If you have retrieved reports for any of your bulk bill (Medicare) or DVA (Department of Veterans' Affairs) claims and this has moved the claim to Exceptions to Review, you will need to resolve these exceptions before receipting the batch.
- Navigate to File > Maintenance and Reports > Daily > Bulk Bill / DVA Transmission.
- Change the view by switching the Show drop-down on the left to Exceptions to Review.
- Examine the claim(s) sitting in Exceptions to Review. Depending on the type of exception associated with the claim, you will need to resolve the exception accordingly.
- Highlight a claim and click the button. This will open the exception report for the claim where you can highlight each individual item and review any associated error text.
A Medicare exception will fall into one of three categories. They may have fully paid the item but sent back an exception so you can update the patient's details, fully unpaid (rejected) the item, or paid a different amount to what you claimed.
Look at the figures in the Claimed and Paid columns to understand what type of exception you have, then use the below guides to help you resolve any issues.