To send ECLIPSE claims for a provider, you must have their user preferences set up correctly and ensure they are registered with the health funds they intend to claim through. Registering with the health funds is done outside of Genie.
Navigate toand double-click on the doctor to get started. If you are logged in as the provider, go to File > User Preferences.
Adding the primary provider number
Although the Practice Sites in the User Preferences dictate the provider number used for individual claims, the doctor's primary provider number will also need to be entered into the appropriate field under the Details tab. Without this entered, it will not be possible to raise any ECLIPSE claims for the doctor in question.
The Facility ID or hospital provider number is usually a seven digit number followed by a letter (i.e. 0012345A) that is used to identify the site where this service was performed.
To enter this number for a specific doctor, go to File > All User Preferences, double-click on the relevant doctor's name, click on the Practice Sites tab, double-click on the relevant practice site, enter the number into the Facility ID field and click OK.
If you do not have this site listed in this window, click the Add New Record button (blue plus sign), enter the relevant details and click OK.
If you do not know the Facility ID, you can contact the site itself and confirm their provider number. Alternatively, a comprehensive list of all current Commonwealth-declared hospitals and their Facility IDs is available in the Excel document linked at the bottom of this Department of Health web page.
Fund Payee ID and Claim Type
For doctors who have an Agreement (No Gap) or Scheme (Known Gap) arrangement with health funds you will need to enter their Fund Payee ID into Genie. The Fund Payee ID number should be allocated to a provider at the time that they register with a health fund.
To enter the Fund Payee ID for a doctor, go to File > All User Preferences, double-click on the relevant doctor's name, click on the ECLIPSE tab, slow-double click (click-pause-click) in the Fund Payee ID column next to the relevant health fund, type the ID number, press the Tab key on your keyboard and click Save.