Results of an OEC

If you have not submitted an OEC yet, please see our guide found here

To find your OEC, first access the Documents from the patients record.

You will see a list of all the recorded documents for this patient. The OEC’s that were returned will have the Name and Type of OEC. The MBS item number the OEC was ran on will also be included in the OEC name, eg; OEC-39323. Select one to view. These documents can be printed or downloaded as needed but will always be kept here, within the patient record.

The first part of your OEC contains some patient information, as well as the Fund status on the check. It will also show the Explanation, on our OEC below we can see that the patient is eligible, but subject to conditions. The conditions will need to be confirmed with the fund:

Health Fund Assessment

The next part of the OEC details the patients financial eligibility. We can see any Excess or Co Payments that are applicable, as well as a description of what the patients cover is limited to.
Any Excess shown here will be automatically updated in the Appointments screen for this patient.

Just below the excess and co payment information, you will find the final details of the OEC. The fund will detail the members cover and the description will mention services that are excluded. There is also space for Benefit Limitations and Exclusions. If your OEC shows the patient as not having cover, these fields will detail what the exclusions are and why the patient is not covered.

Finally, there is a field for any Other Services that were checked, such as Prosthesis items.

 




Hospital Data Extracts Setup

Each month you will be required to submit data of patient discharges to various agencies. This data submission is mandatory and is required approximately two weeks into the following month. Hospitals are required to submit data to:

  • PHDB [Private Hospital Data Bureau]
  • HCP [Hospital Casemix Protocol]
  • State health departments also require data – you only need to submit data to the state the facility is located in

PHDB – Private Hospital Data Bureau

This data is collected by the Commonwealth. FYDO easily collects this information during the admission and discharge process, and at the end of month you can run a report to export this data to a file in the format PHDB requires.

Once FYDO produces the file, you will need to upload this file to the Data Submission Portal (DSP). To arrange access to the DSP please email hcp@health.gov.au with the following details:

  • Facility Provider Number
  • Facility Name
  • Facility Address
  • Facility Phone
  • Name of data submitter (an individual)
  • Email where verification reports can be sent to

For more information, please contact PHDB on:
Phone: 02 6289 8058
Email: hcp@health.gov.au

Visit the PHDB website click here.

HCP – Hospital Casemix Protocol

This monthly data submission is in a similar format to the PHDB file, however this data is sent to the patient’s health fund. FYDO can produce a file at the end of each month for each health fund. If in the month of March there were no discharges for Medibank, then FYDO will not produce a file for Medibank.

You will need to contact each health fund and request access to their portal so that you can submit this data at the end of each month. There is only one portal for the entire Australian Health Service Alliance (AHSA) group. For a list of health funds that are part of AHSA, click here.

Below are some of the funds you may need to report to, and how to request access:

State Health Departments

The state your facility resides in also requires data at the end of each month. Like PHDB and HCP data, FYDO makes this easy each month. FYDO is able to create a file in the format your state requires. Each state has a different file format.

You will need to contact the representative in your state and request access, and instructions on where to submit your file each month.

NSW Health – Phisco data

Contact: Roman Leszcynski
Phone: 02 9391 9995
Email: iscos@doh.health.nsw.gov.au
Email: Roman.Leszczynski@health.nsw.gov.au

VIC Health – VAED

Phone: 03 9096 8595
Email: hdss.helpdesk@dhhs.vic.gov.au
Website for more information click here.

QLD Health – QHAPDC

Phone: 07 3708 5679
Email: QHIPSMAIL@health.qld.gov.au
For more information click here.

WA Health – HMDS

Phone: 08 9222 4362 (Inpatient Data Collections)
Email: DoH.AdmittedDataCollection@health.wa.gov.au

ACT Health

Phone: 02 5124 6906
Email: dsd.informationmanagementhub@act.gov.au
Email: jane.mcintyre@act.gov.au
For more information click here.

TAS Health

Contact: Cynthia Rogers
Phone: 03 6166 1081
For more information click here.

SA Health – ISAAC

Email: Health.ISAACSubmissions@sa.gov.au
For more information click here.

Cancer Registers

NSW & ACT

Email: information@cancerinstitute.org.au
Phone: 02 8374 5600
For more information click here.

VIC

Email: vcr@cancervic.org.au
For more information click here.

