Medicare / CDBS Claiming in D4W

Medicare / CDBS Claiming in D4W

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Claim via bulk bill, part paid, fully paid and enter payment with CDBS. 

Child Dental Benefit Scheme - Claim via Bulk Bill

The following instructions relate to claiming Child Dental Benefit Scheme (CDBS) via Bulk Bill, linked to a terminal. Note that the Rebate column in Treatment tab shows the maximum Medicare Benefit for each item and unless manually updated each time a change occurs, they may be incorrect. To check a patient’s benefit cap balance, refer to Medicare. 

InfoIt is recommended each CDBS patients' file is Setup Patient File for CDBS

  1. Go to Patient Records > Treatment tab
  2. With the CDBS items entered, go to Itemised Invoices menu > New Invoice Only / F2       
    1. Main Responsible Party: Insurance
    2. Send to: Child Dental Benefit Scheme
    3. Click Medicare

      1. Claim Type: Bulk Bill
      2. Referral Override: Not Applicable
      3. Click Submit

    4. Within the Create Itemised Invoice window, click Save

Child Dental Benefit Scheme - Claim via Part Paid

The following instructions relate to claiming Child Dental Benefit Scheme (CDBS) via Part Paid method, linked to a terminal. Note that the Rebate column in Treatment tab shows the maximum Medicare Benefit for each item and unless manually updated each time a change occurs, they may be incorrect. To check a patient’s benefit cap balance, refer to Medicare. 

InfoIt is recommended each CDBS patients' file is Setup Patient File for CDBS
  1. Go to Patient Records > Treatment tab
  2. With the CDBS items entered, process a partial payment from the patient via usual methods
  3. Once the treatment has been partially paid, go to Invoices tab
  4. Select the relevant invoice to claim
  5. Invoices menu > Medicare Claim

    1. Claim Type: Part Paid
    2. Referral Override: Not Applicable
    3. Click Submit

Child Dental Benefit Scheme - Claim via Fully Paid

The following instructions relate to claiming Child Dental Benefit Scheme (CDBS) via Fully Paid method, linked to a terminal. Note that the Rebate column in Treatment tab shows the maximum Medicare Benefit for each item and unless manually updated each time a change occurs, they may be incorrect. To check a patient’s benefit cap balance, refer to Medicare. 

InfoIt is recommended each CDBS patients' file is Setup Patient File for CDBS
  1. Go to Patient Records > Treatment tab
  2. With the CDBS items entered, process a payment from the patient via usual methods
  3. Once the treatment has been paid, go to Invoices tab
  4. Select the relevant invoice to claim
  5. Invoices menu > Medicare Claim

    1. Claim Type: Fully Paid
    2. Referral Override: Not Applicable
    3. Click Submit

Child Dental Benefit Scheme - Claim via Unpaid

The following instructions relate to claiming Child Dental Benefit Scheme (CDBS) via Unpaid method, linked to a terminal. Note that the Rebate column in Treatment tab shows the maximum Medicare Benefit for each item and unless manually updated each time a change occurs, they may be incorrect. To check a patient’s benefit cap balance, refer to Medicare. 

InfoIt is recommended each CDBS patients' file is Setup Patient File for CDBS
  1. Go to Patient Records > Treatment tab
  2. With the CDBS items entered, go to Itemised Invoices menu > New Invoice Only / F2       
    1. Main Responsible Party: Insurance
    2. Send to: Child Dental Benefit Scheme
    3. Click Medicare

      1. Claim Type: Unpaid
      2. Referral Override: Not Applicable
      3. Click Submit

      4. Within the Create Itemised Invoice window, click Save

Child Dental Benefit Scheme - Enter Payment

When a Child Dental Benefit Scheme (CDBS) payment is received, it should be entered against the relevant patient(s). If the payment covers multiple patients, it will be entered as one following the below instructions. 

  1. Go to Patient Records > Receipts tab
  2. Receipts menu > New Receipt / Click icon 
    1. Payment from: Insurance, Child Dental Benefit Scheme
    2. Amount: Enter the total amount received
    3. Payment Type: Enter the method the payment was received via
    4. Autoallocate Payments: Remove the tick
    5. Amount Paid: Enter the amount paid per patient
    6. Click Create

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