0828)
Contact details
Assessing and Benefits
Cash Management section
Medicare claims helpdesk
Medicare EFT manual payments
Medicare and Aged Care - Local Peer Support (LPS)
Multiple processing rules and adjacent statement of benefit reason (RSN) codes
Table 1
Reason Code (RSN) |
Statement reason |
Corresponding mainframe column |
Mainframe reason codes |
Mainframe rule applied |
154 |
Diagnostic Imaging Multiple Service Rule (DIMSR) applied to service |
DIMS |
All DIMS |
DIMSR has been applied |
241 |
Total charge and benefit for multiple procedure |
MO |
A |
MOP rule A has been applied |
242 |
Service is part of a multiple procedure |
MO |
B or C |
MOP rule B or MOP rule C has been applied |
440 |
Multiple Echocardiogram Services rule applied |
ME |
All ME |
MESR rule has been applied |
441 |
Multiple Echocardiogram and DI Services rule apply |
ME, DIMS |
Any combination of ME and DIMS |
MESR and DIMSR rules have been applied |
512 |
Multiple Musculoskeletal MRI Service rule applied |
MMRI |
All MMRI |
MMRISR rule has been applied |
513 |
Multiple Musculoskeletal MRI and DI Services rule applied |
MMRI, DIMS |
Any combination of MMRI and DIMS |
MMRISR and DIMSR rules have been applied |
564 |
Multiple Vascular Ultrasound Service rule applied |
VU |
All VU |
MVUSSR rule has been applied |
565 |
Multiple DI and Vascular Ultrasound rules applied |
DIMS, VU |
Any combination of DIMS and VU |
DIMSR and MVUSSR rules have been applied |
Control lines for processing patient claims
Table 2: control lines for processing patient claims in mainframe. Search the list using Ctrl+F.
Control line |
Topic |
Function |
MQAI |
Online PC or BB |
Online patient claims or bulk bill claims lodged by the health professional |
NABI |
Patient claims electronic funds transfer (EFT) reversal |
Returns all failed EFT payments with a status of REJECT:
|
NAOI |
Same day adjustment |
Used to do the same day reversal of claims. Returns up to 10 item lines processed on the day. SDL to delete SDR to reverse
|
NAQI |
Cheque cancellation enquiry |
Cheque reversal |
NASI |
Same day adjustment |
Same day reversal supervisor screen |
NCHI |
History enquiry |
Used to recall culled history lines |
NDCI |
Statement enquiry |
Supervisor duplicate statement screen |
NDFI |
Statement of benefit |
Request statement of benefit for same day claim
|
NDSI |
Statement enquiry |
Duplicate statement screen. Issue duplicate statement. DDMMYY is DOP. P to request print, or M to print manually.
|
NEBI |
PC Electronic Pend |
Browse mode |
NEPI |
PC Electronic Pend |
Displays a claim according to the modifier:
|
NERI |
PC Electronic same day reversal |
Used with modifiers:
|
NESI |
PC Electronic Pend |
Payment claims supervisor access |
NHCI |
History enquiry |
Supervisor restricted access |
NHDI |
Latter day adjustment |
Same Day delete transaction |
NHHI |
Latter day adjustment |
Suppress and transfer |
NHOI |
History enquiry |
Used with modifier - up to the last 6 months |
NHRI |
Latter day adjustment |
History recall transaction |
NHSI |
History enquiry |
Supervisor access - up to 2 full years history |
NPBI |
Claims payments |
EFT mode |
NPDI |
Pend |
Delete pended claims or view operator that pended the claim.
|
NPEI |
Pend |
Delete pend screen |
NPFI |
Claims payments |
Full-format Medical claims payment screen |
NPID |
Pend |
Re-pend by investigations |
MPII |
Pend |
Returns a full-format screen for investigations |
NPND |
Pend |
Pend claims according to the modifiers:
|
NPOI |
Claims payments |
payment screen
|
NPRI |
Pend |
Recalls item lines that have been pended.
|
NPSI |
Claims payments/Statement enquiry |
Full-format Medical claims payment screen - Supervisor only |
NQAI |
PC Electronic Claiming |
Browse mode |
NQEI |
PC Electronic Claiming |
Action mode Review online claim
Review online claims - F11 on column to sort
Same day reversal of Online claims
|
N-R |
Claims payments |
Use R on the end of a control line after payment to recall the same card |
NSCI |
Substantiation |
Substantiate patient contribution screen |
NSQD |
Cheque cancellation enquiry |
Online transaction which produces an offline job |
NSVI |
Substantiation |
Substantiation of claims - requested by Supervisor |
Control lines for processing cheque enquiries
Table 3: control lines for processing cheque enquiries in mainframe. Search the list using Ctrl+F.
