Practice Managers Manual - Irish Health Repository

The time that the patients consultation took place needs to be entered into the following box, (see next page) the
consultation will be either Day Late or Night times. This is only required if claiming under the out of hours code.
D = Day between 8.00 – 20.00
L = Late between 20.00 – 24.00
N = Night between 24.00 – 8.00
A = Additional (more that one medical card patient seen on visit).
The last code box requires a code for the Special Service provided. This box is used if a patient’s consultation
requires a special service either during normal working hours or out of hours.
The claiming doctor is required to sign the form on the bottom left hand corner along with the practice stamp.
The final stage of the form requires information if the patient has been given a vaccination. All the correct
details should be entered into the correct place.
NOTE: The General Practitioner must have completed in the first instance a Special Type Services registration
form indicating the special services that he/she provides, which is submitted to the Primary Care Unit on
taking up the GMS contract. This form is then forwarded by the Primary Care Unit to the Primary Care
Reimbursement Service for their data base. If a claim is made by the General Practitioner for a service which
has not been registered the claim will be rejected.
GP Registration Forms for STC can be obtained from the Primary Care Unit.
GP Claiming Procedures
When claiming for an STC each category must be clearly entered into the appropriate spaces of the GP STC
claim form. A supply of STC claim forms can be obtained from the Primary Care Unit. The patient / patient’s
representative are required to sign the form.
There are two types of claiming procedure’s manual or electronic (see next page).
Claims should be submitted to the HSE – Primary Care Reimbursement Service before the 7th of each month
for payment on the 15th of the following month.
Claims received after the 7 th of the month will not be processed for payment until the following month.
The fee payable in respect of each STC is made up of a number of elements, which is why it is essential that
all details are filled in correctly on the claim form.
Practice Managers Manual 5