Praktika HICAPS User Manual
Contents
1. ne Details Date 18 03 2011 Time from 2 45 PM to 3 30 PM Mr Harvey Harlington 03 5667 7778 Health Fund N A Description Tooth Surfaces Note Total Fee Discount GST Metallic restoration one surface direct 12 D 100 00 0 n a Oral examination limited 30 00 0 n a Payments amp A Tax Invoice 000474 Date RRN Balances L UnComplete G Print Tax Invoice Total 0 00 CR Fees 0 00 CR Deposits 0 00 CR Provider Dr Nick Riviera v WA PATIENTFILE CLINICAL NOTES Gap Resp Code Total 130 00DR Mr Harvey Harlington v Ref Amount Today s 130 00 DR 0000000000000000090000000000000990990000900909909900000000099009090090990990900900909909902000009009099099090090990990999999 DAJE 17 HICAPS Terminal Payments Processing for Mr Harvey Harlington Patent Ol Health Fund Account Member ID Expires Tax Invoice 474 Date 17 03 2011 Provider DENTIST 0554191A v Merchant MERCHANT 3 3DES MULTI MDOCKLANDS w Code Description Tooth Surfaces Note Total Fee Discount GST Benefit Gap Resp Code T 511 Metallic restoration one 12 D 100 00 0 n a surface direct 2 013 Oral examination limited 30 00 0 n a Total Fees 130 00 DR Total Benefit 0 00 CR Total Gap 130 00 DR Date Description Notes a RRN Ref Amount Balances Total 0 00 CR Fees 0 00 CR Deposits 0 00 CR Today s 130 00 DR canal aimed Benett metua ake Payment DERESE aese2. Cancellation of Refund of EFTPOS Make an EFTPOS Claim benefit claimed benefit payment payment pag e 18 SCHOSSHSHSHSHSHSHSHSHSSHSHSHSHSSHSHSHSHSHSHSHSHHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSHSSHSHSHSHSHSHOHSHSHSHSHSHSHSHSHSHHSHSHSHSHSHSHSHSSHSHSHOHSHSHSHSHSSHSHSHSHSSHOHSHSHSSHOHSSHSSHOSSOSSSCHSSSHSSESEE O 5 3 2 Making a Claim Benefit from the Appointment Window 5 3 2 a Make sure the correct provider is selected in the Provider drop down box DENTIST 05541914 CHIRO 03098181 PHYSIO 07186459 GP 2147561K SPEC 2147571 Dar 5 3 2 b Click Claim Benefit button The HICAPS Terminal should prompt you to swipe the patient s Health Fund card There will also be a pop up screen on the computer directly attached to the terminal 1 Mar 2011 18 33 43 SWIPE IHSERT CARD Harvey Harlington es se Pelee ve n e m Tr Tan Delivered By HOMER SSS a Se ya tet wet eet ameter eee SUIPE INSERT CARI Harlington Harvey 0000000000000 0000000060 0000000000060 0006000000000600600000006000000000000600060 0000000000000 00000000000060000000600000000060600000600000000000060 page 19 Note If the terminal is not able to process your claim you may get the Terminal busy error message In this case click Claim Benefit button again Error processing claim TERMINAL BUSY TB 5 3 2 5 3 2 d Cancel Claimed Benefit N Balances Swipe the card in the HICAPS Terminal Wh
3. JS419H software in the following folder Scroll down to read the entire agreement Keyspan License Agreement This Agreement constitutes a legal agreement between you the end user and pial se ee of nim eee t on You should carefully ad the f and con stalling this software INSTALLING THE SOFTWARE I INDICATES YOUR AG ACCEPTANCE OF THESE TERMS AND CONDITIONS 1 Grant of License Keyspan grants to you the right to use this copy of the software Software on a single computer You may not use or install the Software on more than one computer at the same time Ve 2 Copy Restrictions Ownership of Software You own the media on which the or more copies of the Software solely for archival or backup purposes The Software and accompanying written materials are copyrighted 3 Transfer Restrictions You may transfer the Software with a copy of this Destination Folder C Program Files Keyspan USB Serial Adapter NN a GE InstallShield ME InstallShield page 8 Product Registration Keyspan USB Serial Adapter USA19H KEYSPAN ua Connections for your computer Thank you for purchasing the Keyspan USA 19HS InstallShield Wizard Complete Setup has finished installing the Keyspan USB Serial Adapter US419H on your computer Please take a moment to register now so that we can alert you when software updates have been posted The ergime astra erty Are you sure you want to cancel the registration p
4. Windows Installer 3 1 z mae i Always ask before opening this file e NET Framework 3 5 If these components are already installed you can launch the application now Otherwise click the button below to install the prerequisites and run the application publisher You should only run software from publishers you trust I This file does not have a valid digital signature that venties its How can decide what software to mun Application Install Security Warning Publisher cannot be verified n alam gk ad ae Name Praktika HICAPS interface From Hover over the string below to see the full domain praktika com au Publisher Unknown Publisher Lp mm While applications from the Internet can be useful they can potentially harm your computer If you do not trust the source do not install this software More Information 42 1f Start Praktika HICAPS Module For that click on Start button left bottom of Windows screen Then go to Programs Lizards Software Pty Ltd Praktika Hicaps Interface 192 168 1 51 11000 SE332A COM3 10 287 Wate Display Window 2009 HICAPS Pty Lid ic 2011 Lizard Software Pty Lid 4 2 1 g Test the connectivity with the terminal If test show OK the installation is complete a Sending TerminalTest request to 192 168 1 51 11000 SE332A COM3 192 166 1 51 17000 5E332A COM3 Respo nseCo de 00 E Teminal Test Response
5. 00 CR Today s 130 00 DR B Delete Appointment sas rrenen Patient Response v Treatment Type v 5 3 1 g Confirm the completion of the Appointment Appointment completion completed appointment Do you want to continue Q You will mot be able to edit procedures in 5 3 1 h If Patient Recall has not yet been set either set it or cancel click Close to do it later Set Recall for Mr Harvey Harlington Set Recall Method Telephone SMS Email Letter by Mail Last Completed Appointment Date 18 03 2011 Next Appointment Date Recall for Mr Harvey Harlington is not set Set Next Recall Type Select Recall by Type X 0 days Set Next Recall Date B Close OK page lt 0 0 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 0 SEMAP un e saa 17 03 2011 author JH Youths Notes to View v Personal v General v Clinical Note Type General Cinkal Tremen Noses from Appointment of 18 03 2011 12 0 Proe 511 Metallic restoration one surface direct Proc D13 Oral examination limited 5 23 7 pr Os s 6 43 as s las P aw 4 46 a3 n 35 m2 as S jn m a Mu 5 3 1 j In the Appointment screen click on HICAPS button to start transaction processes using a HICAPS Terminal gt You can also add Clinical Notes or cancel the screen and do it later