Control line |
Topic |
Function |
BATI |
Cheque enquiry |
Used to get Medicare number
Replace ? with state of issue |
BBCI |
Cheque status enquiry |
Cheque information screen – check status or STOP a cheque with S or lift a STOP with L (same day only)
Replace ? with state of issue |
BBEI |
Cheque enquiry |
Cheque enquiry screen
|
BILI |
Stop Cheque Status |
Check a STOP cheque status
Replace ? with state of issue |
Control lines for general processing and enquiries
Table 4: control lines for general processing and enquiries in mainframe. Search the list using Ctrl+F.
Control line |
Topic |
Function |
BRNA |
EFT details |
Check or change EFT details |
CESN and CESF |
Mainframe |
Login/Logout |
EPCI |
Postcodes/locations |
Returns locations with that postcode
Returns locations with the postcode
|
FPGI |
Provider enquiry |
Shows all doctors for that provider group |
FPRX |
Provider exemption file |
Updates and holds the details of providers eligible for either remove area or grandparent exemptions |
FPVI |
Provider enquiry |
Shows provider details |
FRSI |
Source Office Enquiry |
Used to define and display source office code details:
|
INSERT |
Mainframe |
Use to insert into a control line |
MCDS |
Report |
Online claims processing report |
MQSI |
Supervisor screen |
Supervisor screen for online claims processing |
OPOQ |
Mainframe |
Used to login to source office code
|
PAGE UP |
Mainframe |
Use to change screens on mainframe |
PHEB |
Two way claim |
Process a Two-way claim – [F3] to transmit |
QITH |
Item enquiry |
Medicare item history details |
QITI |
Item enquiry |
Medicare item details
|
QPLI |
Provider enquiry |
Accesses the qualification file for provider classifications |
QPRX |
Provider exemption file |
Provider exemption file enquiry screen |
QPVI |
Provider enquiry |
Displays details for the provider requested. Can be used with search key if the provider number is not known
|
QVRE |
Provider enquiry |
Vocationally registered provider enquiry screen |
QVRL |
Provider enquiry |
Vocationally registered provider listing screen |
RHMI |
Header mode |
Display in header mode:
|
ROMI |
Claims list |
List all claims submitted that day |
Control lines for common patient history searches
Table 5: control lines for common patient history searches in mainframe. Search the list using Ctrl+F.
Control line |
Topic |
Function |
NHSI,Card No,Patient Name |
View history |
View Claims History, [F9] to get PIN number |
NHSI,Card No,patient,DENT/ALL |
CDBS |
For all CDBS Items |
NHSI,Card No,patient,DENT |
CDBS Caps |
Shows cap amount, benefit paid and remaining balance |
NHSI,Card No,patient,DENT/YY |
CDBS eligibility period |
YY for year of enquiry, 2 years of eligibility period info |
NHSI,Card No,PEND/ONLY |
Pends |
Lists all Pended claims under the Card |
NHSI,Card No |
Safety Net |
F6 for EGSN and SHIFT F6 for MSN and shows verified/unverified amounts for individuals |
NSCI,Card No,YY |
Safety Net |
Substantiation for current year |
NSCI,Card No,to/3112YY |
Safety Net |
Substantiation for previous year |
NLTI,Card No,YY |
Safety Net |
Individual Safety Net eligibility |
Patient claim history (NHSI/NHOI) shortcut keys
Table 6
Key |
Function |
F1 |
Help screen |
F2 |
Claim ID and operator number |
SHIFT+F2 |
Claim type
‘*’ will have additional letter e.g. ‘E’ for electronic claim |
SHIFT+F1 |
Provider classification |
F3/ESC Key |
Exit/clear screen |
F4 |
Schedule fee, Office source code |
SHIFT+F4 |
Processing Rule applied |
F6 |
Substantiation and EMSN details |
SHIFT+F6 |
OMSN details |
F7 |
Page backward |
F8 |
Page forwards |
F9 |
PIN number |
F10 |
CHQ/EFT details |
F11 |
Specimen Collection Point (SCP) |
SHIFT+F11 |
Location specific practice number (LSPN) |
F12 |
Cancel |
GPO box capital city postcodes
Table 7
Postcode |
City |
State |
0801 |
Darwin |
NT |
2001 |
Sydney |
NSW |
2601 |
Canberra |
ACT |
3001 |
Melbourne |
VIC |
4001 |
Brisbane |
QLD |
5001 |
Adelaide |
SA |
6000 |
Perth |
WA |
7001 |
Hobart |
TAS |
Date of service more than 2 years old
Table 8: when patient claims submitted for payment are over 2 years old from the date of services.