For instructions on how to Extract Hospital Data from FYDO visit our wiki page:
Hospital Data Extraction

For instructions on how to Re-Extract Hospital Data from FYDO visit our wiki page:
Re-Submitting a Hospital Data Extraction




Medicare and Fund Contacts – Dealing with Rejections

Medicare & DVA

Organisation Phone/ Email
Medicare P: 1800 700 199F: 02 9895 3190
MBS Interpretation P: 13 21 50E: askMBS@health.gov.au
DVA P: 1300 550 017

Health Funds

Fund name Contact for clinics Contact for hospitals
ACA Health
ECLIPSE code: ACA
HCP code: ACA
P: 1300 368 390
acahealthit@acahealth.com.au
P: 1300 368 390
acahealthit@acahealth.com.au
Alliance (AHSA) P: 03 9813 4088
access@ahsa.com.au
 
AHM
ECLIPSE code: AHM

HCP code: AHM

P: 1300 524 456
Eclipse@medibank.com.au
P: 1300 560 680
Eclipse@medibank.com.au

AHM and Medibank have the same support team

Australian Unity
ECLIPSE code: AUH

HCP code: AUF

P: 1800 035 360 P: 1800 035 360
dgilder@australianunity.com.au
BUPAE
CLIPSE code: BUP

HCP code: BUP

P: 134 135F: 1300 130 623 for sending claims manuallydr.billing@bupa.com.au

Only for sending claims with Problems / Rejections

gapscheme@bupa.com.au

Only for if you are unable to fax

P: 134 135
gordon.barrett@bupa.com.au
CBHS Corporate Health & CBHS Health Fund
ECLIPSE code: CBC & CBH

HCP code: CBC & CBH

P: 1300 654 123
providers@cbhs.com.au
P: 1300 654 123
access@cbhs.com.au

Alternatively
julie.mckinnon@cbhs.com.au

Hunter Health Insurance
(Formally known as ‘Cessnock’ or ‘CDHBF Health’)

ECLIPSE code: CDH

HCP code: CDH

P: 02 4990 1385
enquiries@hunterhi.com.au
P: 02 4990 1385
CDH.BenefitsFund@Hunterhi.com.au
CUA Health Limited
ECLIPSE code: CHF

HCP code: CPS

P: 1300 499 260 cuahealth@cuahealth.com.au P: 1300 499 260 
cuahealth@cuahealth.com.au

Alternatively
karen.coventry@cua.com.au

Defence Health
ECLIPSE code: DHF

HCP code: AHB

P: 1800 656 329 P: 1800 656 329
providerrelations@defencehealth.com.au
Doctors Health Fund
ECLIPSE code: AMA

HCP code: AMA

P: 1800 226 586 P: 1800 226 586
lesley.rutter@doctorshealthfund.com.au 
Emergency Services Health (also managed by Police Health)

ECLIPSE code: ESH

HCP code: SPE

P: 1300 703 703 
F: 1300 151 152
P: 1300 703 703 
providerenquiries@eshealth.com.au
GMHBA
ECLIPSE code: GMH

HCP code: GMH

P: 1300 446 422
F: (03) 5222 7478
P: 1300 446 422
Jamie-LeeGardham@gmhba.com.au

joannesheldon@gmhba.com.au

GU Health (FAI)
ECLIPSE code: FAI

HCP code: FAI

P: 1800 249 966
corporate@guhealth.com.au
providers@honeysucklehealth.com.au
HBF
ECLIPSE code: HBF

HCP code: HBF

P: 1300 810 475
expresspayqueries@hbf.com.au
P: 1300 810 475
lorraine.hort@hbf.com.au
HIF(Health Insurance Fund of Australia Limited)

ECLIPSE code: HIF

HCP code: HIF

P: 1300 134 060
claims@hif.com.au
P: 1300 134 060
michelle.peacock@hif.com.au
HCF
ECLIPSE code: HCF

HCP code: HCF

P: 1800 670 302
medicoverenquiry@hcf.com.au
P: 1800 670 302
MFarlow@hcf.com.au (Maria) 

Alternatively

dfernandez@hcf.com.au (David)

Health Care Insurance
ECLIPSE code: HCI

HCP code: HCI

P: 1800 804 950 P: 1800 804 950
jamie.gillam@hciltd.com.au
Health Partners
ECLIPSE code: SPS