6. Payments Processing for Miss Yarraville Mary Patient Health Fund Account Member ID Expires Tax Invoice 1072 Date 04 12 2012 Provider Merchant HBF amp GMF MELBOURNE AU v Code Provider Description Tooth Surfaces Note Discount GST Total Fee 7 Benefit Gap Resp Code 1 85012 SW 2149381Y Periodic oral examination 0 n a 60 00 33 60 26 40 00 Total Fees 60 00 DR Total Benefit 33 60 CR Total Gap 26 40 DR Date v Description Notes RRN Ref Amount 04 12 2012 Medicare Bulk Billed claim benefit assigned 00812120412580204478912M 101155 33 60 CR c to provider 04 12 2012 Medicare Bulk Bill adjustment Medicare bulk bill claim 26 40 CR adjustsment Balances Total 0 00 CR Fees 0 00 CR Deposits 0 00 CR Today s 0 00 CR m 7 O Cancel Claimed Benefit Refund Medicare Easy Claim Make Payment Close A D A 6 4 Medicare Claim Error Handling For explanations and instructions reguarding the Medicare Easyclain error codes returned by the HICAPS terminal please follow the instructions in the Medicare Easyclaim Return Codes brochure that can be found at the following link http www medicareaustralia gov au provider medicare claiming easyclaim files medicare easyclaim return code list odf or download the brochure from the Praktika Website Essential Downloads page epraktika Online Dental Practice Management
7. Text ECR COMMS OK Merchant Id 331273433 Terminal Id SE3374 Providers List Transaction Date 9 03 2011 9 51 50 PM z Response Time 9 03 2011 9 51 56 PM Display Window 2009 HICAPS Pty Ltd c 2011 Lizard Software Pty Lid 5 Using Praktika HICAPS Module 5 1 Checking the connection to the HICAPS Terminal Once the HicapsConnect and Praktika HICAPS Modules are installed and are running start Praktika Refer to the Installation of Praktika HICAPS Module items 4 2 f and 4 2 g to see how to start Praktika HICAPS Module Praktika screen has a visual indicator displaying the status of your HICAPS connection If the red indicator is not turning green after 30 seconds the connection has not been established and you need to restart Praktika HICAPS Module 000 Praktika Online Dental Practice Management BK ee eee e ee ee no connection connection is OK 5 2 Using HICAPS Terminal on other computers If you want to use your HICAPS terminal from any other computer on your local network click on the Hicaps indicator in the top right corner of Praktika screen enter and the IP address of the computer with the attached terminal in the popup screen and wait till the button turns green The operation on such computer are the same as on the computer that has the HICAPS Terminal directly attached to its USB port page PATE EEO EPPO Pere eee eee eee eee er
8. allowing you to start an EFTPOS transaction using the Gap amount returned from the HICAPS Claim Two digit numeric identifying the body part primary condition diagnostic intervention on which the service was performed The date the specific item of service was performed format ddmm The terminal was unable to contact the bank to process an EFTPOS transaction but the transaction has been approved declined and will be sent to the bank with the next transaction The amount remaining after the Health Fund has approved a benefit or the specified services Health Industry Claims And Payments Service The company responsible for the switching of transactions to health funds from the terminal The date the membership card was issued Those cards with issue dates have them printed on the bottom right hand corner of the card The amount charged for the given item of service Numeric code identifying the type of service performed Refer to the HICAPS Quick Reference Guide or the relevant schedule for a full list of item numbers A customer of a Health Fund The Multi Merchant Facility This is a feature of the HICAPS terminal which optionally allows you to settle the EFTPOS funds separately for each provider iDA member listed on the card which identifies a given patient within a Health Fund membership The PC based system which allows a transaction to be sent directly to the HICAPS terminal Dental Practice Management Software Pa
9. v Code Description Tooth Surfaces Note Total Fee Discount GST Benefit Gap Resp Code 1 511 Metallic restoration one 23 D 100 00 0 n a 50 00 50 00 00 surface direct 2 013 Oral examination limited 30 00 0 n a 15 00 15 00 00 Total Fees 130 00 DR Total Benefit 65 00 CR Total Gap 65 00 DR Date Description Notes a RRN Ref Amount 17 03 2011 HICAPS 000001005410 100533 65 00 CR 17 03 2011 Surcharge HICAPS VISA Surcharge 1 89 DR 17 03 2011 HICAPS Reversal for ref 100533 HICAPS Reversal for RRN 000001005410 000001005413 100535 65 00 DR Balances Total 130 00 DR Fees 130 00 DR Deposits 0 00 CR Today s 65 00 DR Cancel Claimed Benefit Make Payment j Talim Benefit Close N 5 3 5 b Click OK button if you want to refund the payment in the popup window Are you sure to refund payment for 66 89 CR Cancel 5 3 5 c On the computer directly connected to the terminal there will appear a screen prompting you to enter your merchant password o 5 3 5 d 5 3 5 8 gt 0000000000000 00 D 77 0000000000000 0000006000000000060 Bem e SE DE a A a e a SUIPE INSERT Harlington Harvey CARD HOMER HICAPS Terminal Payments Processing for Mr Harvey Harlington Patient Ol Health Fund 0000000000000 000000000 Swipe the patient s health fund cars at the prompt 17 Mar 2011 17 34 10 SWIPE IHSERT CARD Harvey Harlington Tan Delivered By HOMER If
10. 0000009000 Appointment Details x Date 17 03 2011 Time from 4 00 PM to 4 45 PM Provider Dr Moe Syzlak v Mr Harvey Harlington WA PATIENT FILE 03 5667 7778 Health Fund N A N CLINICAL NOTES Code Description Tooth Surfaces Note Total Fee Discount GST Benefit Gap Resp Code 511 Metallic restoration one surface direct 23 D 100 00 0 n a 50 00 50 00 00 013 Oral examination limited 30 00 0 n a 15 00 15 00 00 Payments amp Adjustments Total 130 00 DR hicars Tax Invoice 000474 Mr Harvey Harlington v Date Description 4 RRN Ref Amount 17 03 2011 HICAPS 000001005410 100533 65 00 CR Balances Total 130 00 DR Fees 130 00 DR Deposits 0 00 CR Today s 65 00 DR sm Print Tax Invoice 0000000000000 00000000000000600006060000000000006006000000006000000600000000000060060000606000600000000000000000060060600600606000006000006006000000000060 page 21 5 3 3 Making an EFTPOS Payment from the Appointment Window 5 3 3 a Click Make Payment button in HICAPS Terminal Payment Processing window 1 _ HICAPS Terminal Payments Processing for Mr Harvey Harlington Patient Ol Health Fund Account Member ID Expires Tax Invoice 474 Date 17 03 2011 Provider DENTIST 0554191A v Merchant MERCHANT 3 3DES MULTI MDOCKLANDE w Code Description Tooth Surfaces Note Total Fee Discount GST Benefit Gap Resp Code u 511 Metallic restoration one 12 D
