Cancelling an Approved Claim
You can cancel approved claims in either electronically or manually.
Electronic cancellation
HSO Pay can handle electronic cancellation of claims within 24 hours being made, but this is manageable only if:
- The patient is still in the practice with the private health card.
- The connection between the terminal and the computer is functional.
If you select the Cancel Item button for today's electronically created claim, EXACT passes the data to the terminal and when the required data is received back, EXACT:
- Reverses the payment on the original claim, and
- Creates a cancelled claim statement.
The Cancel Item button is disabled if the claim is cancelled.
Manual cancellation
If either of the above conditions is not met and electronic cancellation is not possible, you can manually cancel private health claims.
Manual cancellation of a previous day's transaction
If you select the Cancel Item button for an electronically created claim that was not created today you will be prompted with the following dialog:
"This claim cannot be cancelled through the terminal as it was not created today. Would you like to cancel this claim manually? Please note that manual cancellations only adjust the transaction details in EXACT and you will still need to additionally cancel the claim with your claim provider."
You have the option of selecting Yes or No (default). If you choose Yes, EXACT will simply reverse the payment and prefix the transaction particulars with "Manual" text. A claim statement will not be created in this case.
Cancelled claims will flag items as not being claimed so that you can claim these items again if necessary. For those which are cancelled manually as described above, you will need to contact your claim provider with the original claim details.
Transaction status
Approved claim |
Cancelled claim |
---|---|
|
Connect database
If an approved claim is cancelled, the following details are updated:
- soepay.PmsInvoices.PaymentProviderReference
- soepay.InvoiceClaims.Status
- soepay.InvoiceClaims.InputReceived
Cancel claim request
Connect and fiddler logs are saved in \\file\shares\Projects\SOEPay\6-Tyro\CancelApprovedClaim.
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