You may have patients whose health fund is a subsidiary fund of NIB (Qantas Assure, Suncorp, AAMI, APIA). This means that when you claim for these patients, you will need to use the NIB fee schedule, as well as the NIB brand ID in ECLIPSE.
Before proceeding with these instructions, we would recommend contacting any funds to confirm that they use the NIB Brand ID for ECLIPSE Claiming, and that they use the NIB Fee Schedule.
Before you begin
Before adding any new funds in it is best to confirm that one hasn't already been created. To check this, navigate to Open> Billing Items, then select Health Funds in the top-right and check for potential duplicates.
If you do not have many patients whose private fund is an NIB subsidiary it may be easier to choose NIB as the health fund in their demographics.
Add the fund
- Navigate to Open > Billing Items > Health Funds.
- Click the Add button.
- Enter in your fund details.
- Click the magnifying glass icon
in the Account Holder section and search for your NIB health fund account holder.
- To add the NIB brand ID, hold the Alt / Option key on your keyboard, then right-click into the Brand ID field. While holding the right-click, scroll to and hover over the NIB brand ID, then release your right-click.
After selecting NIB, your fund’s window should look something like below. The Account Holder will be automatically set to NIB Health Funds Limited, and this can remain as is.
Select OK to save these changes and close the window.
Set the fee schedule
When you download a fee schedule through the Special menu, Genie often matches the name of the schedule to a fund in your database. As you do not want Genie to apply the NIB fee schedule to the NIB fund in your list, you will need to "hide" the NIB fund before trying to apply the schedule to the subsidiary fund.
- Navigate to Open > Billing Items > Health Funds.
- Locate your NIB health fund, then tick the AHSA checkbox next to the fund. This will "hide" the fund from Genie.
- Close the Health Funds window.
- Navigate to Special > Software Updates > Fee Schedules.
- Tick the box to the left of the NIB fee schedule.
- Click Install 1 Item and choose to apply the schedule now.
- When prompted to choose "Which fund is NIB?", choose the subsidiary from the list and press Select.
- Allow the fee schedule update to complete.
- Navigate back to Open > Billing Items > Health Funds and untick NIB as an AHSA member.