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Mainframe Authority approval processing for Pharmaceutical Advisers (PA) 012-63020000



This document explains details for Authority approval processing for Pharmaceutical Benefits Scheme (PBS). Authority approval for the Mainframe system is via either IBM Personal Communications or Customer First.

On this page:

Log on Mainframe via IBM Personal Communications or Customer First

PBS Authority approval application

Log off Mainframe via IBM Personal Communications or Customer First

Log on Mainframe via IBM Personal Communications or Customer First

Table 1: this table describes how to log on to the Mainframe and access the PBS main menu screen.

Step

Action

1

Mainframe Login + Read more ...

Determine which system to log into. For:

2

IBM Personal Communications + Read more ...

Select the desktop Start Menu:

  • select IBM Personal Communications > Medicare Branch Session A ‘NO SSO’
  • key CPSN or CESN > [Enter]

On the login screen:

  • in these fields:
    • Operator, key Username (P number)
    • Password, key the 6-digit Common Desktop Environment (CDE) RSA token passcode
  • press [Enter]
  • key OPOI or OPOQ> [Enter]
  • in the S CODE column, key S next to the source office code required > [Enter]

Go to Table 2.

3

Customer First + Read more ...

Select the desktop Start Menu:

  • select Front of house > Medicare Tile > Open Microsoft Edge from the pop-up display
  • Customer First pop up, select ZCFS_CSO_MCA Customer First Medicare CSO Role
  • select Customer Record
  • key OPOI into the CICS Sign-on is complete field > [Enter]
  • in the S column, key S next to the source office code > [Enter]

Go to Table 2.

PBS Authority approval application

Table 2: this table explains how to process a telephone Authority approval application via Mainframe.

Step

Action

1

Access the PBS Main Menu RAUM + Read more ...

Select option 2 in the Selection field.

Key 2, Record Telephone Authority (RAUR) > [Enter]

2

Record Authority - Patient Search (RAUP) + Read more ...

Key the patient's Medicare card number > [Enter].

Confirm the patient's details with the approved prescriber.

If the approved prescriber cannot confirm the patient's details:

  • do not approve the patient (the approved prescriber can issue a private prescription)
  • refer the patient to a Medicare service centre to get a temporary Medicare number

3

Patient identification- Multiple Selection (RIDS) + Read more ...

Is the Medicare card number valid?

  • Yes, key the number next to the patient’s name in the Selection field > [Enter]
  • No, correct the error or key the patient's name and date of birth in the appropriate fields to initiate a search in RPQN

4

Record Authority - Display Previous Authorities (RAUH) + Read more ...

Press [Enter] once to view patient previous Authorities:

  • Select a number from the Selection and key in the Selection field > [Enter] to view previous Authority details if needed
  • Press [F6]

5

Record Authority Details (RAUB) + Read more ...

Key the Authority prescription number > [Enter] to confirm.

If the message 'Authority number may be invalid' displays and the number keyed is highlighted in red:

  • delete the number > [Enter]. The message 'Authority ID must be entered' displays. Note: if this is not done and the Authority number is re-keyed, shows as though the Authority number is correct (displays in green with no error message) even if it is incorrect
  • ask the approved prescriber to repeat the Authority prescription number and re-key the number. If the:
  • Authority prescription number is now correct, press [Enter] to confirm
  • Invalid Authority prescription number warning persists, acknowledge the warning by pressing [Enter], and add the following Authority comment 'Confirmed Auth ID'. Note: if this Authority comment is not entered, it will be considered an error and feedback will be provided

Continue to key the following:

  • Doctor's prescriber number
  • Medication requested (item code or first 6 letters of the medication)
  • Quantity and Repeats
  • Patient's dosage

Press [Enter].

For Authority required items, the item restrictions appear automatically after selecting the item.

6

Restriction selection screen + Read more ...

Press [F8] to the correct restriction, use ‘/’ to select the restriction:

  • If there are questions attached, press [F6] to see Codified Answers
  • Use / to select prescriber’s answer, repeat for all questions using [F8] to progress to the next question
  • When all questions are answered, select [F5] to return to RAUB screen

7

Determine if request is within guidelines + Read more ...

Calculate if request is within the guidelines and key the dosage directions provided by the prescriber.

Note: if entering increased quantities and repeats for Unrestricted and Restricted items, the item restrictions appear.

8

Check history + Read more ...

Press [PF10] to check history for previous applications. Assess for:

Press [F3] to return to the previous screen.

9

Enter assessment result or view patient comments + Read more ...

Add the assessment result and any applicable authority comments, see Codes in Mainframe for Pharmaceutical Benefits Scheme (PBS).

Confirm Authority ID details by reading the number entered to the prescriber, if correct:

  • press [PF8] to update and read approval number to approved prescriber
  • add an Authority comment if required

To view patient comments:

  • key the patients Medicare entitlement in RPQN > [Enter]
  • select the corresponding number next to the patient name, press [F5]
  • press [F12] to view patient comments

Note: all phone authorities must be recorded regardless of outcome. Unapproved authorities must be recorded and rejected with the assessment result 3 (rejected).

Has the approved prescriber requested another authority?

10

Process approved prescriber request for another authority + Read more ...

If the approved prescriber requests another authority for:

  • the same patient, press [PF6] RAUB
  • a different patient, press [PF11] RIDS

Note: after completing the call, press [PF3] to return to the Record Authority - Patient Search screen.

Log off Mainframe via IBM Personal Communications or Customer First

Table 3: this table explains how to log off Mainframe via either IBM or Customer First.

Item

Search options

1

Mainframe log off + Read more ...

Determine which system to log off from. For:

  • IBM Personal Communications, go to Step 2
  • Customer First, go to Step 3

2

IBM Personal Communications Log off + Read more ...

To log off from the Mainframe system:

  • finish the current transaction
  • select Pause/Break to clear the screen
  • key CESF > [Enter]
  • select X in the top right-hand corner of the screen to close

Procedure ends here

3

Customer First Log off + Read more ...

Press [F6] to clear screen:

  • from the right-hand corner in Customer Record, select Log Off

Procedure ends here.