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Finance
Make electronic claims with Services Australia, including Bulk Bill claims, or if your health service operates fully or partially as a private business, bill a patient privately; and balance your banking records.
Medicare Claims
Use Helix to submit a Medicare claim to Services Australia, retransmit an unsuccessful claim, and view the claim results.
Patient Claims
Transmit private claims to Services Australia, and retransmit unsuccessful claims.
Unsuccessful Patient Claims
Change unsuccessful claims and resubmit them to Services Australia.

Finance
Make electronic claims with Services Australia, including Bulk Bill claims, or if your health service operates fully or partially as a private business, bill a patient privately; and balance your banking records.
- Configure Centre Billing
  Add your centre's account details, default billing type, default billing items for different scenarios and your Modified Monach Category for Medicarebilling incentive items.
- Fee Schedules
  Maintain the default fee schedule for patient services that are not bulk billed or DVA-related, import updated MBS and DVA fee schedules into your instance of Helix, and create customised fee schedules.
- Banking
  Use the Bank panel to view deposited items and balance your banking records.
- Add Billing Items for a Consult
  If required, clinicians can create or modify the list of items to be billed for the current consult.
- Medicare Claims
  Use Helix to submit a Medicare claim to Services Australia, retransmit an unsuccessful claim, and view the claim results.
  - Patient Claims
    Transmit private claims to Services Australia, and retransmit unsuccessful claims.
    - Submit Patient Claims
      Transmit stored patient claims from Helix to Services Australia.
    - Unsuccessful Patient Claims
      Change unsuccessful claims and resubmit them to Services Australia.
    - Print the Transmitted Claims
      Print a list of transmitted patient claims.
  - Correcting Medicare Claims
    You can view the list of pending claims and error messages for failed claims that have already transmitted to Services Australia. You can also delete claims that have already been transmitted.
  - Batch
    A practitioner can batch the group of the patient's claims and send the batch from Helix to Services Australia.
- Transaction History
  View the transaction history for individual patients or account holders, and refund and write-off summaries.
- Tyro Integration
  Helix integrates with Tyro and its EFTPOS terminals.
- Workers Compensation
  Process Workers' Compensation claims using Helix
- Receipts
  When payment has been received from an account holder or Services Australia, receipting can be performed for all invoices.
- Generate Financial Reports
  Generate various types of financial reports from the Financial Reports tab.

Unsuccessful Patient Claims

Change unsuccessful claims and resubmit them to Services Australia.

About this task

The Pending list displays claims that were not processed because of eligibility problems or errors. Administrative users can select a claim to open it, resolve any issues, and resubmit it.

Procedure

To resubmit the Pending claims:

Select Claiming, Banking, and Payments > Patient Claims from the menu.
In the Patient Claims section, select Pending.
Filter the list of results if required.
To view the error details, locate an item, and then hover the mouse over the Error icon.
In the Record Visit panel, to make corrections, click an item row and individual columns.
Click Save.

Results

Once the claim has been processed successfully it will be moved to the Stored list.

What to do next

From the Stored list, you can retransmit the claim. For more information about transmission, see Forward Stored Claims.

1 March 2024