Online Maternity Claiming User Guide

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1 Online Maternity Claiming 2007 User Guide

2 Contents Contents About this Document... iv Document Conventions...iv Acronyms, Abbreviations, and Definitions...iv Document History...vi 1 Introduction Purpose Online Maternity Claiming Claimable Services Data Entry Standards Field Formats and Validations Mandatory Information Error Messages Getting Started To log into the Online Maternity Claiming system: Online Maternity Claiming Log In screen buttons List Women Current Women/Caregivers List Online Maternity Claiming Current Women/Caregivers Command Buttons Woman/Caregiver Summary To complete the Woman/Caregiver Summary screen Online Maternity Claiming Woman/Caregiver Summary Command Buttons Add/Edit Woman/Caregiver Details To complete the Woman/Caregiver Details screen Online Maternity Claiming Woman/Caregiver Details Command Buttons Registration with an LMC To complete the Registration with an LMC screen Online Maternity Claiming Registration with an LMC Command Buttons LMC 1 st /2 nd Trimester Claim To complete the LMC 1 st /2 nd Trimester screen Online Maternity Claiming LMC 1 st /2 nd Trimester Command Buttons LMC 3 rd Trimester Claim To complete the LMC 3 rd Trimester screen Online Maternity Claiming LMC 3 rd Trimester Command Buttons LMC Labour and Birth Claim To complete the LMC Labour and Birth screen Online Maternity Claiming LMC Labour and Birth Command Buttons LMC Services Following Birth Claim To complete the LMC Services Following Birth screen Online Maternity Claiming Services Following Birth Command Buttons Online Maternity Claiming 2007: User Guide ii

3 Contents 12 Non-LMC 1 st Trimester Claim To complete the Non-LMC 1 st Trimester screen Online Maternity Claiming Non-LMC 1 st Trimester Command Buttons Non-LMC Services Claim To complete the Non-LMC Services (for Mother) screen Online Maternity Claiming Non-LMC Services (for Mother) Command Buttons To complete the Non-LMC Services (for Baby) screen Online Maternity Claiming Non-LMC Services (for Baby) Command Buttons Pending Claims for Submission To complete the Pending Claims for Submission screen Online Maternity Claiming Pending Claims for Submission Command Buttons Previous Submissions Online Maternity Claiming Previous Submissions Command Buttons Single Service (2002) To complete the Single Service (2002) screen Online Maternity Claiming Single Service (2002) Command Buttons Register as LMC (2002) To complete the Register as LMC (2002) screen Online Maternity Claiming Register as LMC (2002) Command Buttons Second/Third Trimester Module (2002) To complete the Second/Third Trimester Module (2002) screen Online Maternity Claiming Second/Third Trimester Module (2002) Command Buttons Labour and Birth (2002) To complete the Labour and Birth (2002) screen Online Maternity Claiming Labour and Birth (2002) Command Buttons Services Following Birth Module (2002) To complete the Services Following Birth Module (2002) screen Online Maternity Claiming Services Following Birth Module Command Buttons Appendix 1 Ethnicity Values iii