Patient claim… |
Action |
over 2 years old (less than 5 years old) Medicare benefits less than $100 (paid for one claim for one Medicare card number) |
Medicare benefit less than $100 Claim must be supported by an original or duplicate account/invoice or receipt for payment. The claim can then be processed and paid without reference to culled history. |
over 2 years old (less than 5 years old) Medicare benefit more than $100 (paid for one claim for one Medicare card number) |
Medicare benefit more than $100 Check the culled history for any duplicate payments.
|
more than 5 years old |
Service more than 5 years ago All claims for services 5 years old or more:
There is no charge to Medicare for 5 year cull requests. |
How to update vendor request spreadsheet for creation of MBS vendors
Table 9
Column ID |
Name of Field |
Details |
A |
VENDOR FIELD |
Leave blank, this will be completed by the Accounting Operations (AO) team |
B |
NAME 1 |
Key name of recipient Maximum 35 characters (no titles for example Mr) |
C |
NAME 2 |
Leave blank |
D |
SEARCH TERM |
Usually Medicare number No spaces Maximum 10 characters |
E |
SEARCH TERM 2 |
Leave blank |
F |
ADDRESS 1 |
Key address of recipient (symbols accepted) Maximum 35 characters Must contain number/name and type for example, Road, Crescent, Place Abbreviations are accepted (for example Rd) Include PO box if relevant |
G |
ADDRESS 2 |
Leave blank |
H |
POST CODE |
Set column to Text 4 numbers only (include PO box if relevant) |
I |
CITY |
Key suburb or town (include PO box if relevant) No symbols (only name), maximum 35 characters |
J |
STATE |
Key state in capitals Maximum 3 characters |
K |
K -PO BOX |
Leave blank |
L |
PO BOX POST CODE |
Leave blank |
M |
PO BOX CITY |
Leave blank |
N |
PO BOX STATE |
Leave blank |
O |
|
Key if provided Use @ symbol Maximum 60 characters |
P |
COMMUNICATION METHOD |
Leave blank |
Q |
1ST TELEPHONE |
Set column to Text Key area code and number No spaces Maximum 30 characters Not compulsory |
R |
1ST FAX |
Set column to Text Key area code and number No spaces Maximum 30 characters Not compulsory |
S |
AUTH GROUP |
Leave blank |
T |
ABN |
Set column to Text Key ABN number if relevant No spaces Maximum 11 characters |
U |
BANK COUNTRY |
Key 'AU.’ Two characters allowed |
V |
BSB |
Set column to Text Key 6 digit number only No spaces |
W |
BANK A/C NUMBER |
Set column to Text key numbers only Maximum 18 characters No spaces |
X |
A/C NAME |
Key name No titles or symbols Spaces allowed Maximum 50 characters |
Y |
PMT TERMS |
Set column to Text Key ‘0001’ 4 numbers allowed |
Z |
PMT METHOD |
Key 'J' (direct deposit only for upload payments) One character allowed |
AA |
A/C GROUP |
Key 'MBS' |
AB |
SHORT KEY HSE BANK |
Key 'ADMIN' |
AC |
GL RECO A/C |
Set column to Text Key '21101’ 10 characters allowed |
AD |
SORTING KEY |
Key '001' |
AE |
PLANNING GROUP |
Key 'VANSN' |
All Remaining |
Leave blank |
How to update payment run request spreadsheet for creation of MBS payments
Table 10
Column ID |
Name of Field |
Details |
A |
VENDOR FIELD |
Key customer’s name |
B |
INV DATE |
Date the template is being completed Must be in the format DD.MM.YY No hyphens or slashes |
C |
HEADER TEXT |