HCP code: SPS

P: 1300 113 113 P: 1300 113 113
hospitalclaims@healthpartners.com.au

davids@healthpartners.com.au

Health.com.au
ECLIPSE code: HEA

HCP code: HEA

P: 1300 199 802 P: 1300 199 802
hospitalteam@health.com.au 

Alternatively

Catherine.Ngo@health.com.au 

Gemma.Oliver@health.com.au

Latrobe
ECLIPSE code: LHS

HCP code: LHS

P: 1300 362 144
E: info@lhs.com.au
P: 1300 362 144
tan@lhs.com.au
Medibank
ECLIPSE code: MPL

HCP code: MPL

P: 1300 130 460 P: 1300 130 460
medibankhospital.network@medibank.com.au
Mildura
ECLIPSE code: MDH

HCP code: MDH

P: 03 5023 0269
providers@mildurahealthfund.com.au 
P: 03 5023 0269
eclipse@mildurahealthfund.com.au
MO Health
ECLIPSE code: MYO

HCP code: MYO

P: 1800 333 004 P: 1800 333 004
Vaibhav.Makin@aia.com
Navy Health
ECLIPSE code: NHB

HCP code: NHB

P: 1300 217 736
query@navyhealth.com.au
query@navyhealth.com.au
NIB
ECLIPSE code: NIB

HCP code: NIB

P: 1300 853 530
medigap@nib.com.au
Overseas Claims: internationalclaims@nib.com.au
P: 1300 853 530
hospitaleclipse@nib.com.au

provrel@nib.com.au

Nurse and Midwives
ECLIPSE code: NMW

HCP code: NMW

P: 1300 344 000
submit.claim@nmhealth.com.au
P: 1300 344 000
EclipseClaims@nmhealth.com.au 

Alternatively

George.Drakakis@nmhealth.com.au dianne.roe@teachershealth.com.au

OneMediFund
ECLIPSE code: OMF

HCP code: OMF

P: 1800 148 626
F: 1300 673 406
P: 1800 148 626
info@onemedifund.com.au
Peoplecare Health Insurance
ECLIPSE code: LHM

HCP code: LHM

P: 1800 808 690 P: 1800 808 690
info@peoplecare.com.au
Phoenix Health
ECLIPSE code: PHF

HCP code: PWA

P: 1800 028 817 P: 1800 028 817
enquiries@phoenixhealthfund.com.au

info@peoplecare.com.au

Police Health (also managed by Emergency Services Health)

ECLIPSE code: POL

HCP code: SPE

P: 1800 603 603
F: 1800 008 554
P: 1800 603 603
providerenquiries@policehealth.com.au
Queensland Country
ECLIPSE code: QCH

HCP code: QCH

P: 1800 813 415 P: 1800 813 415
rharding@qccu.com.au 
TUH(Queensland Teachers)

ECLIPSE code: QTU

HCP code: QTU

P: 1300 360 701 P: 1300 360 701
alice.caldwell@tuh.com.au
Reserve Bank health
ECLIPSE code: RBH

HCP code: RBH

P: 1800 027 299
F: 1300 309 704
P: 1800 027 299
info@myrbhs.com.au
RT Health
ECLIPSE code: RTH

HCP code: RTE

P: 1300 886 123 (option 5)
access@rthealthfund.com.au
P: 1300 886 123
hospitals@rthealthfund.com.au
St Lukes
ECLIPSE code: SLM

HCP code: SLM

P: 1300 651 988 P: 1300 651 988
general@stlukes.com.au
Teachers Federation
ECLIPSE code: TFH

HCP code: NTF

P: 1300 728 188 P: 1300 728 188
elizabeth.cashman@teachershealth.com.au 

Alternatively, try: 

EclipseClaims@teachershealth.com.au 

George.Drakakis@nmhealth.com.au 

dianne.roe@teachershealth.com.au

Transport Health
ECLIPSE code: TFS

HCP code: TFS

P: 1300 806 808 P: 1300 806 808
hospitals@transporthealth.com.au
Westfund
ECLIPSE code: WFD

HCP code: WFD

P: 1300 937 838
medicalbenefits@westfund.com.au
P: 1300 937 838
sharpg@westfund.com.au




Closing the Accounting Period

Closing the ‘Accounting Period’ refers to locking down your financial figures up to a given date (usually the end of the month) so that they cannot be changed

We do not recommend closing the accounting period for the last month, on the first day of the current month. Rather, give yourself seven to ten days to get your figures to a point where you are happy. That is, after all rejections and adjustments are made. 

