Alyssa Lane
Eclipse is an insurance agency that provides a range of insurance products and services, including health insurance, billing, and payment processing. They offer customised risk programs, independent insurance coverage, and tailored solutions for businesses and individuals. To enter insurance payments in Eclipse, users can refer to the getting started guides and video tutorials available on the Eclipse website. These resources cover topics such as scheduling appointments, billing, payment entry, fee slip setup, and reporting services and credits by patient. Additionally, Eclipse provides personal assistance from experienced agents to help customers navigate the complexities of insurance and ensure they understand their coverage and claims process.
| Characteristics | Values |
|---|---|
| Type of Software | Practice Management Software |
| Purpose | Scheduling appointments, billing, payment entry, fee slip setup |
| Features | Pop-up windows, patient record, multiple cases for each patient, etc. |
| Related Software | Medicare, Halaxy |
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What You'll Learn
Entering patient details
ECLIPSE (Electronic Claim Lodgement and Information Processing Service) is a practice management software that has been used daily in thousands of locations across the United States for over 30 years. It is used for billing, scheduling, EHR (electronic health record), daily notes, alerts, claims, security, and reporting.
To get started, you will need a list of all health funds for Eclipse Billing. You can create your own quote and invoice templates or use the default invoices provided. Select the appropriate letter templates for in-patient quotes and invoices, and select 'Yes' for 'Include Referral for Medicare Billing'. This setting will ensure that a referral is required for each claim submitted, preventing unnecessary claim rejections.
Once you have set up your quote and invoice templates, you can connect your Health Funds for Eclipse Billing. Select a claim type and enter your Fund Payee ID and the Max Known Gap. You do not need to enter information for funds that your provider does not have an agreement or scheme with.
ECLIPSE offers several resources to help users, including a Help Desk with links to documents and short videos. These videos cover topics such as scheduling appointments, setting up days and times for providers, billing, payment entry, and fee slip setup.
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Scheduling appointments
To begin scheduling appointments, you can set up your company policies, schedules, rates, services, providers, and customer information within the Eclipse system. This platform is accessible on all web and mobile devices, providing convenience and flexibility for your operations.
Once your basic information is in place, you can start scheduling appointments. Eclipse allows you to connect with consumers through internal video and voice-calling features, accessible from any internet-enabled device. This makes it convenient for both your team and your customers to schedule and attend appointments remotely.
To optimize your scheduling process, Eclipse offers a range of features. You can embed a provider application into your website to interview, screen, and onboard new interpreters or caption providers. Automating provider payroll saves time, and providers can conveniently access their records through a secure portal. Managing provider credentials and certifications is simplified with a smart library that notifies providers about soon-to-expire documentation.
Additionally, Eclipse's mobile app empowers providers to manage their schedules, respond to requests, get directions, check into appointments, and message coordinators directly from their mobile devices. This level of accessibility ensures a seamless experience for both your team and your customers.
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Setting up billing
Firstly, it is important to note that Eclipse is an extension of Medicare online claiming. This means that medical specialists and GPs can submit in-hospital claims with private health insurers. To use Eclipse, you will need to set up an account with a verified profile. You can activate Eclipse for practitioners who will be lodging claims. This is a paid feature, so you will need to add a credit card for billing.
Now, for the billing structure setup. Click on "Finances" and then "Fees". Click on the "Funders" tab and then, in the top right corner, click on "Add Funder". Type "Private Health Insurance" in the Lookup field and select it from the dropdown menu. This step is crucial as it ensures that the correct billing structure is followed. Next, under "Payments", make sure that "Payer" is set to "Patient". This is because private health insurance claims must be billed to the patient. Click "Save", and you have successfully set up the billing structure.
Additionally, you will need to add your Medicare provider number for each hospital location. To do this, click on "Finances" and then "Fees" again, and then click on the "Identifications" tab. In the top right corner, click "Edit". Enter your Medicare provider number in the "Private Health Insurance" row. If you are lodging claims from multiple locations, be sure to enter the IDs for each location.
For billing agent setup, you can follow these steps: navigate to the Eclipse settings from the "Get Paid" page and scroll down to the "Eclipse claiming attributes". Select the "Billing Agent" tab, where you can enter their name and registration number. Remember, only registered billing agents with an approved Medicare Billing Agent Provider Number should be set up for Eclipse claims.
Lastly, Eclipse also offers Simplified Billing, which reduces the number of accounts a patient receives after hospitalisation. Hospitals or billing agents can submit claims to receive both the Medicare benefit and private health insurer gap payment. This means the patient only pays one out-of-pocket expense.
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Payment entry
This answer will explain how to enter insurance payments in Eclipse, a practice management software.
Firstly, it is important to note that Eclipse requires that a patient's Workers' Comp injury is billed and tracked separately from their chronic condition. This means creating a new case and entering separate diagnoses, insurance companies, etc.
Now, to the payment entry. Eclipse has a Help Desk that provides videos and guides to help users with payment entry. These videos cover topics such as billing, payment entry, and fee slip setup.
To set up Eclipse online claiming, follow these steps:
- Enter your Medicare provider number if your health fund doesn't issue this. Click Save.
- Repeat for every health fund where you are a registered provider.
- Check your bank account details. The Eclipse claim rebate is automatically paid to the bank account registered to your Fund Payee ID/Provider Number.
- For a Private Health Insurance funder, click Finances > Fees, then click the Identifications tab and enter your Medicare provider number.
To enter a patient's claim details, you can do so in two ways:
- From the calendar: Under Private Health Insurance Claim, click the pencil icon.
- From the invoice: Under the Patient Details section, under Private Health Insurance Claim, click the pencil icon.
- In the pop-up, configure the patient's claim by entering the paying organisation (the patient's health fund) and the invoice schedule (optional).
This will ensure that insurance payments are entered correctly in Eclipse.
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![Eclipse (09) by Meyer, Stephenie [Paperback (2009)]](https://m.media-amazon.com/images/I/21k1yjTQSEL._AC_UL320_.jpg)
Fee slip setup
ECLIPSE Practice Management Software provides a range of videos to help users get started with the platform. One of the available topics is fee slip setup, which is covered alongside billing and payment entry.
To set up fee slips, personal information about the patient must be entered, including their name, address, ID#, phone numbers, date of birth, social security#, sex, marital status, start date, referral information, and mailing label status. This information is part of the main patient record.
Each patient can have multiple cases, which are independent of each other. For example, if a patient has a chronic condition and also sustains an injury in a car accident, these can be treated as separate cases. For each case, you can enter diagnoses, insurance companies, and other relevant information.
Having separate cases for each condition can simplify the billing and tracking process, as each case can be billed and tracked independently, rather than having duplicate patient files. This means that if a patient's address changes, it only needs to be updated in one place, and office personnel do not need to remember which ID# refers to which injury.
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Frequently asked questions
You can set up Eclipse online claiming by entering your Medicare provider number and saving it. Repeat this step for every health fund where you are a registered provider.
To enter insurance payments in Eclipse, you can either go to the calendar and click on the pencil icon under Private Health Insurance Claim or go to the invoice and click on the pencil icon under the Patient Details section. After this, you can configure the patient's claim.
You can set up the invoice schedule by selecting a schedule for collating fees onto a single invoice at a specified frequency, such as weekly or monthly.
To add a new case for a patient, enter the patient's name, address, ID#, phone numbers, date of birth, social security#, sex, marital status, start date, referral info and mailing label status. Then, add the relevant diagnoses, insurance companies and any other information that is needed.
![The Eclipse [Blu-ray]](https://m.media-amazon.com/images/I/81wSQYAIlJL._AC_UL320_.jpg)