11. 0060000600006060000000600600006000600000000000000000000006006060000000000000000000600060060 Create new Fee Schedule New Fee Schedule name Medicare General 1 ADA Description Australian Dental Association Australlan Schedule of Dental Services Medicare Specialists B6xxx Medicare Prosthetists B7xxx Services by eligible dental specialists Medicare items 86012 86986 Services by eligible dental prosthetists Medicare items 87011 87777 5 DYA General 6 DYA Specialists 7 DVA Prosthetists Department of Veteran Affairs services by eligible general dental practioners Department of Veteran Affairs services by eligible dental specialists Department of Veteran Affairs services by eligible dental prosthetists 6 Custom Custom codes fee schedules 9 VEDS Victorian Emergency Dental Scheme 10 Medicare Cat 1 Attendances Medicare Category 1 Professional Attendances 11 Medicare Anaesthesia Medicare tems for anaesthesia assistance at anaesthesia 12 Medicare Cleft lip and palate Cat 7 7 Medicare items for cleft lip and cleft palate services category 7 Medicare Items 75xxx ME There are 6 various Medicare related fee schedules Select an appropriate one IMPORTANT Medicare treatment procedures must have an index code that starts with 8 and has 5 digits Standard ADA codes will be rejected during a Medicare Easy Claim 6 3 Making the Medicare Easy Claim at the completed appointment 6 3 1 Once an appointment h
12. 01 Health Fund TRAIN Account 9036999801234568000 MemberID 12345678 Expires 5012 Tax Invoice 474 Date 18 03 2011 Provider DENT ST 0554191A Merchant MERCHANT 3 3DES MULTI MDOCKLANDS w Code Description Tooth Surfaces Note Total Fee Discount GST Benefit Gap Resp Code 1 511 Metallic restoration one 23 D 100 00 0 n a 50 00 50 00 00 surface direct 2 013 Oral examination limited 30 00 0 n a 15 00 15 00 00 Total Fees 130 00 DR Total Benefit 65 00 CR Total Gap 65 00 DR Date Description Notes a RRN Ref Amount 17 03 2011 HICAPS 000001005410 100533 65 00 CR 17 03 2011 Surcharge HICAPS VISA Surcharge 1 89 DR 17 03 2011 HICAPS Reversal for ref 100533 HICAPS Reversal for RRN 000001005410 000001005413 100535 65 00 DR Balances Total 130 00 DR Fees 130 00 DR Deposits 0 00 CR Today s 65 00 DR AE o omea Make Payment ven coe page 26 Terre reer reer errr rere rrr errr rr rrr rer errr rer errr rer errr rer rrr errr rr rrr errr rrr rrr errr rr rrr rrr rrr rrr errr rrr errr rrr rrr rrr rere 5 3 5 Refunding an EFTPOS payment made with HICAPS Terminal 5 3 5 a In the HICAPS screen select an EFTPOS payment you want to refund and click Refund button HICAPS Terminal Payments Processing for Mr Harvey Harlington Patient 01 Health Fund TRAIN Account 9036999801234568000 MemberID 12345678 Expires 5012 Tax Invoice 474 Date 18 03 2011 Provider DENTIST 0554191A v Merchant MERCHANT 3 3DES MULTI MDOCKLANDS
13. 018 Written report not elsewhere included 15 00 7 50 7 50 00 3 037 Panoramic radiograph per exposure 156 00 78 00 78 00 00 4 116 Enamel micro abrasion per tooth 34 65 00 32 50 32 50 00 Quotation only valid at the time of processing 17 03 2011 6 17 PM Quote Amount 281 00 DR Quote Benefit 140 50 CR QuoteGap 140 50 CR Print Close Submit SS Note The Quote claim is not saved as the results of it are only valid immediately 5 4 5 4 To print the quote out click Print button praktika Patient Health Fund NA Doar Mr Hartington Harvey Following our consultatorveramination please find below a quote for the proposed treatment Wf you have any questions or concemns please do not hesitate to contact our surgery Code Tooth Note Amount 450 07 6 Roms marked with f conten GST Notes Terms and Conditions Quotation only valid at the time of processing 17 03 2011 6 19 PM HICAPS Fast dams on the spot page 32 Pere eee rere ere reer errr errr rer rrr rrr rrr errr rr rrr rere rrr rrr rrr errr rr rrr rrr rrr errr rrr rrr errr rrr rr rrr errr rrr errr rrr rrr rrr rere 5 4 5 i Claiming large quotes that exceed the maximum number of claimable items in one go If the number of items in a quote is larger than the maximum number allowed for submission by a health fund such quote will have to be done in several transactions The initial sequence of actions is the same as in 5 4 5 d thru 5 4 5 e
14. 100 00 0 n a surface direct 2 013 Oral examination limited 30 00 0 n a Total Fees 130 00 DR Total Benefit 0 00 CR Total Gap 130 00 DR Date Description Notes a RRN Ref Amount Balances Total 0 00 CR Fees 0 00 CR Deposits 0 00 CR Today s 130 00 DR a aome 5 3 3 b Select a payment type Cheque Savings or Credit and the amount to be paid Click OK button HICAPS Payment Please select an account J Cheque Savings Credit a Amount 65 0 Cancel e page 22 Scams NANE E EE AD 1 Mar 2011 17 34 10 SWIPE IHSERT CARD Harvey Harlington Tn Delivered By HOME F SNIPE INSERT CAR Harlington Harvey HOHNER 5 3 3 c Upon the terminal prompt swipe the EFTPOS card and either enter the PIN number or print outa docket for a patient to sign The terminal as well as the computer with the connected terminal will prompt you what action must follow depending on the type of payment chosen lf Mar 2011 18 01 09 17 Mar 2011 18 01 22 RESPOHSE 3 IGHATURE SIGHATURE REQUIRED CORRECT 17 Mar 2011 18 00 52 PIHPAD AMOUHT 66 69 SURCHARGE 07 9 51 94 TOTAL 668 83 KEY PIN OF ENTER 0000000000000000000000000000000000000009000000000000090000000000000900000000000009000090000000000000900000000900009000009000 page 23 5 3 3 d The Praktika screen will reflect the transaction details once it is successfully processed porn seo Teor ra Terminal Payments Processing for
15. 17 50 00 27 016 Consultation by referral 35 00 17 50 17 50 00 28 016 Consultation by referral 35 00 17 50 17 50 00 29 016 Consultation by referral 35 00 17 50 17 50 00 30 016 Consultation by referral 35 00 17 50 17 50 00 Quotation only valid at the time of processing 17 03 2011 6 35 PM Quote Amount 956 00 DR Quote Benefit 365 50 CR QuoteGap 590 50 CR Lastname kle A e SS 5 5 Error Handling In case a particular HICAPS transaction or a set was not processed you will be prompted with the Error processing HICAPS claim window A possible cause of error will be displayed in the Note section Correct the condition that may have caused the error and resubmit the claim or payment e om Error processing HICAPS claim Transaction Response DECLINED 12 Code Tooth Fee Benefit Response Note Code 1 511 23 100 00 0 00 10 Item number Invalid 2 O13 30 00 0 00 10 Item number Invalid Close page 35 6 Making Medicare Easy Claims through HICAPS Terminal with Praktika 6 1 6 1 1 Personal Details Title Last Name First Name Date of Birth Preferred Name Home Phone Mobile Work Phone Emergency Contact Emergency Phone Address Suburb Postcode Email Occupation Company Health Fund HF Membership No Setting up the patient file for Medicare processing Go to the Patient s Personal Information screen and make sure the following data are ent