4 About About this Document This document describes how to submit maternity claims to HealthPAC using the Online Maternity Claiming (OMC) system. It covers claims under the 2002 S88 Notice and the Primary Maternity Services Notice All data relating to Maternity Providers and patients (Registration Numbers, Payee and Agreement Numbers, NHI Numbers, Names) within this document is fictional. Document Conventions In this document s text: All references to software features (buttons, fields, check boxes) are in bold. Acronyms, Abbreviations, and Definitions The following table lists the definitions, acronyms, and abbreviations used in this document. Additional Postnatal Visits Artificial Feeding Birthing Unit The fee payable to maternity providers if they have provided more than 12 postnatal visits to the mother and baby as part of the services following birth. The baby has had no breast-milk in the past 48 hours but has had alternative liquid such as infant formula with or without solid food in the past 48 hours. A facility that provides birthing unit services in accordance with the service specification for birthing unit services available from the Ministry of Health. Caregiver In relation to a baby, - a) means the person who has the primary responsibility for the day to day care of the baby, other than on a temporary basis; but b) does not include the mother of the baby Domicile Code EDD Exclusive Breastfeeding First Birth The four digit code assigned to regional areas throughout New Zealand for Rural Travel payments made under the 2002 S88 Maternity Notice. Appendix VI of the 2002 S22 Maternity Notice contains all Domicile Codes that are eligible for Rural Travel fees, along with the Rural Travel classification they are entitled to. Estimated Date of Delivery means either the estimated date of delivery of the baby or the actual date of the delivery of the baby. To the mother s knowledge, - a) the infant has never had any water, formula or other liquid or solid food; and b) only breast-milk, from the breast or expressed, and prescribed medicines, defined as per the Medicines Act 1981, have been given to the baby from birth A woman has not previously experienced a birth. First Trimester The period from the LMP date until the end of the fourteenth week of pregnancy (1-12 weeks after conception). Online Maternity Claiming 2007: User Guide iv

5 About Fully Breastfeeding Gravida Home Visit Homebirth Hospital Midwifery Services Inpatient Postnatal Care Labour and Birth (Rural Support) LMP Maternity Provider NHI Number Parity Partial Breastfeeding Pending Claims Previous Submissions Rural Area Unit Classification Code Rural Travel Second Trimester The infant has taken breast-milk only, no other liquids or solids except a minimal amount of water or prescribed medicines, in the previous 48 hours The total number of pregnancies the woman has experienced including the current one (for example, a woman who has had one prior pregnancy, and is currently pregnant, is designated Gravida 2 ). A postnatal domiciliary consultation between the woman and baby and a practitioner at a) the home where the woman and baby is domiciled; or b) a maternity facility where the woman has been discharged as an inpatient but the baby remains as an inpatient a) A birth that takes place in a person s home and not in a maternity facility or birthing unit; or b) A birth for which management of the labour commences at home and there is a documented plan to birth at home The midwifery component of labour and birth, and postnatal care provided by a DHB employed midwife where the LMC is a general practitioner or obstetrician. The 24 hour care a woman and baby receives if the woman remains in the maternity facility for 12 hours or more after the birth. The labour and birth support provided by a non-lmc practitioner to women in rural areas. Last Menstrual Period date means the estimated or actual date of the beginning of the woman s last menstrual period. An organisation or an individual that provides primary maternity services. National Health Index Number means the unique person identifier number allocated by the New Zealand Health Information Service. The number of times a woman has borne children counting multiple births as one and including stillbirths. The infant has taken some breast-milk and some infant formula or other solid food in the past 48 hours. Claims that have been completed by the user, but have yet to be submitted in an Online Maternity Claiming claim file. Pending Claims are editable prior to claim submission. Claims that have been submitted by the user in an Online Maternity Claiming file. Previous Submissions are not editable. The six digit code assigned to regional areas throughout New Zealand. Schedule 2 of the Primary Maternity Services Notice 2007 contains all area units that are eligible for Rural Travel fees, along with the Rural Travel classification they are entitled to. The fees payable to maternity providers that provide services following birth to woman who are resident in the areas listed in Schedule 2 of the Primary Maternity Services Notice The period of pregnancy from the beginning of the 15 th week until the end of the 28 th week of pregnancy. v

6 About Subsequent Birth Third Trimester Urgent Normal Hours Pregnancy Care Urgent Out of Hours Pregnancy Care Urgent Postnatal Care VBAC A woman has previously experienced a birth (excluding a vaginal birth after caesarean section). The period of pregnancy from the beginning of the 29 th week of pregnancy until established labour. Care provided to a woman on a casual basis during the hours of 8am and 6pm on weekdays, excluding public holidays, where she is unable to attend either her enrolling general practice (in the 1 st trimester) or her registering LMC (in any trimester). Care provided to a woman on a casual basis during the hours of 6pm and 8am on weekdays or at all times on weekends and public holidays, where she is unable to attend either her enrolling general practice (in the 1 st trimester) or her registering LMC (in any trimester). Urgent care provided on a casual basis to a woman or baby who is away from their usual place of residence. Vaginal Birth After Caesarean section means a vaginal birth for a woman who has had a previous birth by caesarean section and who has not had a previous vaginal birth. Table 1 Acronyms, Abbreviations, and Definitions Document History Name Action Date Davina Payne Author 06/06/2007 Content Review vi

