Processing Immunisation Claims

Before you begin

Immunisation claims are batched and sent via online claiming to notify ACIR of a child's vaccination record. This system is an alternative to contacting ACIR directly, saving your Practice time.

Before you can process an immunisation claim in Pracsoft, the patient must first have received a vaccination, recorded in your clinical package.

Procedure

  1. In Pracsoft, select Processing > Online Claiming.
  2. You will be prompted that there are immunisations claims to import from MedicalDirector Clinical. This prompt refers to those immunisations recorded in your clinical package since you linked it with Pracsoft.
  3. Click Yes to import the claims.
  4. The Medicare Australia Online Claiming window appears. Notice that the immunisation claims are already listed for you to prepare. Note that this is the same window used for processing 'normal' online claims. for information about the normal online claiming process, see Online Claiming.
  5. Click Next Step to continue. You are presented with the Prepare Claim Data tab. Preparing claim data validates the immunisations within the claim, and notifies you of any issues, such as a patient without a recorded Medicare number, or date-of-birth.
  6. Click Prepare to prepare the claims. You are prompted to confirm this action.
  7. The results of the preparation are presented to you. If preparation has failed for any reason, you must resolve any issues now, and attempt to process the claim again later.
  8. Click Next Step You are presented with the Print Claim Reports tab. You have an opportunity here to print hard copy reports of what you have sent to Medicare.
  9. Click Next Step You are presented with the Transmit Claims tab.
  10. Click Transmit. The Transmit Claims window displays. Select which claims you want to transmit by ticking the associated Selected check box.
  11. Click Transmit The claim will be automatically sent electronically to Medicare for processing. You should receive confirmation of its success, as shown in the example below. Medicare may return a '9501- Assessment Report' if claim assessment has failed. This report will be sent automatically to your printer. If you receive any errors, please consult the topic Troubleshooting Immunisation Claims for assistance.

    This concludes the steps necessary for make an immunisation claim for ACIR .

Results