16. 2 50 22 50 o 4 i 2 018 Written report not elsewhere included 15 00 7 50 7 50 00 n 3 037 Panoramic radiograph per exposure 156 00 78 00 78 00 00 n GI 116 Enamel micro abrasion per tooth 34 65 00 32 50 32 50 00 5 014 Consultation 25 00 0 00 25 00 01 6 014 Consultation 25 00 0 00 25 00 01 n 7 014 Consultation 25 00 0 00 25 00 01 i 8 014 Consultation 25 00 0 00 25 00 01 i 9 018 Written report not elsewhere included 15 00 7 50 7 50 00 10 014 Consultation 25 00 0 00 25 00 01 11 014 Consultation 25 00 0 00 25 00 01 12 014 Consultation 25 00 0 00 25 00 01 13 014 Consultation 25 00 0 00 25 00 01 14 018 Written report not elsewhere included 15 00 7 50 7 50 o 15 018 Written report not elsewhere included 15 00 7 50 7 50 00 16 018 Written report not elsewhere included 15 00 7 50 7 50 00 17 018 Written report not elsewhere included 15 00 7 50 7 50 00 18 018 Written report not elsewhere included 15 00 7 50 7 50 00 A 19 018 Written report not elsewhere included 15 00 7 50 7 50 00 K 20 018 Written report not elsewhere included 15 00 7 50 7 50 00 21 014 Consultation 25 00 0 00 25 00 01 22 018 Written report not elsewhere included 15 00 7 50 7 50 00 23 016 Consultation by referral 35 00 17 50 17 50 00 24 016 Consultation by referral 35 00 17 50 17 50 00 25 016 Consultation by referral 35 00 17 50 17 50 00 26 016 Consultation by referral 35 00 17 50
17. 39 04 Dec 2012 13 57 50 FULLY PAID CLAIM SWIPE IHSERT CARD Benefit Amount For Medicare Rebate 04 Dec 2012 13 58 31 PIHPAD 04 Dec 2012 13 58 23 SELECT ACCOUNT CHEQUE SAVINGS ar a 6 3 10 If Unpaid or Part Paid the data is submitted to Medicare and the paitient will receive a cheque in mail m EEE FLEES sesesssssesesesssseesssessssesssessssessssesssssssssessssessssessssesssssesssessssessssessssesssessss0008000085999 DAJE 39 aw PATIRTI F l HICAPS Terminal Payments Processing for Lothar Rita Patient Health Fund Account Member ID Expires Tax Invoice 1066 Date 27 11 2012 Provider v Merchant HBF amp GMF MELBOURNE AU v Code Provider Description Tooth Surfaces Note Discount GST Total Fee Benefit Gap Resp Code al 85022 SW 2149381Y Intraoral periapical or 0 n a 100 00 bitewing radiograph per exposure Total Fees 100 00 DR Total Benefit 0 00 CR Total Gap 100 00 DR Date v Description Notes RRN Ref Amount i 27 11 2012 Medicare Unpaid claim funds to be recived by 101149 0 00 CR cheque 27 11 2012 Cash 101148 100 00 CR Balances Total 266 20 DR Fees 266 20 DR Deposits 0 00 CR Today s 0 00 CR b a Refund Medicare Easy Claim Make Payment i Close A gt a 6 3 11 For Bulk Bill claims where the fee is higher than the Medicare rebate a special adjustment will be entered automatically to balance up the Appointment total HICAPS Terminal
18. Benefit Refund Make Payment Claim Benefit Close 6 3 3 A screen will popup with a choice of claim types Fully Paid Part Paid Unpaid Bulk Bill 6 3 4 If NO OTHER PAYMENT was entered in the appointment payment section only two choices will be active Unpaid and Bulk Bill Medicare Easy Claim Details Medicare Card Number 3950 060121 Patient 1 Mary Claim Type irt Pi _ Unpaid Bulk Bill Cancel OK 6 3 5 If the appointment was FULLY PAID the only available choice displayed will be Fully Paid Medicare Easy Claim Details Medicare Card Number 3950 060127 1 Patient 1 Mary Claim Type Fully Paid irt P 6 3 6 If the appointment was PARTIALLY PAID i e there is an outstanding balance the only available choice will be Part Paid Medicare Easy Claim Details Medicare Card Number 3950 06017 1 Patient 1 Mary Claim Type Part Paid Ji Cancel OK page 38 00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000090000 6 3 7 Press OK You will then be prompted to swipe the card at the terminal 6 3 8 If Bulk Bill 04 Dec 2012 12 59 01 BULEK BILL CLAIM 33 60 a fhe 04 Dec 2012 12 55 10 BULE BILL CLAIM Assign Benefit To Provider 6 3 9 If Fully Paid Swipe Patient s Credit or EFTPOS card The funds will be transferred to the Patients account linked to the card 04 Dec 2012 13 57
19. Click HICAPS button 909 Praktika Online Dental Practice Management a gt ry may Gy 4 hitps praktika pnavigator htmi debug true O Google 4 e Ledi Suggested Treatment Quotes sele i TO COPY 3 4 5 6 7 8 9 10 11 2 A 13 lta lasa 17 03 2011 Large Quote Quote No 000169 14 Status Code Description Tooth Note Standard Total Fee 15 Fee 16 1 Proposed 012 Periodic oral examination 45 00 45 00 A 17 2 Proposed 018 Written report not elsewhere included 15 00 15 00 18 3 Proposed 037 Panoramic radiograph per exposure 156 00 156 00 19 4 Proposed 116 Enamel micro abrasion per tooth 34 65 00 65 00 20 5 Proposed 014 Consultation 25 00 25 00 a 6 Proposed 014 Consultation 25 00 25 00 2 Proposed 014 Consultation 25 00 25 00 24 8 Proposed 014 Consultation 25 00 25 00 25 9 Proposed 018 Written report not elsewhere included 15 00 15 00 26 10 Proposed 014 Consultation 25 00 25 00 27 11 Proposed 014 Consultation 25 00 25 00 28 12 Proposed 014 Consultation 25 00 25 00 29 13 Proposed 014 o Consultation 25 00 25 00 30 31 15 Proposed 018 Written report not elsewhere included 15 00 15 00 16 Proposed 018 Written report not elsewhere included 15 00 15 00 17 Proposed 018 Written report not elsewhere included 15 00 15 00 18 Proposed 018 Written report not elsewhere included 15 00 15 00 19 Proposed 018 Written report no
20. K page 30 e e s MS a Me Eee sake e ei e e bi 5 4 5 e Click Submit button in the Quote Claim window to submit the quote to HICAPS j Quote Claim for Mr Harvey Harlington Health Fund Patent Ol Account Member ID Expiry Date Quote 000168 Date 17 03 2011 Provider DENTIST 05541914 v Code Description Tooth Surface Note Fee Benefit Gap Response Code s 1 012 Perlodic oral examinatlon 45 00 2 018 Written report not elsewhere included 15 00 3 037 Panoramic radiograph per exposure 156 00 4 116 Enamel micro abrasion per tooth 34 65 00 Quotation only valid at the time of processing 17 03 2011 6 09 PM Quote Amount 281 00 DR Quote Benefit Quote Gap Print Close SS 5 4 5 f Follow the prompt to swipe the card in the terminal 1 Mar 2011 17 34 10 SWIPE IHSERT CARD Harvey Harlington Tan Delivered By HOMER SUIPE INSERT CAR Hartington Harvey 0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000090000 page 31 5 4 5 g Once the transaction is complete the results of the claim are displayed in the Quote Claim screen Quote Claim for Mr Harvey Harlington Health Fund Patient Ol Account MemberID 12345678 Expiry Date 5012 Quote 000168 Date 17 03 2011 Provider DENTIST 05541914 v Code Description Tooth Surfa Note Fee Benefit Gap Response ces Code 1 012 Periodic oral examination 45 00 22 50 22 50 00 2
