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Integrations and Add-ons

Connect and automate your business with other tools and features.

Setting Up Online Claiming for Medicare or DVA

Online claiming allows you to quickly submit claims to Medicare and DVA services.

To submit online claims, we use a pre-paid credit system – each successful transaction costs 1 Claiming Credit. and you can combine multiple claims for a single client to reduce costs.

Credits can be purchased from Setup > Subscription > Claiming Credits.

Setting up Online Claiming

To use online claiming with Medicare or DVA, it needs to be set up first by following the steps below:

1. Go to Setup.

2. Select Integrations under Connections.

 

3. Toggle Medicare/DVA Online Claiming to Enable it.

4. Click Configure.

5. Click Create Group in the bottom right-hand corner.

6. Add a Name in the pop-up window and click Create Group. The Group will be set as Active by default.

Label the Group with the same name as the Location to avoid any confusion.

7. Click Add to add Providers to the Group.

8. Select the Provider and their appropriate Provider number from the drop-down list. Then click Add Provider.

If a Provider or a specific provider number is not displayed it could be because:

  • “Enable Integrations” is not ticked in the Staff profile.
  • “Provider” and/or “Diary” is not ticked in the staff profile.
  • The provider number is already used in a different Claiming group as each Provider can only be added in one Claiming Group.

9. To add more Providers, click View Providers

10. Then click Add Provider in the pop-up window and repeat step 8.

11. Once all providers have been added and online claiming is set up in your Nookal account it will look like this:

Then, contact Medicare/DVA eBusiness on 1800 700 199 for the online claiming/banking form(s) relevant to your business.

Setting up a new online claiming integration? Ask your Medicare representative:

“I would like to set up Online Claiming for my business. We use software that submits claims via a centralised site certificate – I do not require a PKI Certificate. I need to set up banking details and also add my provider number(s) to a new Location ID. What forms do I need to complete?”

Generally, they will provide you with two forms:

  • Online Claiming Banking Details – to connect your bank account details to the Location ID (Minor ID).
  • Online Claiming Provider Agreement – to connect your provider number(s) to the Location ID (Minor ID).

These forms may not suit your situation, so it’s best to confirm with the Medicare representative.

12. Fill in the Medicare online claiming paperwork, make sure to include the Minor ID/Location ID to the Medicare Forms before submitting to be processed by Medicare.

The Location ID (Minor ID) can be found in the Medicare setup (Setup > Connections > Integrations > Medicare/DVA Online Claiming), next to the name of the Group for the appropriate Location.

 

Once approved by Medicare, Online Claiming is ready.

Activating Location for Claiming

1. Before starting to claim, make your Location Active for Claiming by going to Setup > Connections > Integrations > Medicare/DVA and click in the Active Claiming Locations tab.

2. Click on the Location.

3. Tick the Active box.

4. Click Save Location.

5. The Location status will be displayed as Active, repeat for every Location to be made Active for Online Claiming.

View Submitting an Online Claim for more details on using online claiming.

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