MBSPro can check each item against a patient’s billing history through its seamless PRODA integration 🛠️. No more logging into PRODA —you can quickly check their history while they’re right in front of you 👩⚕️👨⚕️. THe purpose of this item checker is that you can accurately assess whether a patient is eligible for certain items (and quote them specific prices if you are privately billing the patient) Follow these steps to conduct a check:
- Access the Patient's Billing History: Go to the MBS Planner on the right and click the PRODA icon 🔗.
- Enter Patient and Provider Details: A pop-up screen will prompt you to input the patient's details along with your provider number. Remember to get patient consent before checking their history 📝.
- Click Submit
Click submit to receive a statement of claim 🧾, showing the benefits payable. This lets you confirm if the patient is eligible for rebates on items like care plans and health assessments ✅.
For more details, visit the PRODA Education website for health professionals 📚
Certain Medicare-related functionalities are not handled by MBSPro. These include:
- Statement of Claim and Benefit & Lodgement Advice:MBSPro does not submit or manage claims. However, you can generate a printed disclaimer with OECW/ECM response information for patient communication.
- Resubmission of Rejected Services: Claim resubmission is not part of MBSPro's functionality.
- Reporting and Reconciliation: Financial reporting and claim reconciliation are not managed within MBSPro.
Services Australia requires us to provide the following definitions:
a. A Statement of Claim and Benefit is provided to the claimant when a Patient Claim has been lodged in real time, processed by the agency and a benefit amount returned to the claimant. b. A Lodgement Advice is provided to the claimant when a Patient Claim has been lodged in real time and referred to an agency operator for action.
Below is a video showcasing how the proda checker can be used
For further support details regarding using MBSPRO, PRODA and medicare online/eclipse to check item numbers please reach out to Hello@mbspro.com.au