Practice Managers Manual - Irish Health Repository

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Manual Claims All claims must be posted to the Primary Care Reimbursement Service in time for deadline for payment as stated over. The top copy of the STC form is sent to the HSE – Primary Care Reimbursement Service for payment and the bottom copy (green) part is retained by the practice as evidence of claim. All codes must be entered correctly into the appropriate spaces provided. Manual claims can be sent to: The HSE – Primary Care Reimbursement Service, Exit 5 – M50, North Road, Finglas, Dublin 11. Manual STC Form Patients Name, address & Medical card details are entered here T, E,C or H Codes 6 Practice Managers Manual Patient’s signature / Guardian is entered here Time STC Claiming Date A,B,C,D,E Code S or D Codes E111 EHIC Patient details Special Services D,L,N or A Code
Electronic Claims Electronic claims can be made by making an application in writing to the HSE – Primary Care Reimbursement Service to receive a password and username. https://hse.sspcrs.ie/doctor Claims can then be processed via the internet by logging onto the following https://hse.sspcrs.ie/doctor The computer will prompt you to insert relevant codes https://hse.sspcrs.ie/doctor PCRS PCRS Practice Managers Manual 7
Page 1 and 2: Practice Managers Manual
Page 3 and 4: Contents Section 1: Claims Procedur
Page 5: The time that the patients consulta
Page 9 and 10: Fees and Allowances under Capitatio
Page 11 and 12: Fees and Allowances Payable Under C
Page 13 and 14: Fees and Allowances under the Fee-P
Page 15 and 16: Patients are deemed ineligible for
Page 17 and 18: Childhood Immunisation Claims Proce
Page 19 and 20: Medical Indemnity Refund Claims Onc
Page 21 and 22: Indicative Drug Budgeting Backgroun
Page 23 and 24: Health (Amendment) Act 1996 - Hepat
Page 25 and 26: Annual Leave The scheme provides fo
Page 27 and 28: Sick Leave The General Medical Serv
Page 29 and 30: Practice Support Subsidies - Patien
Page 31 and 32: Nurse Start Up Grant: A once off gr
Page 33 and 34: Medical Card Scheme and Doctor Visi
Page 35 and 36: The European Health Insurance Card.
Page 37 and 38: Drug Payments Scheme This scheme pr
Page 39 and 40: Maternity and Infant Care Scheme: T
Page 41 and 42: Dental & Orthodontic Services Servi
Page 43 and 44: Opthalmic Services Medical Card Hol
Page 45 and 46: Liaison Personnel - HSE Name Elaine
Page 47 and 48: HOSPITALS Hospital Telephone Number
Page 49 and 50: USEFUL NUMBERS ALBA Counselling Ser
Page 51 and 52: Practice Managers Manual 51
Page 53 and 54: Practice Managers Manual 53
Page 55: Practice Managers Manual 55

Practice Managers Manual - Irish Health Repository

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