Online statement and features for bulk bill LDA claims in Medicare 011-43040050

This page contains the procedure to process an adjustment claim for an original split claim.

On this page:

View statement details

Duplicate statement

Adjustments claims for an original split claim

View statement details

Procedure to view statement details

Table 1: This table describes the procedure to view statement details.

Step	Action
1	View statement details + Read more ... Key DPSI,PROVIDER No, CLAIM ID,DOL=DDMMYY Press [Enter].

Duplicate statement

Note: if an original claim is requested where adjustments have taken place, the adjustment details will not be displayed on the duplicate statement.

Procedure to generate a duplicate statement

Table 2: This table describes the procedure to generate a duplicate statement.

Step	Action
1	Generate a duplicate statement + Read more ... Key DPSI, PROVIDER No, CLAIM ID, DOL=DDMMYY,R. Press [Enter].

Adjustments claims for an original split claim

When an adjustment is received for a split claim, it is possible not all of the service lines to be adjusted are contained in the same part of the split claim.

The adjustment must be divided into two or more adjustments so the service lines correspond with the original claim.

Note: the system treats each of these claims as a separate adjustment, the DHSI control line which was entered to initiate processing is unique (each has a different claim ID suffix)

Process an adjustment for a split claim

Table 3: This table describes the procedure to process an adjustment claim for an original split claim.

Step	Action
1	Determine where first adjustment voucher applies + Read more ... Determine which part of the original claim the first adjustment voucher applies: call up a history screen for the patient press [F2-CLAIM ID] to display the claim number
2	Add alpha suffix + Read more ... Add the alpha suffix to the claim number.
3	Key DHSI control line + Read more ... Key DHSI control line. Note: use the appropriate claim ID and alpha suffix.
4	Process adjustment claim + Read more ... Process the adjustment claim. Note: if an adjustment voucher is identified as not corresponding to a voucher processed in that part of the original claim: continue processing the adjustment claim return to the adjustment voucher and finalise processing of any other adjustments required.
5	Close claim + Read more ... Press [F3] to close the claim.