21. Mr Harvey Harlington Patient Ol Health Fund TRAIN Tax Invoice 474 Date 18 03 2011 Code Description Tooth Surfaces Note Total Fee Discount GST Benefit 1 511 Metallic restoration one 23 D 100 00 0 n a 50 00 surface direct 2 013 Oral examination limited 30 00 0 n a 15 00 Total Fees 130 00 DR Total Benefit 65 00 CR Date Description Notes 4 RRN Ref 17 03 2011 Credit card VISA 000001005411 100534 17 03 2011 Surcharge HICAPS VISA Surcharge Balances Total 130 00 DR Fees 130 00 DR Deposits 0 00 CR Talim Benefit q Account 9036999801234568000 Member ID Provider DENTIST 05541914 v ala ai 12345678 Expires 5012 Merchant MERCHANT 3 3DES MULTI MDOCKLANDS w Gap Resp Code 50 00 00 15 00 00 Total Gap 65 00DR Amount 66 89 CR 1 89 DR Today s 0 00 CR Close Note EFTPOS payments normally attract a surcharge which is also reflected in the transactions table as a separate entry page 24 0000000000000 0000000000060000000606060000000000000000006000060000000060006006060060000600060000060600000000000000000600006000000000000000000600060060 5 3 4 Cancellation of a HICAPS Claimed Benefit 5 3 4 a To cancel a HICAPS claimed benefit click Cancel Claimed Benefit in the Praktika Terminal Processing Window HICAPS Terminal Payments Processing for Mr Harvey Harlington Patient Ol Health Fund TRAIN Account 9036999801234568000 MemberID 12345678 Exp
22. N LONG CONSULT CONSULT REFER CONSULT REF EXT WRITTEN REPORT i FTTFR BEFFERA Tooth No Notes Provider Dr Julius Hibbert 1 Description Any work Item without charge Falled to attend appointment or late cancellation fee Comprehensive oral examination Periodic oral examination Oral examination limited Consultation Consultation extended 30 minutes or more Consultation by referral Consultation by referral extended 30 minutes or more Written report not elsewhere Included atter referral Surfaces D o bi 0 00 120 00 40 00 45 00 30 00 25 00 45 00 35 00 55 00 15 00 S L Scheduled Fee 0 00 Discount o 0 Total Fee 0 00 5 4 5 d Click HICAPS button to go to the HICAPS Quotations screen Quotations for Mr Harvey Harlington t Edit Status Code Description BEN bk Tooth Surfaces Note Quotes Suggested Treatment Fee Acce pt L 17 03 2011 Status Code Description 1 Proposed 012 Periodic oral examination 2 Proposed 018 written report not elsewhere included 3 Proposed 037 Panoramic radiograph per exposure 4 Proposed 116 Enamel micro abrasion per tooth Provider DrJulius Hibbert v e Regular _ Multichoice 2 m isar SG Print Quote No TBA Tooth Note Standard Total Fee Fee 45 00 45 00 15 00 15 00 156 00 156 00 34 65 00 65 00 Total 281 00 DR A a Cancel O
23. Praktika HICAPS module User Guide rece iI0 O0 DR praktika Online Dental Practice Management Table of Contents 1 Praktika e e a 4 1 4 1 1 4 2 4 2 1 HICAPS Glossary of Terms Installation of Praktika HICAPS Module System Requirements To install and run HICAPS terminal you need Installation To install the HICAPS terminal perform the following actions in the given order 5 Using Praktika HICAPS Module 5 1 5 2 5 3 5 3 1 5 3 2 5 3 3 5 3 4 5 3 5 5 4 J J Checking the connection to the HICAPS Terminal Using HICAPS Terminal on other computers Making Payments and Claims through HICAPS Terminal with Praktika Working with HICAPS from the Appointment screen Making a Claim Benefit from the Appointment Window Making an EFTPOS Payment from the Appointment Window Cancellation of a HICAPS Claimed Benefit Refunding an EFTPOS payment made with HICAPS Terminal Using Praktika HICAPS Module with Quotes Error Handling Making Medicare Easy Claims through HICAPS Terminal with Praktika 6 1 6 2 6 3 6 4 Setting up the patient file for Medicare processing Appointment creation and completion stage Making the Medicare Easy Claim at the completed appointment Medicare Claim Error Handling page 3 NN N QAU WUU N 11 11 11 12 12 18 21 24 26 28 34 35 35 35 36 38 page 4 Praktika support Telephone 03 9005 5432 Facsimi
24. as been completed press the HICAPS button in the Payment section Appointment Details x Provider Dr Simon Waltersong v An PATIENT FILE Date 04 12 2012 Time from 2 45PM to 3 00 PM Miss Yarraville Mary 0423 112 341 di Health Fund N A Fee Schedule Medicare memesine Code Description Tooth Surfaces Note Discoun GST Total Fee Benefit Gap Resp t Code 1 85012 Periodic oral examination 0 ma 80 00 Payments amp Adjustments kil Combined Pay anl Total 80 00 DR Miss Yarraville Mary v Tax Invoice 001076 Date v Description Notes RRN Ref Amount 04 12 2012 Cash 0 80 00 CR Balances Total 60 00 DR Fees 60 00 DR Deposits 0 00 CR Today s 0 00 CR pa UnComplete su Print Tax Invoice Cancel OK 6 3 2 Inthe HICAPS Payment and Claims screen click on Medicare Easy Claim button HICAPS Terminal Payments Processing for Miss Yarraville Mary Patient Health Fund Account Member ID Expires Tax Invoice 1076 Date 04 12 2012 Provider Merchant HBF amp GMF MELBOURNE AU v Code Provider Description Tooth Surfaces Note Discount GST Total Fee di Benefit Gap Resp Code 1 85012 SW 2149381Y Periodic oral examination 0 n a 80 00 i i Total Fees 80 00 DR Total Benefit 0 00 CR Total Gap 80 00 DR Date r Description Notes RRN Ref Amount 04 12 2012 Cash 0 80 00 CR Balances Total 60 00 DR Fees 60 00 DR Deposits 0 00 CR Today s 0 00 CR Cancel Claimed
25. ckage design to automate record keeping at a dental practice Practitioners who provide Health Services to patients eight characters that uniquely identify each individual provider for a specific location Provider numbers that HICAPS use are issued by Medicare Australia or Medibank Private Provider numbers are location specifi so you must have a provider number for each location you wish to practice at Refunds a previous EFTPOS or credit approved transaction Reverses an approved transaction on the same day the transaction was processed Receipt reference number unique 12 digit field Pass the membership card through the card reader on the right hand side of the HICAPS terminal Two digit FDI numeric identifying the tooth on which the service was performed page 7 4 Installation of Praktika HICAPS Module 4 1 System Requirements Praktika can run on any modern operating system including Microsoft Windows Mac OS X Linux and UNIX However to be able to connect to a HICAPS terminal you have to use a personal computer with a Microsoft Windows operating system You can share the terminal with other computers running various operating systems including Mac OS X ona local area network 4 1 1 To install and run HICAPS terminal you need a personal computer with Microsoft Windows operating system XP Vista 7 Windows Server 2003 and 2008 at least 2GB of RAM a serial port on your computer If a serial port is unava
26. ered Medicare Number Doctor s Name Provider No Referral No Referral Date Miss T ka Male Female Loo Yarraville 0423 112 341 Expiry Date ATY YYYY Preferred Method of Contact x Telephone SMS Emall Letter Mail 6 2 Patient Na Medicare No 3950 06003 i 1 100619 DYA No Medical Doctor GP Details Doctor s Name Referring GP na Provider No 22147561K Telephone Street Address Suburb Fostcode State Referral N 123456 1 Referral Date 04 12 2014 Default Fee Schedule Medicare Patient status Current T Patient Sharing Share Patient File Home Practice Test practice 1 Hawthort Lana Place In Non Recall List Important Notes Cancel Update Appointment creation and completion stage Follow steps from 5 3 through 5 3 1 pp 12 16 of the current manual to see how to create appointments add treatment complete the appointments and enter payment via the HICAPS terminal It is exactly the same as in making the Health Funds claims When adding the treatment it is advisable to use a Medicare Fee Schedule as it contains the precedure code applicable to the Medicare Claims If you have not got a Medicare Fee Schedule create one by clicking on the New Fee Schedule button in the Management Section and choose one of the Medicare types click NEW SCHEDULE or drag here TO COPY page 36 0000000000000 0000000000060000600060606000006000000000000