In other words, it ensures that the figures seen on your revenue report run out of FYDO match the figures seen on your bank account, to the cent. And that those figures then cannot be amended in FYDO. 

So let’s see where the accounting period is closed.

Start off by going over to settings.

Then, click Close Accounting Period.

 Enter the date you wish to lock your figures to and click Save.

This action is recorded in FYDO’s audit log, so you can see who closed the accounting period and when.

To view the audit log, go to Settings, then click on Logs.

You will see the log showing when the accounting period was closed.




Making a Referring Doctor Inactive

Need to delete or remove an existing referring doctor? Read ahead to find out how we can make them Inactive.

1.Click on Settings

2. Then, Referring Doctors

This will display a list of all the referring doctors you currently have.

3. Select the doctor you wish to make Inactive by clicking anywhere on their row in the list of doctors.

4. You will now see the details for this doctor, click on Edit on the top right-hand corner of the page. Simply untick the Active box next to Status as shown below.

Now the doctor has been made Inactive; they will not appear when searching for them, and they will not be shown on the list of Referring Doctors.

If you wish to view the doctor, or make them Active again, simply tick the Show Inactive box from the Referring Doctors screen.

You will now be able to see the doctor, and you can edit them as per normal, including making them Active again.




Referring Doctors

To access a list of the referring doctors you have added into Fydo simply follow the below steps:

  1. Click on Settings

2. Then, Referring Doctors

This will display a list of all the referring doctors you currently have.

To add a referring doctor, click the yellow Add Referring Doctor button on the top right hand corner of your screen:

To Edit the details of an existing doctor, simply click anywhere along the row for that doctor, and you will be taken to the edit screen:

To get started editing, click on the Edit button on the top right hand corner of the page.

Whether you decided to Add a new Referring Doctor, or Edit an existing one, you will be met with the same screen:

Simply fill out, or change the fields as needed.

Remember, the required fields for a referring doctor are:

  • Provider Number – You can put a 0 if you do not have the number. Please note that you will need to enter it before submitting your claims, or you will run into rejections.
  • First Name and Surname
  • Type (GP or Specialist) – This affects the length of the referral, GP: 12 months, Specialist: 3 months.
  • Speciality (If Specialist is selected)

While there are a few other fields, they are optional. You can also upload any Doctors files that may be applicable such as APHRA, Drivers Licence, etc.

Once you are happy with your changes, click the green Save button to lock them in.

You are also able to Create and Edit referrals from within the Patient Details, should you wish to do so, please see our Creating a Patient wiki page.




Searching for a Patient

In Fydo, there are a few different ways we can search a patient.

 

Depending on if we have Patient or Other selected, there are different filters available. An easy way to see this, is to hover your mouse over the blue question mark.

 

This will bring up a helpful menu like so:

 

Lets go over the two ways to search, and the filters associated with them.


Patient:

 

Date of Birth: Search by Date of Birth

Name: A search by Last Name,First Name

There are a few different ways to use this filter, here are some examples of how I can search for the patient Alan Smith.

  • Last Name Only: Smith,
  • First Name Only: ,Alan
  • Partial Search: Sm,Al
  • Full Name: Smith,Alan

While there are a few different ways to search for a patient, some searches will narrow the results greatly compared to others, try out a few to see what works best for you.

MRN: A search by the patient’s Medical Record Number

Please note that you can search for a partial number. In the case of Alan Smith and his MRN of 123; we can search a few different ways.

  • Full Number: 123
  • Partial Number23 or 12

Searching for the full number will narrow your results down compared to a partial search.


Other:

 

File #: The file number of the patient. Can be set in the Patient Details.

 

Admission #: Admission number for the patient (this is a number for patients that have Hospital episodes). Can be found in Episodes, from the Patient Details screen.

To search for the below Admission, I would have to search: a:1497

 

Invoice #: If the patient has been billed, you can search by an Invoice Number. This can be found in Accounts, from the Patient Details screen if you are a Medical Practice. For Hospitals, this can be found in Episodes, similar to the Admission #

To search for the above Invoice, I would have to search: Inv:12573

 

Mobile: Mobile number of the patient.

