ADF Health Services (BUPA) - formerly Garrison Health

The contract Medibank Health Solutions held, permitting claims for Australian Defence Force (ADF) personnel ends come 1 July 2019, and is being taken over by BUPA. Services rendered up until this date are to be treated as they always have been. From 1 July 2019, invoices and claims are raised and transmitted through BUPA's Online Portal.

Further information on what is occurring with Garrison Health can be found on the Garrison FAQs web page.

To ensure you are ready to raise invoices and claim for ADF personnel come 1 July 2019, you must register with BUPA. This is separate from any existing agreement your doctors may have with BUPA already. To register, please see the ADF-HSC Provider Signup page on the BUPA website.

Invoicing and claiming will be done via BUPA's online booking system. This online booking system is called 'BUPA intelligent Referral and Booking System' (iRBS). For further information on what is required with BUPA, please contact BUPA directly. Invoices raised within Genie cannot be transmitted to ADF Health Services via Genie and should be looked at for reference/financial reporting purposes only.

As the new invoicing and claiming system is external to your Genie software, you do not have to raise an invoice within Genie. However, should you wish to have a record of this in Genie for financial purposes, you will need to raise an invoice in Genie. This can simply be receipted off within Genie when paid by BUPA. The two are completely separate, and you will not receive confirmation within Genie when BUPA has paid the account (i.e. no remittance advice that you would expect if it were a normal ECLIPSE claim).

Should you wish to raise invoices within Genie for ADF personnel for reference/financial reporting purposes, we have obtained and processed the new ADF fee schedule so that this may be downloaded into your Genie software from close of business, June 30, 2019. This allows you to create ADF invoices with the appropriate fees. It is important to note that invoices raised in Genie for ADF personnel cannot be claimed through Genie, and ADF Health Services is not ECLIPSE capable.

It is recommended that you create a new Health Fund within Genie, titled 'ADF Health'. Steps on how to create a new fund can be found within our Configuring Health Funds for ECLIPSE article. As mentioned above, as ADF Health are not ECLIPSE compatible, simply follow the steps at the end of the 'Add the Fund' section.

When the fund has been created within Genie, from close of business, June 30, 2019, you can download the fee schedule so that the correct fees populate when raising invoices within Genie. Steps on how to download and apply fee schedules can be found within our Updating Fee Schedules article.