Patient Claims: PC/SOURCE OFFICE CODE OPERATOR NUMBER EG PC/ABCD12345 Where ABCD is the office code and 12345 is the operator number (do not include P from operator number) Bulk Bill Claims: BB/SOURCE OFFICE CODE OPERATOR NUMBER EG BB/ABCD12345 |
D |
REFERENCE |
MCAREBENEFITS |
E |
GL ACCOUNT |
51201 |
F |
COST CTR |
Cost Centre allocated to the Service Officer’s state
|
G |
Leave blank |
|
H |
TAX CODE |
Leave blank Tax code not needed where GL account is 51201 |
I |
ORDER |
Leave blank |
J |
QTY |
Leave blank |
K |
QTY UNIT |
Leave blank |
L |
AMT |
The total benefit amount to be paid to recipient, example 37.05 Only a full stop (.) can be used, no other symbols are accepted, for example ($) |
M |
BLINE DATE |
Leave blank |
N |
LINE ITEM TEXT |
MEDICARE PCM for Patient Claims Payments MEDICARE BB for Bulk Bill Payments |
Medicare claims circulars (MCC) - historical details
Do not share the below attachments externally. See Freedom of Information - Information Publication Scheme.
Table 11: MCCs in order of newest to oldest. These provide details of historical system changes.
Circular |
Topic |
Issue date |
MCC239 |
Introduction of warning message 8-ECLM PRV |
11-Feb-11 |
MCC238 |
Medicare patient claims next business day EFT payments new warning message NAOI and NHDI |
18-Apr-11 |
MCC237 |
Suppress ended and transferred members from claimant selection for manual patient claims and substantiation |
21-Feb-11 |
MCC235 |
Pre-populate claimant details on LDA screen NHRC |
25-Oct-10 |
MCC234 |
Pre-populate claimant details on substantiation screen NSCI |
28-Jun-10 |
MCC232 |
Amendment of the patient claims Latter Day Adjustment system to allow multiple adjustments |
11-Jun-10 |
MCC230 |
Increase Approved Collection Centre numbers from 3 to 5 digits for simplified billing and bulk billing |
22-Jun-10 |
MCC229 |
Increase Approved Collection Centre numbers from 3 to 5 digits |
22-Jun-10 |
MCC225 |
Introduction of Extended Medicare Safety Net benefit cap |
8-Dec-09 |
MCC223 |
Medicare Safety Net registration of same-sex couples |
Dec-08 |
MCC222 |
Processing screen improvements for Online Bulk Bill, Simplified Billing and Easyclaim |
Nov-08 |
MCC221 |
Changes to the display of claimant’s details on claim processing screens |
10-Jul-08 |
MCC220 |
Patient claim screen change to make sure claimant’s bank account details are used |
10-Jul-08 |
MCC218 |
LSPN - Introduction of DI Accreditation Rule |
9-May-08 |
MCC216 |
Medicare Dental Initiative claims processing and substantiation |
1-Nov-07 |
MCC215 |
Dental Initiative patient history |
1-Nov-07 |
MCC214 |
Provider payments within location start and end dates |
2-May-08 |
MCC213 |
Allied Health claiming via Medicare Online and Easyclaim |
11-Oct-07 |
MCC212 |
Medicare Easyclaim |
12-Jun-07 |
MCC211 |
1 May 2007 MBS changes - Amendment to processing of derived fee item 61462 |
19-Apr-07 |
MCC208 |
EFT Consumer Project patient claims, cash, cheque, and EFT reversals |
19-Mar-07 |
MCC207 |
EFT Consumer Project patient claims latter day adjustment transfer and suppress - replaces MCC150 |
19-Mar-07 |
MCC206 |
EFT Consumer Project patient claims latter day adjustment same card - replaces MCC146 |
19-Mar-07 |
MCC205 |
EFT Consumer Project patient history changes |