27. errr rr rrr reer rr errr ree or by type in an ADA code in the Context input box Current Fee Schedule Standard T Category Cont Extended Search B Scheduled Fee 100 00 Tooth No 12 ai iia ollm Discount 0 L aaas Total Fee 100 00 GST inclusive H 5 3 1 d Added procedures turn up in the Treatment Plan screen 5 3 1 e Make sure that check boxes next to the procedures you want to add to the Appointment are selected and click OK button 800 Praktika Online Dental Practice Management a aTe Caha EJE hee 1 praktika pravigator himPdebugetrue c Suggested Treatment See pations Quotes for geraiis Total 130 00 DR Status Code Description Tooths Surfaces Note Fee 000000000000000009000000000000099099000090090990900900009909900909009099099090090090090990290900900909099000090990902999999 DAJE 15 5 3 1 f Click on the Complete button to complete the appointment Appointment Details x Date 18 03 2011 Time from 2 45 PM to 3 30 PM Provider Dr Nick Riviera Health Fund N A Duration 45 ts Created by Dr Julius Hibbert Mr Harvey WA OPATIENTFILE Harlington 03 5667 7778 N CLINICAL NOTES Appointment Procedures Edit Code Description Standard Fee Total Fee 511 Metallic restoration one surface direct 100 00 100 00 013 Oral examination limited 30 00 30 00 Balances Total 0 00 CR Fees 0 00 CR Deposits 0
28. es its publisher You should only run software from publishers you trust How can decide what software to un TTC TTR CECT CECE TCC IEE UT EC CET CLC EE COUT EEC eee eee page 9 HicapsConnect Setup soleil amp HicapsConnect Setup slaj amp J Choose Install Location License Agreement Choose the folder in which to install HicapsConnect Please review the license terms before installing HicapsConnect Setup will install HicapsConnect in the following folder To install in a different folder dick Press Page Down to see the rest of the agreement Browse and select another folder Click Install to start the installation HICAPS Connect License Agreement a Installation of this HICAPS Connect program Program creates a binding Agreement on the following terms between your company You and National Australia Bank Ltd ABN se a governed by the law of Victoria Australia If you do not agree press Cancel or Back Destination Folder All intellectual property rights in the Program and its accompanying materials are owned exclusively by NAB You are granted a non exclusive non transferable licence to install C Program Files HicapsConnect and use the Program on a computer in Australia solely for the purpose of exchanging If you accept the terms of the agreement dick I Agree to continue You must accept the Space required 7 7MB oo Space ava
29. ilable 160 1GB 7 t Nullsoft Install System v2 45 Yullsoft Install System v2 45 net gt cerei Restart your computer after the driver has been successfully installed Once installed the HicapsConnect displays the HICAPS icon in the bottom panel of the computer screen 4 2 1 d Select the Default Terminal In the HicapsConnect screen 1 The id number of your terminal can be found on its body Save your settings 2 and close the screen 3 Tick the ports that have a terminal Network Settings COM3 Found Terminal Default Terminal Logging Display Status Message Box No Network Terminal Server in Use page 10 0000000000000 0000000000000000000000000000000000000000000010000606000000000000000000006006000000000000000600000000000000000000000000060 4 2 1 e Install the Praktika HICAPS Module For that download and run setup exe file from the following web address http praktika com au hicaps Open File Security Warning mim J Praktika HICAPS interface gt Cc R https praktika com au hicaps publish htm The publisher could not be venfied Are you sure you want to run this software Liza rd Software Pty Ltd Ca Name C Users lara Downloads setup 1 exe Praktika HICAPS interface Publisher Unknown Publisher Name Praktika HICAPS interface Type Application From C Users lara Downloads setup 1 exe Version 1 0 0 5 Publisher Lizard Software Pty Ltd The following prerequisites are required
30. ilable most of modern PCs come without a serial port then you need a Keyspan High Serial USB Serial Adaptor USA 19HS to connect the HICAPS Terminal to an USB port of your computer Note you can run Microsoft Windows operating system on an Apple iMacs by installing Parallels software 4 2 Installation 4 2 1 Toinstall the HICAPS terminal perform the following actions in the given order 4 2 1 a Install the Keyspan High Serial USB Serial Adaptor drivers from the supplied disc Follow the driver installation screen instructions Ey Kan n 7 pan x Keyspan USB Serial Adapter USA19H KEYSPAN Keyspan USB Serial Adapter USA19H Setup This program will install the Keyspan USB Serial Adapter USA13H on your computer USA 19HS Main Menu Click the butto ow to install your Keyspan cessfully on Windows 2000 or Wind XP you must ha software or span User Manual wevious version of the USB Serial Adapter software close all other windows Note Keyspan s documentation is in PDF format To read the Keyspan documentation you need Acrobat Reader You can download a free copy of Acrobat Reader from Adobe s website www adobe com InstallShield Keyspan USB Serial Adapter USA19H Keyspan USB Serial Adapter USA19H Choose Destination Location License Agreement gt Select folder where setup will install files Please read the following license agreement carefully A Setup will install the Keyspan USB Serial Adapter
31. ile the claim is being made You will see a waiting cursor which will return to its normal state once the claim is completed If the card swipe was successful the result of the claim will be printed out by the terminal and it will also be displayed in the Appointment screen The benefit amount the gap amount and the response codes are displayed in the table highlighted with green as well as the transaction details including the reference numbers and the total claim amount HICAPS Terminal Payments Processing for Mr Harvey Harlington Patient 01 Health Fund TRAIN Account 9036999801234568000 Member ID 12345678 Expires 5012 Tax Invoice 474 Date 18 03 2011 Provider CHIRO 0909818T v Merchant MERCHANT 3 3DES MULTI MDOCKLANDS Code Description Tooth Surfaces Note Total Fee Discount GST Benefit Gap Resp Code 1 511 Metallic restoration one 23 D 100 00 0 n a 50 00 50 00 00 surface direct 2 013 Oral examination limited 30 00 0 n a 15 00 15 00 00 Total Fees 130 00 DR Total Benefit 65 00 CR Total Gap 65 00 DR Description Notes a RRN Ref Amount Date Total 130 00 DR Fees 130 00 DR Deposits 0 00 CR Make Payment Today s 65 00 DR 5 3 2 e Click the Close button to close the screen to get back to the Appointment screen page 20 00 00000000000000000000000000000000090000000000000000000000900000000009000090000090000000009000090000900000000900000000
