Transition to Medicare Web Services

medicare online claiming systems previously relied on client and server adaptors to allow health professionals, hospitals, and private health insurers (phi) to transmit and receive claims and verification requests the department has now switched over to web services technology and use proda for authentication they no longer accept claims submitted using adaptors and pki requirements set up individual and organisation proda accounts (outside of profile) upgrade to profile version 8 7 or higher in order to use air (australian immunisation register) a minimum version of 10 0 4 or higher is required in profile, configure the provider digital access emessage proda setup and requirements proda (provider digital access) is an online identity verification and authentication system it lets you securely access government online services before configuring profile for medicare web services it is imperative that the appropriate registrations and setups have been completed with proda for your organisation and providers for additional information about proda, click here https //www servicesaustralia gov au/proda provider digital access to set up a proda account, and for detailed instructions and requirements click here https //www servicesaustralia gov au/medicare online for health professionals to register your organisation in proda and obtain your organisation id, click here https //www servicesaustralia gov au/how to register organisation proda?context=33786 to use the medicare claiming feature, you must add the medicare online/eclipse/dva/air service provider to your organisation in proda click here https //www servicesaustralia gov au/adding and linking to medicare online proda?context=33786 to start the process for information on how to add a b2b device in proda, click here https //www servicesaustralia gov au/managing b2b devices proda?context=33786 configuration note we strongly recommend you process all existing claims before configuring for medicare web services provider digital access emessage once you have obtained your proda account details, processed all existing claims, and upgraded to version 8 7, you can activate the provider digital access emessage service in profile log in as a system administrator go to organisations/preferences/setup/emessages drag the provider digital access emessage from the available services panel and drop it into the installed services panel the provider digital access properties window opens enter the required details field description general tab top panel fields from name to pos do not need to be updated specific panel, general tab organisation id the proda ra (organisation) id for your organisation device name one of your organisation's proda registered b2b devices location id your organisation’s location id also referred to as “minor id” this would have been issued by intrahealth activate button press activate to activate the device you will need to enter a device activation code linked to this device name, which can be obtained from the b2b devices page on the proda registration website on successful activation, the button’s caption will change to reactivate notify an appropriate distribution provider group which will be used to send notifications of any proda related errors or warnings days before device expiry the number of days prior to device expiry when profile will send a reminder to members of the above user group to reactivate the device directory optional the location of the proda provider digital access log files if a hard drive is specified (e g c \ or d \ , it is relative to the machine where profile ih server is installed if you do not have an appropriate provider group, you can proceed with the rest of the emessage configuration and come back to it later, once you have created the group specific panel, online services tab all fields in this tab are automatically populated and do not need to be changed credentials panel product id will be profile10 for as long as we are using profile version 10 client id this is the same for all intrahealth customers e1c6a325db55703c89592d269977bef8 proda client id this is the same for all intrahealth customers inh00002 specific panel, patient verification tab automatically send appointments for verification check this checkbox if you wish profile to perform automatic real time patient verification send \[ ] days in advance of appointment the appointment will be automatically verified when the appointment is booked with date today + the number set here automatically perform real time patient verification check this checkbox if you wish to automatically perform real time patient verification when making the appointment do not reverify within \[ ] hours of last verification specify the number of hours within which the patient’s eligibility should not be verified again check on arrival check this checkbox if you wish to verify the patient when the appointment is flagged as arrived check on invoicing check this checkbox if you wish to verify the patient when an invoice is raised for this appointment enterprise patient verification timeout \[ ] hours the number of hours after which a verification request will stop trying if unsuccessful specific panel, schedules tab use this panel to create system tasks that will automatically perform functions press alter schedule go to the schedule tab click new set up an appropriate schedule press ok field description get participating funds report not currently in use this refers to eclipse functionality not currently available get batch responses you can set up a system task to regularly check for eob responses you can still manually request eob in the control centre claims view get imc processing and remittance advice reports you can set up a system task to regularly check for imc processing and remittance advice reports, which will be found under report/stored reports you can still manually request these in the control centre claims view usual sent transmission by we recommend you leave this option set to real time real time delivery select your preferred option from the on failure dropdown menu to determine what should happen when a transmission is on hold select warn user to issue an error message and stop transmission, store and forward to continue to attempt transmission warn, store and forward to issue an error message and continue to attempt transmission specific panel, last error tab this is a read only tab which will only be enabled if there are any errors related to this emessage only the latest one will display schedule panel use this tab to set up a system task that will regularly run this emessage this will force refreshing of the public rsa key note the public rsa key needs to be up to date running this task ensures that it is refreshed automatically if the key’s expiry date is less than 60 days in the future press ok in the provider digital access properties window when you have finished entering all the details ensure the provider digital access checkbox is checked in the emessages view workflow there are no changes to workflows, so you can continue to follow your usual procedures to claim for medicare and dva services