19-Mar-07 |
MCC204 |
EFT Consumer Project Same day adjustment |
19-Mar-07 |
MCC203 |
EFT Consumer Project patient claims substantiation |
19-Mar-07 |
MCC202 |
EFT Consumer Project amendments to manual patient claims processing |
Mar-07 |
MCC201 |
Two-way agency PHEB enhancements for pathology |
1-Dec-06 |
MCC200 |
Introduction of an action field on FCEI |
2-Oct-06 |
MCC199 |
Two-way agency (PHEB) enhancements |
27-Jul-06 |
MCC198 |
Specialist referral enhancements |
30-Jun-06 |
MCC197 |
Reverse and repay substantiated claims in NAQI/NABI |
27-Feb-06 |
MCC196 |
Removal of EPC referral form for Allied Health and Dental Care services checking |
1-Nov-05 |
MCC195 |
Enable patient name change on bulk bill vouchers |
27-Feb-06 |
MCC194 |
Enable additional benefits from NSCI to be paid by EFT |
27-Feb-06 |
MCC193 |
Return claims screen after Same Day delete (SDR code) |
1-Nov-05 |
MCC192 |
Two-way fund gap statement reprint on thermal roll (NDFI) |
1-Nov-05 |
MCC191 |
Automatic substantiation of patient claims |
1-Nov-05 |
MCC190 |
Two-way incorporation of ECLIPSE into PHEB |
1-Nov-05 |
MCC189 |
Display all card members when processing patient cheque claims |
1-Nov-05 |
MCC188 |
Add PBS daily totals to the daily ROTI screen |
1-Nov-05 |
MCC187 |
Changes to OSS to reflect HIC Online and IBA Healthpoint |
28-Jul-05 |
MCC186 |
Changes to cash balancing |
4-Jul-05 |
MCC185 |
Thermal roll print for NDSI - Patient claims duplicate statement |
22-Aug-05 |
MCC184 |
Display safety net details on patient claims screens |
4-Jul-05 |
MCC183 |
New RSN codes for closed provider locations - HIC online |
4-Jul-05 |
MCC182 |
Enhancements to patient episode coning claims processing |
4-Jul-05 |
MCC181 |
End dated members and changes to Medicare safety net screens |
23-Mar-05 |
MCC180 |
Display safety net totals on claims history screens |
4-Apr-05 |
MCC178 |
Receipt or statement for non-swipe EFT claims |
4-Apr-05 |
MCC177 |
Ad-hoc individual safety net letter requests |
4-Apr-05 |
MCC176 |
Display Medicare number in safety net screens |
4-Apr-05 |
MCC174 |
Changes to pend recall 2004 |
24-Jan-05 |
MCC173 |
Thermal print of unsubstantiated services |
13-Dec-04 |
MCC172 |
New referral type for allied health and dental services |
28-Oct-04 |
MCC171 |
Extended bulk bill incentive payments and introduction of RMAA codes A and B |
1-Sep-04 |
MCC168 |
LSPN assessment of equipment types for DI and RO services |
1-Nov-04 |
MCC167 |
Bulk billing replacement of RMDS reports |
14-Aug-04 |
MCC166 |
MRI fee relativities phase 2 |
1-Nov-04 |
MCC165 |
Partially paid accounts |
1-Apr-04 |
MCC164 |
Introduction of PF6 toggle between patient claims and the safety net registration system |
25-Jan-05 |
MCC163 |
Introduction of allied health and dental items phase 1 |
1-Jul-04 |
MCC162 |
Implementation of Simplified Billing Latter Day Adjustment system |
22-Aug-04 |
MCC161 |
Introduction of auto reject and validation checks for bulk bill additional payment items |
1-Jul-04 |
MCC159 |
HIC online enquiry system |
13-Jul-04 |
MCC158 |
Three new items and changes to QPLI to display RRMA details 1 May 2004 |
22-Apr-04 |
MCC157 |
Changes to NHOI screen and details on HIC online |
8-Mar-04 |
MCC156 |
