SmartClaim, Splitting claims

 

 

[Revised Aug 99]

 

 

There are two types of split claim;

1. Split on date. Required when a pharmacy changes ownership mid way through a claim period.

2. Split by type of script. Required when a pharmacy needs to claim from two separate [payment offices, e.g. Hospital and retail drugs.

 

Split on date

Any number of claims can be prepared during a batch period, by using 'New Claim' as usual.

E.g. Pharmacy changes hands on 26th of the month.

- Previous owner makes up a normal 'New claim' on 25th, which will include all scripts from 15th to 25th.

- New owner makes up normal 'New Claim' on 31st. This will contain scripts dispensed 26th to 31st.

Scripts will not be double claimed.

 

Split by type of script

A claim includes all claimable scripts. If claims for part of the batch are required from different sources, make up a claim as usual and then make a Copy. Send both to the pricing offices concerned, which should both pay for only those scripts that apply to them.

Future If this requirement becomes more common a claim splitting function may be provided, eg, to split into two claims, one for Hospital-only and the other Non hospital-only drugs.

 

Related topics

Hospital drug pricing options

New Claim

Redo claim