7 Introduction 1 Introduction 1.1 Purpose This document describes how to use HealthPAC s Online Maternity Claiming system to claim for Maternity services under both the 2002 S88 Notice and the Primary Maternity Services Notice It contains examples of all Maternity screens, and defines processes to be followed to successfully submit a Maternity claim for payment. The information required to complete claims in the Online Maternity Claiming system mirrors the information requested on HealthPAC s manual claim forms, and fulfils the requirements of the 2002 S88 Notice and the Primary Maternity Services Notice For clarification on any contractual requirements or obligations, the Primary Maternity Services Notice 2007 and the Primary Maternity Services Notice 2007 Guide should be read in conjunction with the using the Online Maternity Claiming system. 1.2 Online Maternity Claiming The Online Maternity Claiming system allows Maternity Providers to submit claims for both the 2002 S88 Notice and the Primary Maternity Services Notice Claims can be completed for both Notices during one session, however the user will need to stipulate which Notice the claim is being made under, and the system will send two separate files to HealthPAC. From 1 July 2008, Maternity Providers will no longer be able to submit claims for the 2002 S88 Notice via the Online Maternity Claiming system. The Online Maternity Claiming system allows entry of service details for any number of Women/Caregivers in any session. Claims can be completed but not submitted, instead being put into Pending Claims status. Pending Claims remain editable until they have been submitted as part of a claim file to HealthPAC. Users are also able to see their 10 most recent Previous Submissions. Claims that have already been submitted are not able to be edited. If a user wishes to make changes to a claim that has already been submitted, they need to resubmit a new claim for the service. In order to begin claiming via this system Maternity Providers must first request to be activated as an Online Maternity Claimant. Request forms for Online Maternity Claiming can be obtained from HealthPAC s Contact Centre by phoning Online Maternity Claiming is currently only available to users with a Dial Up Connection. Online Maternity Claiming 2007: User Guide 1

8 Introduction 1.3 Claimable Services The following Maternity Services are claimable using the Online Maternity Claiming system: Primary Maternity Services Notice 2007 Registration with an LMC LMC 1 st /2 nd Trimester Claim LMC 3 rd Trimester Claim LMC Labour and Birth Claim LMC Services Following Birth Claim Non-LMC 1 st Trimester Claim Non-LMC Services Claim 2002 S88 Maternity Notice Single Service Register as LMC Second/Third Trimester Module Labour and Birth Services Following Birth Module 2

9 Data Entry Standards 2 Data Entry Standards This Chapter describes functionality common to all areas of the Online Maternity Claiming system. 2.1 Field Formats and Validations Where one of a number of options can be selected for a field, Radio Buttons are used. To select the option you require, the Tab key can be used until you reach the option you require, or the Mouse can be used to click in the Radio Button of the correct option. Drop Down Boxes are used where numerous options can be selected for a field. A Drop Down Box is used to select the service type the user wishes to complete for a Woman/Caregiver, and on 2002 service screens. To select the required option from a Drop Down Box, click the Mouse on the down arrow to the right of the Drop Down Box and then click on the service you require. Navigation through fields is either by use of the Mouse or the Tab key. Tab sequence runs from left to right and from top to bottom, with action buttons included in the Tab sequence. Dates can be entered by the user in the following formats: d/m/(cc)yy d mmm (cc)yy d m (cc)yy ddmm(cc)yy Once the information entered by the user is saved, all date fields are converted and displayed in dd/mm/ccyy format. Times can be entered by the user in the following formats: 15: :03 pm Once the information entered by the user is saved, all time fields are converted and displayed in 24 hour clock format e.g. 3:03pm will show as 15: Mandatory Information All fields that are considered mandatory for a claim to be submitted to HealthPAC are identified with a red asterisk next to the field. Claims cannot be submitted to HealthPAC without this information being provided by the user. Where further information becomes mandatory due to the options the user selects on a claim screen, fields to capture this information become visible to the user. Completion of these fields in mandatory in order to successfully submit the claim. Online Maternity Claiming 2007: User Guide 3