32. ires 5012 Tax Invoice 474 Date 18 03 2011 Provider DENTIST 0554191A v Merchant MERCHANT 3 3DES MULTI MDOCKLANDS w Code Description Tooth Surfaces Note Total Fee Discount GST Benefit Gap Resp Code 1 511 Metallic restoration one 23 D 100 00 0 n a 50 00 50 00 00 surface direct 2 013 Oral examination limited 30 00 0 n a 15 00 15 00 00 Total Fees 130 00 DR Total Benefit 65 00 CR Total Gap 65 00 DR Date Description Notes a RRN Ref Amount 17 03 2011 Credit card VISA 000001005411 100534 66 89 CR 17 03 2011 HICAPS 000001005410 100533 65 00 CR 17 03 2011 Surcharge HICAPS VISA Surcharge 1 89 DR Balances Total 130 00 DR Fees 130 00 DR Deposits 0 00 CR Today s 0 00 CR Refund Make Payment Claim Benefit Close 5 3 4 6 Click OK if you want to cancel the benefit claim Are you sure to cancel benefit claim for 65 00 CR 0000000000000 0000000000000060000000000006000000000000600000000060 0000600000000 00000000000000000000600000000000100000000 0006000000000 ee page 25 5 3 4 c Swipe the patient s health fund cars at the prompt 1 Mar 2011 17 34 10 SWIPE IHSERT CARD S Harvey Harlington m A 1 Tmn Delivered By SUIPE INSERT CARD Harlington Harvey HOHER 5 3 4 d After the successful transaction the cancelled claim will be displayed in the transaction table as HICAPS Reversal HICAPS Terminal Payments Processing for Mr Harvey Harlington Patient
33. le 03 9802 8371 Email support praktika com au Web praktika com au page 5 The current User Manual covers the issues concerning the installation running and troubleshooting of the Praktika HICAPS Module that enables Praktika to work with the HICAPS terminal 1 Praktika Praktika is a Dental Practice Management System software package developed specifically for the Australian dental industry It follows the SaaS Software as a Service Model where both the application and data are supplied over the nternet Praktika is a cross platform browser based application that does not reguire any specific setup or installation on a client s computer All it needs to run is a web browser and a broadband Internet connection Now Praktika is capable to work with the HICAPS terminal If several computers running Praktika are joined in a local area network LAN then they all can share a single HICAPS terminal To start using Praktika with the HICAPS a special software module needs to be installed For the installation instructions please refer to the Installation chapter of the current User Manual 2 HICAPS Health Industry Claims And Payments Service The company responsible for the switching of transactions to health funds from the terminal HICAPS is Australia s leading electronic claiming service providing members of participating health fund the convenience of electronic claims health fund and Medicare Easyclaim processing and pa
34. n report not elsewhere included 15 00 17 018 Written report not elsewhere included 15 00 18 018 Written report not elsewhere included 15 00 19 018 Written report not elsewhere included 15 00 20 018 Written report not elsewhere included 15 00 21 014 Consultation 25 00 22 018 Written report not elsewhere included 15 00 23 016 Consultation by referral 35 00 24 016 Consultation by referral 35 00 25 016 Consultation by referral 35 00 26 016 Consultation by referral 35 00 27 016 Consultation by referral 35 00 28 016 Consultation by referral 35 00 29 016 Consultation by referral 35 00 30 016 Consultation by referral 35 00 Quote Amount 956 00 DR Quote Benefit Quote Gap an Print Close N LSER Be U R N UN eee ee eee page 33 5 4 5 k Follow the prompt to swipe the card Part of the quote will be processed 5 4 5 1 To process the rest of the quote you need to click Submit button again To process the rest of the quote please click on Submit button again 5 4 5 m The terminal will print out the quote in several screens but in Praktika it will appear as a single entity Quote Claim for Mr Harvey Harlington Health Fund Patient Ol Account MemberID 12345678 Expiry Date 5012 Quote 000169 Date 17 03 2011 Provider DENTIST 0554191A v Code Description Tooth Surfa Note Fee Benefit Gap Response ces Code 1 0i2 Periodic oral examination 45 00 2
35. rocess Registration usually takes less than 60 seconds and will ensure that you are kept informed about product updates and special offer Remind me in 14 days Exit registration Product Registration KEYSPAN ua Connections for your computer Thank you for purchasing the Keyspan USA 19HS Please take a moment to register now so that we can alert you when software updates have been posted The entire registration process takes less than amp seconds PON gt m Se 4 2 1 6 Connect the Terminal to USB port of your computer with the Keyspan adaptor and turn the Terminal on 4 2 1 c Install the HICAPS network connect driver For that download and run the HicapsConnect exe file from the following web address http praktika com au hicaps HicapsConnect exe Windows security settings may try to prevent HicapsConnect exe from running To continue with the installation press the Unblock button g Windows Security Aler Open File Security Warning ndow The publisher could not be verified Are you sure you want to run this software Name C Users lara Downloads HicapsConnect exe Publisher Unknown Publisher Type Application e From C Users lara Downloads HicapsConnect exe i De en isher HICAPS Pty Ltd c program feshicapsomecth w i Private network Always ask before opening this fie What are network locations D This file does not have a valid digital signature that verifi
36. rovider Dr Nick Riviera Duration 45 D Created by Dr Julius Hibbert Mr Harvey YA Patene Harlington Praktika Online Dental Practice Management 03 5667 7778 P Code Description Tooth Standard Fee Discount GST Total Fee Balances Total 0 00 CR N Today s 0 00 CR 7 r Googe O O O 7 8 9 10 11 12 13 14 15 16 BJ 1s 19 20 21 22 23 24 25 26 27 28 29 30 31 Days to display 5 3 1 6 Click on the button to add procedures to appointment 5 3 1 c from the list COMP EXAM PERIODIC EXAM CONSULTATION LONG CONSULT CONSULT REFER CONSULT REF EXT WRITTEN REPORT Any work item without charge Falled to attend appointment or late cancellation fee Comprehensive oral examination Perlodic oral examination Consultation Consultation extended 30 minutes or more Consultation by referral Consultation by referral extended 30 minutes or more Written report not elsewhere Included atter of referral Scheduled Fee Discount Total Fee 30 00 _ GST inclusive Select a required Fee Schedule from the Current Fee Schedule drop down box Select a procedure page d OOOO OOOO EERO O EEOC OE O eee eee eee rere rere ere rere reer errr rere rrr errr reer errr rrr errr rere errr errr rr
