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Medicare & Health Fund fee schedule updates - 5 July 2021
Posted by Sinclair Hughes on 05 July 2021 01:07 PM

Further Health Fund fee schedules have been made available for us to provide to you. A list of the Health Funds that are available to use in the Incisive application, with the date of their latest fee schedule, is available from this link.

These are BUPA, CBD Benefits Fund (Cessnock) and Medibank Private.  Please note that NIB have provided their fee schedule on a provisional basis which is expected to change.  They have asked that you do not submit claims to NIB until you are notified.  

DVA have not yet made available their fee schedule.

Incisive are not permitted to distribute the AMA recommended rates as it is a licensed product from AMA.  However we can assist to update your private fees if you are licensed and have available a spreadsheet file of the AMA rates.

Click on the following link to view the full list of item changes from Medicare:

To download and import the new Medicare and Health Funds rates file:

  1. Log into SPM using a login that has permissions to access the Import option in Utilities.  
  2. Go to Utilities > Import -> Health Fund rates 
  3. Click on the button 'Download Rates.Aus file'.  Accept the default values and click on Go.
  4. When that has finished click Close and then choose 'Import Rates.Aus'

The import process could take 15-20 minutes and can be completed while other staff are still using SPM - although as it may cause some slow-down the import process should ideally be performed when no-one is using SPM.

When a small message box appears saying that the import has been successful you can exit by clicking on the Cancel button.