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Lodge a claim with DVA

Lodge a claim with Department of Veterans' Affairs for a client.

Introduction

Lodge DVA claims using the Tyro Health integration. Connect Tyro Health with Splose before reading this guide.

This help guide will cover:

  • Configuring DVA in Tyro Health

  • Setting up DVA details in the client record

  • Process a DVA claim from an invoice

  • Checking the status of a DVA claim


Configure DVA in Tyro Health

Make sure to connect and configure Tyro Health with Splose to enable DVA claims.


Add DVA details for a client

To pass a client's DVA details to Tyro Health, and save you from having to enter their details each time you need to process a claim for a client, you must enter the DVA number and gender in the client details page by clicking edit, then searching the health fund and adding the client's health fund details.

Screenshot of the client details page in splose showing the DVA health fund details fields including DVA number and gender

Set up cases to manage referral information

In order to efficiently lodge DVA claims, you must create a case for a client so that referral information can be passed to Tyro Health. If the following information is not provided, then you will need to add it individually each time.

Screenshot of the Case details page in splose showing the referral information fields that are passed to Tyro Health

Cases help you store the following referral information for clients, which will be passed to Tyro Health if entered

Referrer

The doctor or specialist who referred the client, which is required when lodging a claim.

Referrer provider number

The referring doctors' provider number.

Issue date

The date that the referral was issued. This should the current day or a date in the past for DVA claims.

Referral period

If the client has a referral, then you can enter the referral period. For General practitioners: standard is 12 months, for specialists, non-standard is 3 months.

Expiry date

Set the date that the case status will expire. This will be auto-set if you enter a referral period.


Set up item codes correctly in services

In order to pass the correct information to Tyro Health, make sure your services have correct item codes in order to submit a claim, as the item code gets passed to Tyro Health for fast-claiming.

In Settings, then Services, select a service and under actions, click the three dots to edit a service.

Screenshot of the Services settings page in splose showing the three dots menu with the Edit option for a service

Search item codes in Tyro Health to confirm the correct code.

Screenshot of the Tyro Health item code search showing DVA item codes to verify before adding to splose services

Process a DVA claim with Tyro Health

Create a DVA appointment. Select the DVA service and assign a case.

Screenshot of the appointment in splose showing the DVA service selected and a case assigned

Then click Add invoice.

Screenshot of the appointment in splose showing the Add invoice button

Make sure the Medicare provider number is selected on the invoice, since DVA claims come under the Medicare provider number. Click Create invoice.

Screenshot of the invoice draft in splose showing the Medicare provider number field and the Create invoice button

Once the invoice is created, click DVA claim under the Pay button.

Screenshot of the invoice in splose showing the DVA claim button under the Pay button

The Tyro Health modal will be appear with client details, location details, referring doctor details and service items pre-filled. Review the claim and click Submit claim.

Screenshot of the Tyro Health DVA claim modal in splose showing the pre-filled claim details and the Submit claim button

Check the status of a DVA claim

Review the status of the claim from the invoice, or open in Tyro Health to see more details.

Screenshot of the invoice in splose showing the DVA claim status summary


Download DVA Treatment Service Voucher

Download the Department of Veteran's Affairs Treatment Service Voucher to send to clients.

Screenshot of the invoice in splose showing the Download DVA Treatment Service Voucher link


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