Patient Verification

Patient details must be verified to allow for online claiming with Medicare, DVA and Health Funds.

Patients can be verified from the List or Calendar View by right-clicking and selecting Verify Patient
In the List View, the entire list can be selected by pressing CTRL+A and on right-click and Verify Patient, all on the List can be verified
There are two columns in the List View to inform you the patient is verified or not
- Verified Medicare/DVA
- Verified Fund
On transmitting a claim, DCM verifies again based on the Date of Service (DOS)
If a patient has not been verified for six months, verification reverts to Not Verified

Medicare

The first nine numbers of the Medicare Card number must be entered into DCM in order to Verify. If you do not have the Medicare Card number, you can search for it on HPOS
On verifying in DCM, the tenth digit may update along with the Family's Position on Card

On verifying DVA details in DCM, no detail needs to be entered
The DVA number and the card type are returned
There are three types of DVA health cards
- Veteran Gold Card that covers all conditions
- Veteran White Card that covers treatment for accepted service-related injuries or conditions, as well as all mental health conditions, and
- Veteran Orange Card that is issued to veterans' family member and cover any prescription medicines, wound care items and nutritional supplements at a concession rate.

DCM verification with Health Funds, verifies that Client details are correct with their private health insurer only and they hold hospital level cover
Prior to any Procedure, you should carry out an Eligibility Check to get an estimate of out-of-pocket expenses for the hospital stay, prosthetics and miscellaneous items
Use the OEC function to give the patient enough information for them to give informed financial consent
You can submit an eligibility check for:
- anticipated admission date that is up to 12 months in the future
- emergency admission that was up to 7 days in the past
If you submit an eligibility check for an admission date well into the future, you should check again before admitting the patient. This will pick up any changes in benefits that may impact on the client's out-of-pocket expenses
You are not required to submit an online eligibility check for DVA claims