Exceptions

When Services Australia has reviewed the batch, it returns either an exception or a resolved response. If there is an exception with the batch, the batch will be displayed in the Exceptions panel.

About this task

Generate a list of exceptions from the Exception section on the Batch tab.

Procedure

To generate the report:
  1. Select Claiming, Banking, and Payments iconClaiming, Banking, and Payments > Batch from the menu.
    Batch Menu
  2. From the Status list, select Exceptions. All exceptional patient claims are displayed chronologically.
    Exceptions List of Consults - Example
  3. To view the details of a claim, expand the date or day and then expand the required claim ID.
    Claim ID - Details
    Any issues or changes made by Services Australia are shown in red. For example Services Australia might have only paid a partial amount. An error code is also displayed. Hover your mouse over this code to display the reason.
    Tip:
    To view visits that have already been finalised, either by your health service or Medicare, toggle Show all visits to on. Finalised visits are listed under their claim ID and are greyed out.
  4. To view the details of a consult, select it:
    1. To accept the changes made by Services Australia, click Accept.
    2. To edit and resubmit the claim to Services Australia, select Edit to resubmit > Add a codeAdd a new item.
    3. In the new billing row item, enter the required details such as Code, Amount, Service fee and so on:
      • To delete the new billing item, click Delete iconDelete.
      • If required, make changes on the existing billing's Service fee type and Service text fields.
      • History - iconShow visit history - displays the history of visit item in the billing list.
        Show visit history
      • History - iconHide visit history - hide the visit history from the billing list.
      • To undo the changes, click Reset.
    4. Click Issue.
      • If you have resubmitted the claim, the consult is moved from Exceptions to Unbatched status, so it can be sent again to Services Australia.
      • If all the changes have been accepted and saved, the batch is moved from Exceptions to Resolved list.
  5. To generate a report, select the required claim ID and click ReportException Report at the top-right of the panel.
    To select all consult items for the particular day, select the day or date. For example, Today.

Results

The Exception Report is displayed on a new tab. The report displays a summary of all exception information. If required, you can print or download the file.

What to do next

To generate the other reports, from the ReportPrint list, select the required reports such as Payment Report, Processing Report, Batch Report and so on.