37. rr rere rere errr rere reer ere rere ere reer errr rere rrr errr rere reer er errr rere errr er eee ee eee ee 5 3 Making Payments and Claims through HICAPS Terminal with Praktika You can send transactions from Praktika to HICAPS receive and display the results of claims and payments You can do it from the Appointment screen or from the Quote screen 5 3 1 Working with HICAPS from the Appointment screen 5 3 1 a Click on an Appointment in the Scheduler screen to add procedures 000 Praktika Online Dental Practice Management a m iGoogle Praktikav FindStuff Praktika Online Dental Practice Schedule Appointments lt lt a Ooa S O N A Operatory 1 J Operatory 2 i Operatory 3 Jk Operatory 4 Ji Operatory 1 J Operatory 2 i Operatory 3 JL Operatory 4 5 4 March o 2011 gt 7 8 9 10 11 12 13 14 15 16 Beg 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Days to display Drag n Drop appointments here to put them on hold a 7 A i 2 l z 5 sil Ji i 000000000000000000000000009080080900009000090000909008090080900009090090909009090090900909009090900909909090090909909999999 DAE 13 000 bala Gn heros praktika pnavigator htmi debug true Date 18 03 2011 Health Fund N A g l Procedures Edit Time from 2 45PM _ to 3 30 PM P
38. rts General alerts Preferred Name Appointments MN Date 7 Time Provider Value A LE Status o Current 17 0 2011 O 16 00 16 45 MS g 130 00DR iamoopa Ores 130 00 DR Deposits 00 CR Age 04 08 2010 11 30 12 00 JH 0 00 CR 0 00 CR agh Total 130 00 DR Date joined 30 07 2010 31 07 2010 09 45 10 15 NR O ODOCR 0 00 CR Balance ageing days Preferred Provider Dr Nick Riviera 130 00 DR Fee Schedule Standard 0 00 CR Home 03 5667 7778 Mobile sinin 0 00 CR Guarantor Self gi etn ap N Ne ACCOUNT PERSONAL DETAILS QUESTIONNAIRE RECALL QUOTES SUMMARY GUARANTORS F F i F hy l a h k P F a 7 iy j i aH J CEA d cat s z th i i VE RESTORATIVE PERIC MEDICAL HISTORY CUINICAL NOTES COMMUNICATIONS CHARTING CHARTING TREATMENT PLAN DEPOSITS Print Patient Data Close a 5 4 5 b Select an existing quote or create a new one Provider Drdulus Habert X Total 0 00 CR Requiar C Multicnoice er ns a o beni LL ger RA A N 00000000000000000000000000000000000000009000000000000090000000000000900000000000009000090000000000000900000000900009000009000 page 29 5 4 5 c Current Fee Schedule Category f you create a new quote add procedures to it by clicking button Same as in 5 3 1 c Extended Search Seton i ey FTA COMP EXAM PERIODIC EXAM LIMITED EXAM CONSULTATIO
39. t elsewhere included 15 00 15 00 20 Proposed 018 Written report not elsewhere included 15 00 15 00 21 Proposed 014 Consultation 25 00 25 00 22 Proposed 018 Written report not elsewhere included 15 00 15 00 23 Proposed 016 Consultation by referral 35 00 35 00 24 Proposed 016 Consultation by referral 35 00 35 00 25 Proposed 016 Consultation by referral 35 00 35 00 Provider Dr Julius Hibbert K Total 956 00 DR 9 Regular Multichoice Accept A j2 5 4 5j Click Submit button to submit the quote to HICAPS Quote Claim for Mr Harvey Harlington Health Fund Patient 01 Account Member ID Expiry Date Quote 000169 Date 17 03 2011 Provider DENTIST 0554191A vj Code Description Tooth Surfa Note Fee Benefit Gap Response LL 090 M 1 012 Periodic oral examination 45 00 2 018 Written report not elsewhere included 15 00 3 037 Panoramic radiograph per exposure 886 00 pal 116 Enamel micro abrasion per tooth 34 a 65 00 5 014 Consultation 25 00 6 014 Consultation 25 00 7 014 Consultation 25 00 8 014 Consultation 25 00 9 018 Written report not elsewhere included 15 00 10 014 Consultation 25 00 11 014 Consultation 25 00 12 014 Consultation 25 00 13 014 Consultation 25 00 14 018 Written report not elsewhere included 15 00 i 15 018 Written report not elsewhere included 15 00 16 018 Writte
40. the transaction was successful the results will be displayed in the transactions table TRAIN Account 9036999801234568000 MemberID 12345678 Expires 5012 Tax Invoice 474 Date 18 03 2011 Provider DENTIST 0554191A v Merchant MERCHANT 3 3DES MULTI MDOCKLANDS w Code Description Tooth Surfaces Note Total Fee Discount GST Benefit Gap Resp Code 1 511 Metallic restoration one 23 D 100 00 0 n a surface direct 2 013 Oral examination limited 30 00 0 n a Total Fees 130 00 DR Total Benefit 0 00 CR Total Gap 130 00 DR Date Description Notes a RRN Ref Amount 17 03 2011 HICAPS 000001005410 100533 65 00 CR 17 03 2011 Credit card Reversal for ref EFTPOS Card Reversal for RRN 000001005411 000001005433 100536 68 83 DR 100534 17 03 2011 Surcharge reversal HICAPS VISA Surcharge 3 83 CR 17 03 2011 Surcharge HICAPS VISA Surcharge 1 89 DR 17 03 2011 HICAPS Reversal for ref 100533 HICAPS Reversal for RRN 000001005410 000001005413 100535 65 00 DR Balances Total 130 00 DR Fees 130 00 DR Deposits 0 00 CR Today s 130 00 DR O es Close Make Payment eeeeeoeeseeeaesoeeeeoeoeeeeeeeeaeaeeoeoaeeoeeeeoeeeeaeeoeaeeoeeeeoeeeoeeeee ee eee 8 page 2 page 28 00 00000000000000000000000000000000090000000000000000000000900000000000000000000000000000000900009000000009000090000000009000 5 4 Using Praktika HICAPS Module with Quotes 5 4 5 a Goto the Patient File screen and click QUOTES button Allergies Medical ale
41. yments at the point of service HICAPS comes with a terminal which can be operated through the build in interface or through an external interface provided by a Practice Management System In our case such interface is provided by Praktika For all the questions regarding the operations of the HICAPS terminal software and services please refer to the HICAPS Terminal User Guide provided by HICAPS HtCAPS Fast claims on the spot page 6 3 Glossary of Terms benefit cancel card claim claim declined claim receipt claim to sale clinical code date of service fallback gap payment HICAPS issue date item cost item number member MMF patient Practice Management System Praktika provider provider numbers refund reversal RRN swipe member card tooth number Value of rebate authorised by a Health Fund Reverses a transaction processed through the terminal A membership card issued by the Health Fund or an EFTPOS or credit card issued by a bank After treatment is provided details are sent electronically via the terminal to the Health Fund When a Health Fund declines to pay the request a brief response message will print with each declined item and or claim Either the terminal or the associated Practice Management System prints a receipt which must be signed by the patient to acknowledge services and approve the transfer of payment to the provider The terminal facility
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