With the recent change to indici claiming for PMH extended GP consultations, the eligibility criteria is automated wherever possible to streamline the claiming process for practices. As a result of this, there may be occasions (due to eligibility rules) where the option to claim for a service may not appear for a specific patient.
The patient may not be eligible due to:
Adding the patient’s domicile DHB to their enrolment page
The patient needs to be e-SAM validated in order for the DHB field to be populated.
We recommend that you run a ‘validate patient address report’ to see which patients in your practice do not currently have e-SAM validation. Running this report will avoid this eligibility issue in the future. Further information on how to validate bulk eSAM patient addresses is available online. On a case by case basis you can go to the patient’s enrolment page and validate the e-SAM for that patient.
Sally Newell, Clinical Services Manager
021 150 8788
07 858 5967