HICAPS $10K RESTRICTION: Card processing must be for amounts less than $10,000 per Claim Item. However, you can enter multiples of the same Claim Item to work around this restriction.
To manually claim via HICAPS Connect
If ever the connection between the HICAPS terminal and the computer is not working, you can still enter data into EXACT (this may have been processed through the terminal without being connected to EXACT).
If EXACT cannot communicate with the terminal to send a claim you will be given an appropriate response from the HICAPS terminal interface and then prompted with the following message:
The button will be defaulted, forcing you to deliberately choose manual processing by clicking the button.
If you choose to process the claim manually, EXACT will launch another dialog asking you to enter the full benefit amount for the ticked items. This dialog sits on top of the Patient Invoice Data window so that you can drag it on the screen to view what is currently ticked. Enter a figure with 2-decimal places and this will be used as the benefit amount for the claimed items. You can also select a health fund for the patient if they do not have a default health fund assigned.
Once selected EXACT will then use this health fund's details to display against the payment particulars. If you enter a health fund and click the button on the dialog, you will be asked if you wish to assign this health fund as the patient's (or family) default. If you choose to do so the patient/s should be updated accordingly.
Once you have completed this you will be returned to the Payments window where the outstanding amount owing is displayed, with EXACT having calculated the gap amount. At this point EXACT will create a HICAPS payment for the patient and will prefix it with "Manual" text. A statement will not be created for this manual payment as EXACT will not have the line item figures and the user should already have this information printed from the terminal.