Medicare: Medicare number of the patient.




Merging Duplicate Patients

When creating a patient, if the details are similar enough to a patient already in Fydo, you will receive the following message.

 

This message is Fydo taking measures to ensure you do not create duplicate patients. As you can see in this example, it is letting me know a similar patient was found. For Fydo to try to match existing patients, you will need to enter a minimum of:

  • First Name and Last Name
  • Date of Birth

If you enter just the first and last name, it will not try to find similar patients, you do need to enter the date of birth for the check to occur.

Despite this, you may realise at some point that you have a duplicate patient. If you run into this issue, read ahead to find out how to merge the patients together.


 

How to Merge Patients

First search the patient/MRN that will become obsolete, after this process, & open their Patient Info Screen.

In the top right hand corner of the Patient Details screen you will see 3 dots which will display a drop-down menu with a Merge option.

 

You will now see a screen with the patient’s details and a search bar.

 

Simply search for the patient you wish to merge the current one with. You will see the Patient Lookup box, containing any patients found.

 

The Patient Lookup menu also has all the regular ways to search for a patient.

Select the patient you wish to merge the current one with and you will now see the previous Merge Patient screen with additional details of the patients to be merged

 

Ensure the patients being merged are correct, as this process cannot be undone if an error is made.

Now click the green Merge button, and you are all done! The patients have now been merged.

Should you try to merge two patients with differing details, Fydo will stop you with the following error message.

 

As you can see, the patients here have differing Date of Births, so Fydo will not let me merge them.


The Audit Log

The Audit Log, is a log Fydo stores to keep track of which user has performed which action. In the case of merging, we will be able to see which user has performed the merge, as well as the details of said merge.

To access the Audit Log, first select Settings

 

 

Then Logs from the menu

 

You will now see the Audit Log:

 

This screen shows us some important information such as:

  • Username: The user who performed the action
  • Message: What happened, in the above case we have some logins and the patient that was merged.
  • Date created: The date this action happened, as well as the time.

If you ever need to confirm what has happened in Fydo, the Audit Log is the perfect place to check.

 

 




How to Create a Patient

To get started, head to the Patient menu, and click ‘Create Patient’

 

 

 

You will see the Patient Details screen, here we can enter relevant information such as: Name, Gender, Date of Birth, Address, Contact details, Medicare/DVA Numbers and Health Fund Membership.

 


Referring Details

The Referring Details section gives us a few options.

  1. Select a previous referral for this patient.
  2. Search for an existing doctor in Fydo to use.
  3. Create a new doctor.

Begin by searching for the doctor, either by Name or by Provider Number.

Select the doctor you need as the referral, then the date of the referral, and you are all set!

Don’t have the referring doctor in your system? Read below to see how to add them.


Adding a Referring Doctor

Click on the ‘Add Referring Doctor’ button to be taken to the doctor creation page.

Here we can enter any relevant details for the doctor. Things such as their:

  • Provider Number
  • Name
  • Practice Name (Optional)
  • Speciality
  • Contact Details (Optional)

 

When you are done, click the green Save button.


When you are done creating your patient, again click the green Save button.

All done! We have created our first patient.

 

To understand the importance of an Online Patient Verification, and how to do one yourself: Click Here




Deleting a Patient

From the Patient Screen, select the more actions drop down, then Delete Patient

You will see the confirmation box. If you wish to proceed, click Yes

Done! The patient has now been deleted.

You might also run into the following message when trying to delete a patient:

As the message states the patient may have one or more things stopping the deletion; things such as:

  • Outstanding Hospital Episodes
  • Appointments
  • Outstanding Invoices

If you wish to delete this patient, you will have to resolve any of the above issues first.


The Audit Log

The Audit Log, is a log that Fydo stores to keep track of which user has performed which action. In the case of a patient being deleted, we will be able to see which user has deleted the patient, as well as the patient’s details.

To access the Audit Log, first select Settings then Logs

This will take us to the Audit Log.

Here we will be able to see what has happened within Fydo.

In the above example, we can see the log on a patient that was deleted. This log shows us key information such as:

  • Username: The User who performed the action
  • Message: What happened, above we can see the patient was deleted; it displays the patients name and MRN
  • Date created: The date this action happened, including the time

If you ever need to confirm what has happened in Fydo, the Audit Log is the perfect place to check.