Make sure that you have connected Medipass for DVA before reading this help guide.
If you have already connected Medipass, then you are ready to lodge DVA claims 🎉
This help guide will cover:
- How to add DVA details for a client
- How to set up cases to manage referral information
- How to set up item codes correctly in services settings
- How to lodge a DVA claim
- Reviewing the DVA claim status after submitting a claim
- How Splose automatically allocates the payment after the payment is approved from DVA
- How to download the DVA treatment Service Voucher
- Viewing the DVA claim details in Medipass
Connect to Medipass
Add DVA details for a client
To pass a client's DVA details to Medipass, 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 details from the client details page.
Set up cases to manage referral information
In order to efficiently lodge DVA claims, you can create a case for a client so that referral information can be passed to Medipass in order to make the claim. If the following information is not provided, then it will have to be manually entered each time in Medipass when making a claim.
Cases help you store the following referral information for clients, which will be passed to Medipass if entered:
The doctor or specialist who referred the client, which is required when lodging a claim.
Referrer provider number
The referring doctors' provider number.
The date that the referral was issued. This should the current day or a date in the past for DVA claims.
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 and indefinite has no expiry.
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 Medipass, you'll want to make sure your services have correct item codes in order to submit a claim, as the item code is what gets passed to Medipass.
In Settings, then Services, select a service and under actions, click the three dots to edit a service.
Check that you have the correct item code, then click Save.
You can search item codes in Medipass in Services or while creating an invoice.
Lodge a DVA claim
You must create an appointment and add the appointment to a case. You can see if an appointment is attached to a case by viewing the appointment from the appointment details side modal or the cases page.
As the appointment is connected to a case, when you invoice for an appointment, the case referral details can be passed to Medipass.
Check that the following is entered correctly as it will be passed to Medipass:
- The practitioner provider number
- The practitioner
- The client name
- The client's DVA details
- The item code for the service
Ensure that your provider number should be set up correctly and connected to Medipass. Click + Invoice from the appointment modal.
Thanks to our auto-saving invoice feature, all you need to do is click View invoice. Then select Add payment to bring up the payment modal.
Rather than allocate a payment, you will need to click the DVA claim + link next to the DVA logo.
The Medipass screen will be displayed, prefilling the available and required information for the claim, such as location, practice, provider information, referral information and client information.
All you have to do is review the information and then click Submit claim.
Review the DVA claim status after submitting a claim
The claim will be sent to DVA in real-time. The Medipass screen and payment modal will be closed down and a DVA status card will be displayed on the invoice.
The status will display pending, rejected or approved. You can refresh the page to see if the payment status has been updated.
If the claim is approved, then Add payment button will be removed and Splose will automatically allocate the payment towards the invoice and update the invoice status to paid.
Department of Veteran's Affairs Treatment Service Voucher
Here, you can download the Department of Veteran's Affairs Treatment Service Voucher form the DVA status card and view the benefit form from your browser, and print it.
View the DVA claim details in Medipass
You can open the transaction in Medipass form the DVA status card to see the invoice overview.
That's how easy it is to lodge a DVA claim with Splose.
Where to next?
- Create a patient claim for Medicare
- Create a bulk bill claim for Medicare
- Set up HICAPS using Medipass