10 Data Entry Standards 2.3 Error Messages Where information entered by the user does not meet the required format for that field, Error Messages are generated by the system. Examples of situations where an error message will appear are: Numbers Character Type Date NHI Number If the value is not an integer, or is a negative number, the error message This is not a valid <Field Label> appears. If the value contains a character not meeting standard characters, the error message Sorry, only alphabetical letters (without accents), numbers and simple punctuation are allowed appears. Standard characters include numbers, letters contained in the alphabet and hyphens. If the value is not a calendar date, the error message This is an invalid date appears. If the date is before 1900 or after next year, the error message Sorry, only dates between 1900 and next year are allowed appears. If the format of the NHI Number is incorrect, the error message This is an invalid NHI Number appears. Incorrect NHI Number formats include numbers that do not meet the standard ABC1234 format, or that contain the letters I or O. 1 Validation of field information is performed as the user saves the information they have completed for a claim. If there are issues with the information, a message stating This form contains invalid information, marked in red below. Please review, and save the form again is displayed at the top of the screen. Each invalid field is highlighted, and further messages are displayed near each invalid field explaining what is wrong. Errors relating to validation of the actual information supplied on the form (e.g. NHI Numbers, Business Rules) are not generated until the file is submitted to HealthPAC. 1 Please phone if you need assistance with the NHI 4

11 Getting Started 3 Getting Started Prior to claiming using the Online Maternity Claiming system, Maternity Providers need to advise HealthPAC of their interest by calling the Contact Centre on HealthPAC will send an Introduction to Online Maternity Claiming document and an Online Maternity Claiming questionnaire to the provider. Maternity Providers should complete this questionnaire, return it to HealthPAC and await notification of user details and connection guidelines for the Online Maternity Claiming system. Once the guidelines have been followed, Maternity Providers are able to access the Online Maternity Claiming system and begin submitting claims to HealthPAC. Figure 1 Online Maternity Claiming Log In screen 3.1 To log into the Online Maternity Claiming system: 1 Enter the unique Username provided to you by HealthPAC. 2 Enter the unique Password provided to you by HealthPAC 3 Click on the Log In button to take you to your Current Women/Caregivers list. 3.2 Online Maternity Claiming Log In screen buttons Log In Navigates the user to their Current Women/Caregivers list. Online Maternity Claiming 2007: User Guide 5

12 Woman List 4 List Women This page acts as the Online Maternity Claiming (OMC) System home page and is the first screen to appear when you log into the OMC application. It contains summary information for all Women/Caregivers that have been entered for the Maternity Provider. The Current Women/Caregiver list is ordered alphabetically by NHI Number. Figure 2 Current Women/Caregivers screen 4.1 Current Women/Caregivers List The Current Women/Caregivers screen provides the following information for each woman/caregiver: NHI Number Name (including any Previous Names belonging to the woman/caregiver) Date of Birth of Woman/Caregiver EDD (if available) This information is taken from data entered by the user in the Maintain Woman/Caregiver Details screen. The Current Women/Caregivers screen enables the user to move to other screens within the Online Maternity Claiming system. The list below identifies tasks that can be initialised using the Command Buttons on this screen. Further detail of each button is provided in 4.2 Online Maternity Claiming Current Women/Caregivers Command Buttons. Review all claims completed but not submitted to HealthPAC (Pending Claims). Review the 10 most recent Previous Submissions to HealthPAC. Add a new Woman/Caregiver to your list. View the Woman/Caregiver Summary for each woman/caregiver. Delete a woman/caregiver from your records. Log out of the Online Maternity Claiming system. Online Maternity Claiming 2007: User Guide 6

