Are you having to send your inpatient medical claims off to health funds manually? Did you know that Genie integrates with ECLIPSE to assist you in sending off these claims electronically? You can create and send off claims, receive payment reports and remittance advices for all of your inpatient medical claims through Genie.
If you do not have the ECLIPSE module and are interested in sending electronic inpatient medical claims (IMC), please follow this link to see if ECLIPSE is right for your practice.
Before you begin
In order for you to successfully send claims through ECLIPSE, you must first install HIC Online. Health Funds must also be correctly configured in Genie, and you must ensure your provider(s) are set up to claim. Please see our corresponding articles for further information on these prerequisites.
Sending ECLIPSE Claims
There are three different claim types you can use when sending through claims to ECLIPSE. The claim type you use will depend on the patient's health fund, and your practice's agreement with said health fund.
For instructions on how to send each of these claims, please click on the link below that relates to your claim.
- Creating a Scheme (Known Gap) Claim;
- Creating an Agreement (No Gap) Claim; and
- Creating a Patient Claim.