MedicarePlus Safety net effective 1 April 2004 |
12-Mar-04 |
MCC154 |
Practice nurse items and additional 5 dollar bulk bill items effective 1 February 2004 |
3-Feb-04 |
MCC153 |
Patient claims processing changes |
12-Dec-03 |
MCC151 |
Implementation new bulk bill LDA transaction and overpayment procedure |
16-Sep-03 |
MCC150 |
Implementation new patient claims LDA transaction |
15-Sep-03 |
MCC149 |
Changes to existing bulk bill adjustments DLSI |
8-Aug-03 |
MCC148 |
Introduction of the diagnostic imaging substituted service rule effective 1 July 2003 |
27-Jun-03 |
MCC146 |
Changes to patient claims adjustments NHRI and online patient history |
5-May-03 |
MCC145 |
Introduction of MSN substantiation receipts |
28-Mar-03 |
MCC144 |
Changes to claims assessment system automation of simple high volume errors and warnings for bulk bill electronic claims |
Mar-03 |
MCC143 |
Location specific practice number LSPN claims phase 2 part 1, 1 July 2003 |
Mar-03 |
MCC142 |
Extending EFT payments to all bulk bill claims |
3-Mar-03 |
MCC140 |
Cease REMReq for registered sites |
20-Sep-02 |
MCC139 |
MBS Changes 1 November 2002 derived fee items and photodynamic therapy items |
17-Oct-02 |
MCC138 |
Assessing changes for the multiple vascular ultrasound services site rule effective 1 November 2002 |
29-Oct-02 |
MCC137 |
Online history and assessment indicator changes |
29-Oct-02 |
MCC136 |
Introduction of voluntary indigenous identifier |
9-Jul-02 |
MCC134 |
Introduction of 10 new photodynamic therapy items |
28-Jun-02 |
MCC133 |
Introduction of multiple vascular ultrasound services site rule |
1-May-02 |
MCC132 |
Stage 1 changes to Medicare standardised addressing rules 2002 |
Jul-04 |
MCC131 |
Amendments to claim history and direct bill assessing screens 14 January 2002 |
Jul-04 |
MCC130 |
Pathology assessing changes effective 1 December 2001 |
19-Dec-00 |
MCC129 |
Introduction of relative value guide for Anaesthetics RVG 1 November 2001 |
9-Nov-01 |
MCC128 |
Electronic exchange of enrolment data from DIMA phase 2 |
25-Aug-00 |
MCC127 |
Enhancement to the ETSI and ETRI transactions |
7-Jul-00 |
MCC126 |
Electronic exchange of two-way agency data pilot phase |
15-Nov-99 |
MCC125 |
MBS Changes 1 November 1999 Public health DI services and pathology |
15-Oct-99 |
MCC124 |
Electronic exchange of enrolment data from DIMA phase 1 |
25-Oct-99 |
MCC123 |
MBS Changes 1 March 1999 CT scans and pathology |
17-Feb-99 |
MCC122 |
MBS Changes 1 November 1998 DI service and pathology |
15-Oct-98 |
MCC121 |
Medicare Benefits Schedule changes |
26-May-05 |
MCC120 |
Two-way agency stage 1 |
24-Jun-98 |
MCC119 |
Issuing EFT statements |
1-Apr-05 |
MCC118 |
MBS changes July 1998 |
24-Jun-96 |
MCC117 |
Psychiatric consultations |
4-Jun-98 |
MCC116 |
Operational statistics system |
25-Mar-98 |
MCC115 |
Redirection of rejected EFT patient claims payment |
2-Feb-98 |
MCC114 |
Enhancements to EFT patient claims and manual cheque claims |
1-Apr-05 |
MCC113 |
Compensation advance payment option reconciliation |
5-Jan-98 |
MCC112 |
MBS changes November 1997 |
3-Dec-97 |
MCC111 |
Revocation of s11 and 12 HIC act 1973 |
3-Sep-97 |
MCC110 |
Amendments to compensation case management system |
15-Jul-97 |
MCC109 |
