Set up billing for Ireland public healthcare

Practices located in Ireland can set up patient billing for public healthcare using the Medical Card and GP Visit Card preset funders.

These preset funders allow you to set up your fees while automatically configuring your invoices with relevant information. This means all you need to do is add fees to appointments, add your practitioner identification, and set up the patient claim details.

In just a few clicks, the appointment invoice automatically configures all the necessary information for you.

Note

This article outlines how to set up billing for patients eligible for Ireland's public healthcare. For patients under private health insurance, see our article on private health billing.

The public health billing setup checklist

This checklist outlines what you need to do to set up your practice billing.

For step-by-step guides for each of these checklist items, refer to the subsequent sections in this article.

Task

What it does

Details

  • Set up your public healthcare fees

  • Adds your public health services to your practice group

  • Automatically sets up the correct billing and claim structure in invoices that contain public healthcare fees

Where to set up: When creating appointments

You only need to set up each fee once. It can be reused for future appointments and invoices.

  • Set up the patient claim

  • Verifies the patient's eligibility for coverage with public healthcare in Ireland

  • Automatically adds the patient's medical card or GP visit card details to their appointment invoices that contain public healthcare fees

Where to set up: Calendar appointment

You only need to set up each patient's claim once.

  • Add your required identification

Sets up your required IDs to automatically populate in invoices.

Where to set up: Appointment invoice

You only need to add your identification once per practice location per location.

When all your requirements are in place, your invoices containing public health fees are automatically set up with all relevant information.

Set up your fees for public healthcare

This step adds your fees and service to your practice. This step can be done as needed when creating patient appointments.

  1. On the calendar, click on a timeslot to create a patient appointment.

  2. For Fees, enter the name of the service you are providing, then click it in the dropdown to add it as a new fee.

  3. In the pop-up, configure the fee:

    Billing-IE-01.png
    • Funder: The funder you select depends on what card the patient has. (Note: You'll only need to import a funder once. If you've already imported a funder, you can just select it in the dropdown.)

      • Medical card: Type Medical Card, then click Import Medical Card - PCRS in the dropdown.

      • GP visit card: Type GP Visit, then click Import GP Visit Card - PCRS in the dropdown.

    • If you are receiving payments by capitation, you can leave Amount and Rebate at 0.00.

    • (Optional) Configure any other details for your fee as needed. (For a complete guide to fee details, see this article.)

  4. Click Add Fee. This service has now been saved to your practice and can be reused in new appointments.

  5. In the appointment panel, click Save to create the appointment and automatically generate the invoice. (In the newly created appointment, click Invoice to open it.)

You have successfully added your fee - and also created an appointment, clinical note and invoice.

Tip

If you want to set up all your fees and services without needing to create appointments, you can also import them from the Fees List.

Note

You must create separate fees for medical card and GP visit cardholders under their respective funders.

Set up the patient claim

This step adds the patient's claim identification, which verifies their eligibility for coverage with Ireland's public healthcare. This step can be done as needed when creating patient appointments.

  1. From the patient's appointment on the calendar, under the claim section, click the Icon-Edit.svg pencil icon.

    Billing-IE-02.png
  2. In the pop-up, enter the patient's details for their claim:

    • Medical / GP visit card number

    • Card type

    • PPSN

    • Doctor Name

    • Panel Number

  3. Click Save.

  4. If required, click Add Referral to enter the patient's referral details.

The claim is added successfully to the patient's profile and any of their appointment invoices that contain any of your public health fees.

Tip

If you want to set up your patient's claim without creating an appointment, you can enter their claim in the Funding tab of their profile.

Add your required identification

This step sets up your practitioner identification, which will appear on any invoice containing your public health fees.

  1. From the patient's appointment on the calendar, click Invoice.

    Halaxy Invoice
  2. Under the Practitioner Details section, under Identification, click the Icon-Edit.svg pencil icon.

    Billing-IE-03.png
  3. In the pop-up, enter your identification:

    • Medical Council Registration Number

    • Doctor Number (PCRS)

  4. Click Save.

  5. (Optional) If you haven't entered your practice address yet, next to Practitioner Details, click Edit to set up your practice details.

You have successfully added your identifications for this funder. Whenever you create an invoice with your public health fees, your identifications are automatically displayed on the invoice.

If you've completed all these steps, all you need to do is create appointments with your public health fees, and your invoices are automatically set up with the correct information.

Updated

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