Bulk bill claims in Medicare 011-43030000

Functions of bulk billing control lines

Table 1

Control line	Topic	Function
DAPI	Pend	Use the A modifier after background assessing to add another voucher
DASI	Pend	Supervisor level for DAPI
DBEI	Claim entry	Used by branch office staff to key claims
DBGA	Background Assessing	Bulk bill processing - Background assessing. Can only be initiated in CICSQ environment
DBGB	Background Assessing	Bulk bill processing - Background assessing. Can only be initiated in CICSQ environment
DBPI	Pend	Browse Claims assessed with errors can be reviewed online
DCEI	Enquiry	Returns all unpaid claim status for health professional specified. Various modifiers may be added to refine the information returned
DCPI	Claim processing	Claims in progress for an operator Changes the status of the claim
DDEI	Claim entry	Menu screen to access claims
DEAI	Pend	Used by branch office staff to add the A modifier after background assessing to add another voucher
DHCI	Claim	Mail room received claim status
DHDI	Claim Delete	Allows deletion of a header online
DHAI	Latter Day Adjustment	Bulk bill latter day adjustment assessment - recalls from Pend and reassesses the claim
DLBG	Latter Day Adjustment	Used to push a bulk bill latter day adjustment through background
DHRI	Latter Day Adjustment	Same day reversal of a bulk bill latter day adjustment
DHSI	Latter Day Adjustment	Bulk bill latter day adjustment
DOPI	Pend	Process a bulk bill scanning claim
DOSI	Pend	Process a bulk bill scanning claim at Supervisor level
DPPI	Pend	Pay claim with 'no error OK to pay'
DPSI	Statement enquiry	Can look at and request (or delete a request for) a duplicate health professional statement
DQAI	Enquiry	National Office level
DQOI	Enquiry	Display Claim Status
DQRI	Enquiry	Region level
DQSI	Enquiry	State level
DSDI	Same Day Adjustment	Same day reversal screen, can be reversed if assessed today
DXEI	Claim entry	Menu screen to key claims, and DUPE keying
DZOI	Claim Delete	Deletion of bulk bill claims in PEND/ASSESSED status

Resubmitting a totally rejected bulk bill claim

Table 2

Resubmitted information	Mandatory paperwork
DB1 form	Services Australia will accept a photocopy of the header originally submitted. The declaration on the DB1 form must: be signed by the health professional include a witness signature if the photocopied DB1 form does not have Resubmitted claims clearly marked, contact the practice to confirm resubmission prior to processing the claim.
Vouchers	Where the original vouchers are not available, copies are acceptable but copies of all the vouchers must be provided for the claim to be processed.
Voucher Count	The voucher count must be the same as the claim originally submitted.

Resubmitting a voucher rejected from a bulk bill claim

Table 3

Resubmitted information

Mandatory paperwork

DB1 form with vouchers attached

Services Australia will accept a photocopy of the header originally submitted.

A new header is also acceptable for resubmitted vouchers. If a new header is submitted, the declaration on the DB1 form must:

be signed by the servicing health professional
include a witness signature

Health professional letter (acts as a DB1) with claim voucher information

Letter is acceptable for a resubmission, but must:

be signed by the servicing health professional
be on the practice letter head
be with the voucher(s)

Retaining assignment of benefit forms - health professionals

National Archives of Australia - Agency specific records authorities.

Table 4

Document Type

Retention period

Claim forms for health and medical payments including:

Medicare claim forms
bulk billing forms
pharmaceutical benefits claim forms
authority prescriptions

Destroy 2 years after date of claim if not required for investigation

Forms

Application for bulk bill claim adjustment form (DB018)

Application for late lodgement of a claim for assigned Medicare benefits (DB019)

Assignment of benefit Medicare bulk bill Webclaim form (DB020)

Bulk bill voucher - electronically transmitted claims form (DB4E)

Customer enquiry form (PP040)

Manual EFT Payment Request form (PP048)

Medicare stationery order form (DB6Ba)

Bulk Bill manual EFT statement template

Services Australia has endorsed the letter or electronic message for use. It is the latest version. Do not use locally produced letters or electronic messages.

BB Manual Statement