Adding a Claim Discount - APAC

How to add discounts to a claim

A
Written by Anke Michalik
Updated over a week ago

This new feature will allow users to enter a total discount or individual line discounts as part of the claim workflow but before any payments are made. There are 3 discount options to choose from:

  • No discount changes – no discounts are applied

  • Apply total discount – a total discount value is added and allocates it to each line item

  • Apply line discount – a discount is added to each line item

The claim

To add discounts, follow the claim process as normal Health Fund Claiming - APAC. Once HICAPS has returned the result, the screen below will display. The blue highlighted area is where you can select the type of discount you want to apply. The default will always be "No discount changes"

Adding a discount

Select the dropdown next to "No discount changes" and select one of the other options:

  • Apply total discount – a total discount value is added and allocates it to each line item

  • Apply line discount – a discount is added to each line item The user must select one of the following options from the dropdown:

Information icon:

Please note the information icon next to the "Discount" field. No discounts can be applied to treatments that are from a paid or partially paid invoice

Adding a discount - Apply total discount

When selecting "Apply total discount" you will notice a "Discount" column and a "Total discount" input field

You can add the full gap amount or a partial discount amount into the "Total discount" field. The amount added will be applied proportionately across the line items

Adding the full gap amount example

The discounted amount is added proportionately across the line items and the amount due is $0.00

Adding a partial discount example

The discounted amount is added proportionately across the line items and the amount due will be the difference that the patient needs to pay.

Adding negative amounts

Negative amounts cannot be entered, the error message below will display. Adjust the input to a positive value to continue

Adding amounts greater than the gap amount

Discount amounts can only be equal to or less than the gap amount. Adding a bigger discount than the gap amount will display an error. Adjust the amount to continue

If you go back to "No discount changes" and then back to "Apply total discount", the last input will be remembered but the allocated discount values will be reset to $0.00

Original input amount

Change to "No discount changes"

Change back to "Apply total discount"

The original input amount is remembered, but the allocation is removed for the user to re-confirm or change

Adding a discount - Apply line discount

This follows the same principle as the "Apply invoice discount" except the user can now apply a discount to a specific treatment line item without affecting any of the other treatments line items.

When selecting "Apply line discount" you will notice a "Discount" column only is shown

In the example below, a $10 discount has been applied to the first line and the full gap discount has been applied to the third line. The second line is unaffected.

The same error messages as per "Apply invoice discount" apply:

Adding negative amounts

Negative amounts cannot be entered. Adjust the input to a positive value to continue

Adding amounts greater than the gap amount

Discount amounts can only be equal to or less than the gap amount. Adding a bigger discount than the gap amount will display an error. Adjust the amount to continue.

Also, as per the "Apply invoice discount" process, if you go back to "No discount changes" and then back to "Apply line discount", the allocated discount values will be reset to $0.00

Original input amount

Change to "No discount changes"

Change back to "Apply line discount"

The allocation is removed

No discount applied

If you don't apply any discounts and select "Finish", an error message will display. This is a prompt to make sure the user does not want to apply any discounts as no discounts can be applied after this point.

Select "No" to go back to apply discounts

Select "Yes" to Finish

Note: If you have added or amended any discounts in the claim screen, then this message will not display.

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