Medicare item codes

A overview to medicare item codes and what to know

How to Use the Correct Medicare Item Codes in Health

1. Understand why the Medicare item code matters 0:00

  • This walkthrough explains how to use Medicare item codes in HaltH.

  • The main goal is to make sure bookings attached to Medicare can be processed correctly.

  • Using the wrong item code can cause the rebate to be declined.

2. Check that the item has a Medicare code attached 0:13

  • When creating a booking with Medicare attached, go to the Items page.

  • Make sure the selected item shows Medicare in the bottom.

  • If an item does not show Medicare (for example, an audiology item), Medicare will not know what rebate to apply.

  • This can result in the rebate being declined when processed.

3. Watch for the invalid item code warning 0:24

  • If the item is not a Medicare item, HaltH will display a warning:

    • "Medicare invalid item code"

  • This message tells you the item selected cannot be used for a Medicare rebate.

4. Fix the issue by selecting the correct Medicare item 0:46

  • Go back to the Items page.

  • Choose an item that clearly has Medicare attached to it.

  • Once the correct item is selected, the invalid item code warning should disappear.

  • You can then continue processing the transaction 

5. Complete the Medicare transaction 1:03

  • After selecting a valid Medicare item code, the system should show the rebate amount.

  • You should then be able to process and complete the Medicare transaction successfully.

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