13 Woman List 4.2 Online Maternity Claiming Current Women/Caregivers Command Buttons Pending Claims Previous Submissions Log Out Add View Delete Navigates the user to the Pending Claims for Submission screen to review and/or submit all claims pending in this session for this Maternity Provider. Navigates the user to the Previous Submissions screen to view the 10 previous claim submissions for this Maternity Provider. Closes down this session of the Online Maternity Claiming system for this Maternity Provider. Navigates the user to the Maintain Woman/Caregiver Details screen to add the details of a new Woman/Caregiver to the Woman Summary. Navigates the user to the Woman/Caregiver Summary screen for this Woman/Caregiver. Woman/Caregiver details can be edited from the Woman/Caregiver Summary screen. If there are pending claims for this Woman/Caregiver, warns the user There are pending claims for <SURNAME>, <firstname> that will also be deleted. [OK] [Cancel] If no claims are pending for this Woman/Caregiver, warns the user <SURNAME>, <firstname> will be deleted. [OK] [Cancel] If Cancel is selected, the user is returned to the Current Women/Caregivers screen with no changes. If OK is selected, the Woman/Caregiver record and any pending claims are deleted, and the user is returned to the Current Women/Caregivers screen with that person s details removed. 7

14 Woman/Caregiver Summary 5 Woman/Caregiver Summary This screen appears when you select the View option for a Woman from the List Women screen. It displays key claim information relating to the Woman/Caregiver and a history of pending and submitted claims for the Woman/Caregiver. You can create a new registration or claim for the Woman/Caregiver from this screen. Figure 3 Woman/Caregiver Summary Online Maternity Claiming 2007: User Guide 8

15 Woman/Caregiver Summary 5.1 To complete the Woman/Caregiver Summary screen If the user wishes to make a new claim or registration for the women: 1 Select either the 2007 Primary Maternity Services Notice or 2002 Maternity Services Notice button. Options in the Claim Type Drop Down Box will change dependent on which Notice you select. 2 Select the Claim Type you wish to complete for the Woman/Caregiver from the Drop Down Box. 3 Click on the Create button to navigate to the Claim Type screen for completion. If the user wishes to edit any Pending Claims for the Woman/Caregiver, click on the Edit button next to the relevant claim. If the user wishes to delete any Pending Claims for the Woman/Caregiver, click on the Delete button next to the relevant claim. If the user wishes to view any Submitted Claims for the Woman/Caregiver, click on the View button next to the relevant claim. 5.2 Online Maternity Claiming Woman/Caregiver Summary Command Buttons Edit Create Edit (pending Claims) Delete View Close Navigates the user to the Maintain Woman/Caregiver Details screen to edit the details of the Woman/Caregiver in the Woman Summary. Navigates the user to the claim screen relating to whichever Claim Type has been selected. Navigates the user to the claim screen already completed (but not submitted) for this service. Pending claims are editable prior to submission through the Online Maternity Claiming system. For pending claims only, warns the user This <Claim Type> will be permanently deleted. [OK] [Cancel] If [OK] is selected, the claim is deleted and the user is returned to the Woman/Caregiver Summary screen with that claim deleted. If [Cancel] is selected, the user is returned to the Woman/Caregiver Summary with no changes made. Navigates the user to the claim screen already submitted for this service. Submitted claims are view only, and cannot be edited. Navigates the user back to the Current Women/Caregivers screen for the Maternity Provider. 9

16 Add/Edit Woman Caregiver Details 6 Add/Edit Woman/Caregiver Details This screen appears when you select Add or Edit from the Current Women/Caregivers or Woman/Caregivers Summary screens. This screen needs to be completed for any new Women or Caregivers that the Maternity Provider is giving pregnancy care to prior to claims being submitted via the Online Maternity Claiming system. Figure 4 Maintain Woman/Caregiver Details (2007 claims) Online Maternity Claiming 2007: User Guide 10