MBS changes June 1997 prolonged anaesthesia |
19-Jun-97 |
MCC108 |
MBS changes May 1997 assistant anaesthetist |
28-Apr-97 |
MCC107 |
Medicare EFT patient claims |
1-Apr-05 |
MCC106 |
Diagnostic imaging services changes 20 January 1997 |
15-Jan-97 |
MCC105 |
New provider specialty codes |
18-Dec-96 |
MCC104 |
Psychiatric consultation changes |
10-Jan-97 |
MCC103 |
Diagnostic imaging service 1996 |
1-Nov-96 |
MCC102 |
MBS changes November 1996 |
1-Nov-96 |
MCC101 |
Processing specified services |
9-Oct-96 |
MCC100 |
Limits for new providers in attracting Medicare benefits |
14-Oct-96 |
MCC099 |
Compensation advance payment option |
15-Jan-97 |
MCC098 |
EDI processing transaction |
26-Jun-96 |
MCC097 |
Enhancements to substantiation NTSI transaction |
19-Jul-96 |
MCC096 |
New Medicare cash transaction |
12-Jun-96 |
MCC095 |
NCRI and NCCI screen changes |
24-May-96 |
MCC094 |
Enrolment of compensation nursing home recipients |
13-May-96 |
MCC093 |
New item fee file item history report |
1-Apr-96 |
MCC092 |
Medicare card number recall |
8-Feb-96 |
MCC091 |
New item fee file enquiry system |
21-Feb-96 |
MCC090 |
Interim compensation arrangements |
1-Feb-96 |
MCC089 |
Changes to processing of compensable services |
24-Jan-96 |
MCC088 |
Patient claims telephone claiming |
2-Jun-97 |
MCC087 |
Private health insurance fund claims |
13-Nov-95 |
MCC086 |
Changes to processing DI derived fee items |
14-Sep-95 |
MCC085 |
Changes to patient claims processing screens |
8-Aug-95 |
MCC084 |
Patient episode coning PEC |
19-Jul-95 |
MCC083 |
New sign-on procedures |
3-May-95 |
MCC082 |
Medicare card replacement procedures |
30-May-95 |
MCC081 |
New Medicare claim form |
2-Mar-94 |
MCC080 |
Payment of benefits for RHCA visitors |
30-Mar-94 |
MCC079 |
Direct bill pend delete transaction |
3-Feb-94 |
MCC078 |
History scrolling facility |
9-Dec-93 |
MCC077 |
Medicare operations statistics system |
22-Oct-93 |
MCC076 |
Content-based and time-based items |
20-Oct-93 |
MCC075 |
Changes to history transactions |
26-Aug-93 |
MCC074 |
Processing procedures S4B3 and rule 3 |
5-Aug-93 |
MCC073 |
Compensation system stage 3 |
25-May-93 |
MCC072 |
Compensation changes to claims processing |
25-May-93 |
MCC071 |
QPRX diagnostic imaging transaction |
28-Jan-93 |
MCC070 |
Swap system |
26-Mar-93 |
MCC069 |
Medicare compensation registration system |
3-Feb-93 |
MCC068 |
QC system direct bill transact 1993 |
8-Jan-93 |
MCC067 |
Quality control direct bill 1993 |
8-Jan-93 |
MCC066 |
Family safety net crossover |
15-Dec-92 |
MCC065 |
Enrolment changes copy transfer facility |
8-Jan-93 |
MCC064 |
Rejection of old style Medicare cards |
10-Dec-92 |
MCC063 |
Diagnostic imaging 1992 |
20-Oct-92 |
MCC062 |
Taxation statement 1992 |
27-Oct-92 |
MCC061 |
Quality control system enrolment transactions |
20-Oct-92 |
MCC060 |
Quality control enrolments |
20-Oct-92 |
MCC059 |
Extension of the quality control system cheque claims |
9-Sep-92 |
MCC058 |
Quality control branch managers 1992 |
15-Sep-92 |
MCC057 |
Enrolment changes open ended PEPs |
15-Sep-92 |
MCC056 |
Changes to pend processing patient claims |
7-Sep-92 |
MCC055 |
Standardisation of the PF key |
3-Aug-92 |
MCC054 |
Substantiation statements 1992 |
3-Aug-92 |
