HICAPS Claims Reconciliation Report

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This report generates a list of all Hicaps e-payments transactions that have been made for a selected date range.

Prerequisites required for > ‘Hicaps Claims’ Report:

  • Hicaps Terminal

  • Hicaps link from d4web

  • Generate Hicaps claims from d4web

  1. Click the navigation menu > Management > Reports page 

  2. Select HICAPS Claims Reconciliation Report

  3. Report Parameters:

    1. Period: Select period from drop list.

    2. From/To: Or enter date from – to.

    3. Location: Select practice location from list (for multi practice users only)

    4. Provider: Select All providers or choose the individual provider from drop list

    5. Show Inactive Providers: Tick box if you wish to choose an Inactive Provider

    6. Fund: Select All funds or choose the health fund you want to report on

    7. Display all other claim Statuses: Shows other statuses (e.g. unprocessed.)

    8. Click OK

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  4. Report Details

    1. The report is based on your selection in the report parameters

    2. When the report is run, transactions will only appear in the report if there has been claims made in the date range you have selected.

    3. If choosing All Providers, the report will show all claims for each individual provider with an overall total at the end of the report.

    4. If choosing All Funds, the report will show each fund with an overall total at the end of the report. At the end of each health fund there is a subtotal for that fund
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 Transaction

 

 Type

This shows whether it is claim or Cancellation etc.

 Date / Time

The date and time of transaction

 Response

This shows if it was approved or not

 Status

This shows if it is done or cancelled etc

 Patient

Patient name and card no

 Ins Memb #

Patients insurance number

 Prv ID

Provider ID No

 Claim

 

 Id

Claim Id no

 Amount

Claim Amount

 Status

This shows if there were any deletions or cancellations

 Payment

 

 Id

Payment Id no

 Amount

Amount paid by health fund

 Date

Date payment made

 Subtotal for 

 

 Claimed

The total amount claimed for the selected period for all health funds

 Paid

The total amount paid for the selected period by all the health funds

 

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