17 Add/Edit Woman/Caregiver Details For 2002 claims, the following Pregnancy Details information is also required on this screen: Estimated LMP Date Estimated Delivery Date Gravida Parity Figure 5 Maintain Woman/Caregiver Details (2002 claims) 11

18 Add/Edit Woman/Caregiver Details 6.1 To complete the Woman/Caregiver Details screen WOMAN/CAREGIVER DETAILS NHI Number Surname First Name Previous Surname Enter the National Health Index Number assigned to the Woman or Caregiver. 1 Enter the Surname of the Woman or Caregiver. Enter the First Name of the Woman or Caregiver. If the Woman or Caregiver has a known Previous Surname, enter this. Residential Address Street Suburb Town/City Postcode Date of Birth Ethnicity 1 Ethnicity 2 Ethnicity 3 Enter the Street Number and Street Name that the Woman or Caregiver currently resides at. Enter the Suburb (if applicable) that the Woman or Caregiver currently resides at. Enter the Town or City that the Woman or Caregiver currently resides at. Enter the Postcode that corresponds to the address details that the Woman or Caregiver currently resides at. 2 Enter the Date of Birth of the Woman or Caregiver. From the Drop Down Box, select the Ethnicity that the Woman or Caregiver identifies with. A list of possible ethnicity options is contained within Appendix 1 of this document. Provision of at least one Ethnicity for a Woman or Caregiver is mandatory. If the Woman or Caregiver identifies with a second Ethnicity, from the Drop Down Box, select the second Ethnicity that they identify with. Ethnicity 2 cannot be the same as Ethnicity 1. If the Woman or Caregiver identifies with a third Ethnicity, from the Drop Down Box, select the third Ethnicity that they identify with. Ethnicity 3 cannot be the same as Ethnicity 1 or 2. CLAIMS Create New Registration Yes No Selection of one option is mandatory Select this option if you wish to create a Registration claim for the Woman or Caregiver in this Online Maternity Claiming session. Select this option if you do not wish to create a Registration claim for the Woman or Caregiver in this Online Maternity Claiming session. 1 Please phone if you need assistance with the NHI 2 Postcode information can be obtained from NZ Post 12

19 Add/Edit Woman/Caregiver Details Outstanding 2002 Claims Yes No PREGNANCY DETAILS Estimated LMP Date Estimated EDD Date Gravida Parity Selection of one option is mandatory Select this option if you will be submitting claims for this Woman or Caregiver under the 2002 S88 Maternity Notice. Selection of this option will enable the Pregnancy Details to appear on screen for completion. Select this option if you will not be submitting claims for this Woman or Caregiver under the 2002 S88 Maternity Notice. Mandatory for claims under 2002 Maternity Services Notice Enter the estimated or actual date of the beginning of the woman s last menstrual period. Enter either the estimated date of delivery of the baby or the actual date of delivery of the baby. Enter the total number of pregnancies the woman has experienced including the current one. Enter the number of times the woman has borne children counting multiple births as one and including stillbirths. Parity must be less than the Gravida. 6.2 Online Maternity Claiming Woman/Caregiver Details Command Buttons Save and Close Cancel Saves the information you have entered relating to the Woman/Caregiver. If Adding a new Woman/Caregiver, the system creates a new record and saves the data. If Editing an existing Woman/Caregiver, the system saves any modified data. In both instances, the user is returned to the Woman/Caregiver Summary screen for this Woman/Caregiver. If Adding information, warns the user This person will not be added to your list. [OK] [Cancel] If Editing information, warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the original screen they accessed the Woman/Caregiver Details screen from. If [Cancel] is selected, the user is returned to the Woman/Caregiver Details screen with no changes made. 13

