On 16 September 2020 the Australian Government Agency of Services Australia advised us that from Thursday 17 September 2020, the private health fund HCF will stop transmitting Simplified Billing claims to Medicare in preparation for internal HCF upgrades.
This will also lead into HCF stopping transmission of ECLIPSE claims from Monday 28 September 2020 in preparation for the upgrades.
What do you need to know?
These closures are to ensure all current HCF online and Simplified Billing claims are processed and cleared from these Medicare Claiming channels prior to implementation of HCF's system upgrades.
On Friday 2 October 2020 HCF will shut their claiming channel as the upgrades are rolled out and implemented. HCF have informed Services Australia they expect to be back online for the commencement of trading Tuesday 6 October 2020.
Expected behaviour during this time
Any claims that are transmitted to HCF during the offline period Friday 2 October until Tuesday 6 October 2020 will receive an error code 9671 - The Health Fund identified does not currently accept transmission through this channel and need to be re-transmitted once the upgrade is complete.
Any Simplified Billing claims received by HCF between 18 September and 1 October 2020 will be held by HCF until commencement of trading Tuesday 6 October 2020. This also applies for ECLIPSE claims transmitted between 28 September and 1 October 2020.
We will continue to update you as and when we receive further information on this matter.
How do I claim for my HCF invoices during this time?
While the health fund updates their systems, we suggest selecting for your HCF invoices as shown below.
Once HCF systems are functional again, you can send these claims off by navigating to your Reports section and selecting Unresolved Invoices. You can set specific parameters at the top if necessary, then click on each unresolved HCF invoice and click the button.
Note: If the Claim button is not there, then the claim has been done already.