MCC053 |
Changes to enrolment 1992 |
1-Jul-92 |
MCC052 |
Readers guide to online 1992 |
23-Jun-92 |
MCC051 |
Medicare claims history 1992 |
25-May-92 |
MCC050 |
Medicare comprehensive claims |
5-May-92 |
MCC049 |
Quality control of cash 1992 |
4-May-92 |
MCC048 |
DI changes and removal of YY 1992 |
27-Apr-92 |
MCC047 |
Processing radiation oncology service |
8-Apr-92 |
MCC046 |
Medicare system enhancements |
12-Mar-92 |
MCC045 |
Removal of co-payment 1992 |
1-Mar-92 |
MCC044 |
Budget changes 1992 |
31-Jan-92 |
MCC043 |
Pathology changes Budget 1991 |
1-Feb-92 |
MCC042 |
Medicare Safety Net confirmation |
22-Jan-92 |
MCC041 |
Family safety net claims 1992 |
14-Jan-92 |
MCC040 |
Family safety net registration 1991 |
12-Dec-91 |
MCC039 |
New schedule and 5 digit item |
18-Nov-91 |
MCC038 |
Medicare Safety Net |
21-Nov-91 |
MCC037 |
Transitional safety net 1991 |
1-Dec-91 |
MCC036 |
Co-payment arrangements |
1-Dec-91 |
MCC035 |
Card resequencing and PF4 history |
15-Oct-91 |
MCC034 |
Productivity enhancements |
2-Sep-91 |
MCC033 |
Quality control procedures |
28-Aug-91 |
MCC032 |
Changes to GP attendances |
23-Aug-91 |
MCC031 |
Medicare card issue numbers |
24-Jun-91 |
MCC030 |
Processing specialist services |
1-May-91 |
MCC029 |
Processing diagnostic imaging services |
23-Apr-91 |
MCC028 |
Address standardisation and punctuation checking |
18-Apr-91 |
MCC027 |
Return card procedures |
16-Apr-91 |
MCC026 |
Medicare card reissue 1991 |
22-Apr-91 |
MCC025 |
Changes to enrolment procedure |
19-Mar-91 |
MCC024 |
MBS changes 1 January 1991 |
1-Jan-91 |
MCC023 |
Efficiency improvements |
23-Nov-90 |
MCC022 |
Medicare pended claims 1990 |
19-Nov-90 |
MCC021 |
Provider scrolling facility 1990 |
13-Nov-90 |
MCC020 |
MBS changes on 5 digit item numbers |
26-Oct-90 |
MCC019 |
Medicare card reissue |
25-Oct-90 |
MCC018 |
MBS changes on attendance items |
1-Nov-90 |
MCC017 |
Production of Medicare cheques |
26-Sep-90 |
MCC016 |
Enrolment of Chinese nationals |
31-Jul-90 |
MCC015 |
EDI Direct bill processing 1990 |
12-Jul-90 |
MCC014 |
EDI direct bill processing exception statement |
20-Jun-90 |
MCC013 |
Hyperbaric treatment processing Item 9450 |
4-Jun-90 |
MCC012 |
Departure date field on ENSI screen |
23-May-90 |
MCC011 |
Changes to MBAC processing |
13-May-90 |
MCC010 |
Report Management and Distribution System (RMDS) |
10-May-90 |
MCC009 |
Production of Medicare cheques |
28-Apr-90 |
MCC008 |
Medicare provider enquiry QPLI |
28-Feb-90 |
MCC007 |
Warning message 8-SHRT PND |
28-Feb-90 |
MCC006 |
Processing radiation oncology |
9-Mar-90 |
MCC005 |
Minor system changes on return messages |
5-Mar-90 |
MCC004 |
Warning message 8-CHK CMLT |
19-Jan-90 |
MCC003 |
MBS changes |
28-Nov-89 |
MCC002 |
Direct bill claims electronically |
9-Feb-90 |
MCC001 |
Vocational register of GPs |
10-Nov-89 |
Forms
Provider registration for Electronic Funds Transfer payments form (HW029)
Do not share these attachments externally. See Freedom of Information - Information Publication Scheme.
Use 'Save As' workaround to download/use attachments.
VG4 form
Assessing and Benefits Team Escalation header
Medicare Claims Enquires Escalation form
Medicare Claims File Fix Escalation form
Manual EFT payment request form