20 Lead Maternity Carer, Registration with an LMC 7 Registration with an LMC This screen is called up when you request to create a Registration under the Primary Maternity Services Notice 2007 from either the Woman/Caregiver Summary or Maintain Woman/Caregiver Details screens. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for Registration with an LMC: NHI Number Name Address Date of Birth Ethnicities These details cannot be amended from the Registration with an LMC screen. If any of this information is incorrect at time of Registration with an LMC, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Online Maternity Claiming 2007: User Guide 14

21 Lead Maternity Carer, Registration with an LMC Figure 6 Registration with an LMC (2007) screen 15

22 Lead Maternity Carer, Registration with an LMC 7.1 To complete the Registration with an LMC screen WOMAN/CAREGIVER DETAILS NHI Number Name Address Date of Birth Ethnicities Service Provided To Birth Mother Caregiver Postnatal Registration No Yes BIRTH MOTHER INFORMATION Height Weight Smoking Status No Yes Cigarettes per Day Under 10 Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Defaults to the Name supplied in the Maintain Woman/Caregiver Details screen. Defaults to the Address supplied in the Maintain Woman/Caregiver Details screen. Defaults to the Date of Birth supplied in the Maintain Woman/Caregiver Details screen. Defaults to the Ethnicities supplied in the Maintain Woman/Caregiver Details screen. Selection of one option is mandatory Select this option if the Registration with an LMC is for the Birth Mother. Select this option if the Registration with an LMC is for the Caregiver. If the Registration is for a Caregiver, Postnatal Registration must = Yes, and Baby Details must be supplied. Selection of one option is mandatory Select this option if the Registration with an LMC is not for care provided during the Postnatal period of the pregnancy episode. Select this option if the Registration with an LMC is for care provided during the Postnatal period of the pregnancy episode. Mandatory if Service Provided to Birth Mother = Yes Enter the height of the Birth Mother at time of Registration with an LMC. Enter the weight of the Birth Mother at time of Registration with an LMC. Selection of one option is mandatory Select this option if the Birth Mother does not currently smoke. Select this option if the Birth Mother currently smokes. If Smoking Status = Yes, Cigarettes per Day fields are displayed. Selection of one option is mandatory if Smoking Status = Yes Select this option if the number of cigarettes smoked per day by the Birth Mother is under to 20 Select this option if the number of cigarettes smoked per day by the Birth Mother is between 10 and 20. Over 20 Select this option if the number of cigarettes smoked per day by the 16

23 Lead Maternity Carer, Registration with an LMC Birth Mother is over 20. PREGNANCY DETAILS Estimated LMP Date Estimated Delivery Date Gravida Parity BABY DETAILS Mandatory if Service Provided To = Birth Mother Enter the estimated or actual date of the beginning of the woman s last menstrual period. Enter either the estimated date of delivery of the baby or the actual date of delivery of the baby. Enter the total number of pregnancies the woman has experienced including the current one. Enter the number of times the woman has borne children counting multiple births as one and including stillbirths. Parity must be less than the Gravida. Mandatory if Registration with an LMC is for a Postnatal Registration. If it is a multiple birth, Baby Details must be completed for Baby 2 also. Baby 1 NHI Number Enter the National Health Index Number of the Baby. 1 Surname First Name Date of Birth DETAILS OF CLAIM Registration Date Enter the Surname of the Baby. Enter the First Name of the Baby. Enter the Date of Birth of the Baby. Mandatory Enter the Date that the Woman or Caregiver signs the Registration with the Lead Maternity Carer. 7.2 Online Maternity Claiming Registration with an LMC Command Buttons Save & Close Cancel Performs validations on all fields entered on the Registration with an LMC screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the Registration with an LMC screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Updates the Estimated LMP Date and Estimated Delivery Date and stores them for defaults for subsequent claims for this Woman/Caregiver. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). 1 Please phone if you need assistance with the NHI 17

24 Lead Maternity Carer, Registration with an LMC If [Cancel] is selected, the user is returned to the Registration with an LMC screen with no changes made. 18

