D4Web users in Victoria have the opportunity to submit HICAPS Claims for the Worksafe Health Fund.
The Worksafe Health Fund differs from other HICAPS Health Funds:
-
Transactions are not assessed immediately and no benefit is returned at the time of processing the claim.
-
Claims are assessed as a batch at a later time, and payments are sent to the Provider accordingly.
-
Worksafe does not issue a card to its members. Each patient is issued with a Claim Number that is used in place of a card number when sending claims.
The Claim number is 19 digits and is comprised of:
-
The Worksafe Card no. Prefix
-
An individual patient number
Create an Insurance Fund/Plan
-
Create an Insurance Fund and Plan for Worksafe with the following details:
-
Name: Victoria WorkSafe
-
Abbreviation: VWA
-
E-System: Select HICAPS from drop list
-
Card No Prefix: 90360115
-
Limit of items per claim: 24
-
Place a tick in the Worksafe checkbox
-
-
Add a Plan
-
Plan Code: VWA
-
Plan Name: VWA
-
E-System: Select HICAPS from drop list
-
Add WorkSafe to a Patient's Record
Before sending the Claim via Hicaps terminal, the relevant information needs to be entered into the Patient's record.
-
Enter the Patient's Claim number in the Member ID field
-
Enter 01 in the Series field
Send WorkSafe Claim via Hicaps terminal
All actions (Charting, Treatment Plan, Treatment) are the same as per the usual treatment procedures.
Visit https://www.worksafe.vic.gov.au for information on approved items/services.
-
Click the navigation menu > Patients > Treatment page
-
Itemised Invoices toolbar > New Invoice Only (or press F2)
-
Click Hicaps
-
Check items selected are correct and click OK
-
The Claim will now be submitted via the Hicaps terminal
-
NOTE: This claim has not been paid, it is submitted. The method of payment from WorkSafe Victoria to you will not change.
Receive Payment from WorkSafe
It is recommended to add a payment method called WorkSafe Payments
-
Click the navigation menu > Patients > Receipts page
-
Receipts toolbar > New Receipt
-
Enter Amount and the usual Payment Type
-
Reverse WorkSafe Claim
WorkSafe claims can only be reversed on the same day it was submitted.
-
Click the navigation menu > Patients > Claims page
-
Select the Claim to be reversed
-
Claims toolbar > Reverse Claim
More links:
Pay an Outstanding Balance / Create Receipt after Invoice Creation
Comments
Article is closed for comments.