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Important Invoicing Update

From 1 July 2018, MHS will cross-reference invoices against the names and separation dates of ADF personnel who are no longer serving with the ADF. Invoices for services and treatment provided after the date of separation will not be paid by MHS, or in turn the ADF.

We have become aware that in some instances, providers have invoiced Medibank’s Garrison Health Services for treatment provided to Australian Defence Force (ADF) personnel after their separation from the ADF.

As you may be aware, the ADF provides access to health services for Eligible Personnel (ADF personnel, reserve members serving on continuous full time service and other approved personnel) only. Once separated from the ADF, personnel may either cover their own healthcare costs or have their healthcare costs paid for by the Department of Veteran Affairs (DVA) for recognised conditions.

From 1 July 2018, MHS will cross-reference invoices against the names and separation dates of ADF personnel who are no longer serving with the ADF. Invoices for services and treatment provided after the date of separation will not be paid by MHS, or in turn the ADF. In some cases, healthcare services or treatment for certain specialty services for ADF personnel will still be paid by MHS under a valid Defence Approval Number (DAN), even after separation from the ADF. If this is the case, MHS or the ADF personnel will provide the DAN.

As current or former serving ADF personnel may not remember to advise you of their service status, we suggest that you proactively seek clarification. For example, you may want to ask some or all of the questions below:

Q1: Are you a current serving permanent ADF Personnel or reservist on continuous full time service of the ADF?

Q2: (if answer to Q1 is no): Have you been issued with a valid Defence Approval Number (DAN) for your treatment?

Q3: (if answer to Q1 and Q2 is no): Has your condition been referred to and accepted by DVA?

Q4: (if answer to Q3 is no): For your treatment today, you will be required to pay for services provided. How would you like to arrange for that?

If the answer to Q3 is yes, then you should follow normal processes regarding provision of treatment for DVA card-holders and making a claim.

Please remember to ensure you submit to GHS a correctly rendered invoice only for the services or treatment you provide to Eligible Personnel. If the patient is not an Eligible Personnel, you will need to discuss alternative payment options directly with them, as GHS will be unable to honour the invoice submitted. This will result in your invoice being rejected by GHS and returned to you for resolution directly with the former serving ADF personnel.

If you have any questions, please call the GHS Provider Support team on 1300 126 420 or email us at ghs.providerfeedback@medibank.com.au

 


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