Public Eligibility quality checking processing 111-22090030

Key 'QBBI' and press [Enter].

The QBBI screen displays details of selected transactions from the previous day's processing plus any outstanding transactions not previously actioned.

CDMS transactions selected for quality checking are displayed in the QCS using the legacy (CICS) transaction IDs. The following relationships between the legacy transaction ID and the public eligibility processing activities are displayed:

• EANU (E2) - register Medicare card details
• EREU (E1) - amend Medicare card details
• EFPU (E3) - amend personal details
• ELNU (E6) - amend Medicare entitlement details
• ERFU - amend Program Review details

Select the transaction to be quality checked by positioning the cursor in the 'S' (select) field then pressing [Enter].

A legacy enrolment screen is returned.

Press [F3] (or applicable function key) to return to the QBBI screen.

Source documents may be located in:

• PaNDA (Scanned documents)
• Customer First (Medicare Newborn Manual Enrolment (MAENROL))
• Service Officers batch (F2F processing)
• MEE portal (Digital Medicare Enrolment)

Before checking the enrolment, search for any possible consumer records.

Highlight and copy the Medicare card number from the QCS.

Switch to CDMS and paste the Medicare card number into the Inquire on Consumer Details search screen then select Entitlement.

The Entitlement Details Inquiry screen for all members associated with the Medicare card number is displayed.

Once Medicare details have been checked on the Entitlement Details Inquiry screen, conduct a consumer search to ensure no duplicate records have been created. Complete a Mandatory detailed search in CDMS.

Compare the source documents with information in the CDMS history using the CDMS quality control quick reference guide.

If more than one consumer ID need to be checked, select the radio button of each individual.

Once the transaction and source documents have been examined, return to the Quality Control System (QCS).

QCS displays 'b' (browse) in the S field and is now ready to accept error status codes in the STATUS field to indicate whether or not the transaction had been processed correctly.

In the STATUS fields for the transaction selected, key only one status code and press [Enter] - the error with the greatest impact.

QCS returns a lower case 'u' in the S field to advise that the selection has been updated with an error status code.

If several updates have been performed in CDMS on the same Medicare card, QCS may select the same card multiple times on the same day. In these cases, Quality Checkers must only populate one QCS transaction line with a valid status code. All other selections should remain unactioned. They will be automatically removed from QBBI after about 21 days.

When all the transactions have been actioned, press [PF3] to exit QCS.

For identified errors the Quality Checker must:

• submit the online Error Explanation Sheet (EES), ensuring all errors identified in the checks are recorded
• (if there is a My Health Record error) complete the email template and send to My Health Record Support
• return a copy of the transaction with a brief description of the action required to the Service Officer for correction or send to the appropriate section in the program for actioning

Manual

Endorse the source documents and batch envelope with:

• QC
• Quality Checker's signature
• Date

Note: do not write on the front of source documents. This ensures information is not obscured if required to be reviewed in the future.