Medicare / CDBS Claiming in Dental4Windows

Medicare / CDBS Claiming in Dental4Windows

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

Activate Child Dental Benefit Scheme CDBS

Dental4Windows has the functionality to process CDBS claims electronically; however, the surgery must be registered with Medicare to utilise this scheme. None of the CDBS requirements or procedures are enforced or created by Centaur Software. For information on the Child Dental Benefits Schedule, please contact Medicare Australia.

Instructions change depending on the build of D4W. Check via the Help menu > About.

Build 3403 or Higher Activation

This action creates the necessary items, charting operations, fee level and health fund insurance details automatically when the feature is activated.

  1. Go to Location Setup > Items
  2. Record menu > Setup Child Dental Benefits Schedule
  3. Read the information provided in the Setup Child Dental Benefits Schedule window
  4. Click Yes to proceed or No to cancel
  5. Another window will appear once the activation is complete
  6. Click OK
  7. Close Dental4Windows and reopen for the CDBS features to appear

Build 3376 or Lower Activation

If you are on a current Support and Maintenance contract, please contact support@centaursoftware.com.au to activate the scheme.

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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