Processing telehealth transactions

Providers must document in the clinical notes of the patient that they have received in writing, by email or verbally through the technology the following: Authority to submit the claim to the patients’ health fund on their behalf

• Confirmation from the patient that they give authority to the Health Fund to verify any aspect of this claim including through provision of treatment records
• Declaration that the service/s being claimed for has been provided to the person listed on the policy, and are not subject to Medicare reimbursement or any other form of compensation, and do not knowingly breach fund rules.

Health funds may investigate potentially fraudulent claims by seeking to verify that the service was provided to a patient. These requirements are incorporated within the existing obligations under the current HICAPS Provider Terms and Conditions. For further information view our terms and conditions.

The Practitioner can then initiate the claim through the terminal by following the instructions below on how to key enter the card number.