25 Lead Maternity Carer, 1 st /2 nd Trimester Claim 8 LMC 1 st /2 nd Trimester Claim This screen is called up when you request to create an LMC 1st/2nd Trimester claim under the Primary Maternity Services Notice 2007 from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for LMC 1 st /2 nd Trimester Claim: NHI Number These details cannot be amended from the LMC 1 st /2 nd Trimester screen. If this information is incorrect at time of LMC 1 st /2 nd Trimester claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Online Maternity Claiming 2007: User Guide 19

26 Lead Maternity Carer, 1 st /2 nd Trimester Claim Figure 7 LMC 1 st /2 nd Trimester Claim (2007) screen 20

27 Lead Maternity Carer, 1 st /2 nd Trimester Claim 8.1 To complete the LMC 1 st /2 nd Trimester screen WOMAN DETAILS NHI Number Estimated Delivery Date DETAILS OF SERVICE PROVIDED Number of Visits in the 1 st Trimester Number of Visits in the 2 nd Trimester DETAILS OF CLAIM Date Module Ended LMC 1 st /2 nd Trimester Module Full Module First Partial Last Partial REASON SERVICE COMPLETED Woman moved to next module of care Woman has changed Maternity Provider Woman has transferred to Secondary Care Woman has had a miscarriage Woman has had a termination Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Enter the estimated date of delivery of the baby. Mandatory Enter the total number of visits between the Woman and Lead Maternity Carer in the 1 st Trimester. Enter the total number of visits between the Woman and Lead Maternity Carer in the 2 nd Trimester. Mandatory Enter the date that the 1 st and 2 nd Trimester Module ended. Selection of one option is mandatory Select this option where the Maternity Provider provided Lead Maternity Care to the Woman for the full 1 st and 2 nd Trimester Module. For definitions of the eligibility criteria to claim an LMC 1 st /2 nd Trimester Full Module, refer to the Primary Maternity Services Notice Select this option where the Maternity Provider provided Lead Maternity Care to the Woman for the First Partial 1 st and 2 nd Trimester Module period. For definitions of the eligibility criteria to claim an LMC 1 st /2 nd Trimester First Partial Module, refer to the Primary Maternity Services Notice 2007 Select this option where the Maternity Provider provided Lead Maternity Care to the Woman for the Last Partial 1 st and 2 nd Trimester Module period. For definitions of the eligibility criteria to claim an LMC 1 st /2 nd Trimester Last Partial Module, refer to the Primary Maternity Services Notice 2007 Selection of one option is mandatory Select this option if the Woman has moved to the next module of care under the same Maternity Provider. Select this option if the Woman has changed Maternity Provider. Select this option if the Woman has transferred to Secondary Care. Select this option if the Woman has had a miscarriage. Select this option if the Woman has had a termination. 21

28 Lead Maternity Carer, 1 st /2 nd Trimester Claim 8.2 Online Maternity Claiming LMC 1 st /2 nd Trimester Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the LMC 1 st /2 nd Trimester screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the LMC 1 st /2 nd Trimester screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Updates the Estimated Delivery Date and stores it as a default for subsequent claims for this Woman/Caregiver. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the LMC 1 st /2 nd Trimester screen with no changes made. 22

29 Lead Maternity Carer, 3 rd Trimester Claim 9 LMC 3 rd Trimester Claim This screen is called when you request to create an LMC 3rd Trimester claim under the Primary Maternity Services Notice 2007 from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for LMC 3rd Trimester Claim: NHI Number These details cannot be amended from the LMC 3rd Trimester screen. If this information is incorrect at time of LMC 3rd Trimester claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Online Maternity Claiming 2007: User Guide 23

30 Lead Maternity Carer, 3rd Trimester Claim Figure 8 LMC 3 rd Trimester Claim (2007) screen 24

31 Lead Maternity Carer, 3rd Trimester Claim 9.1 To complete the LMC 3 rd Trimester screen WOMAN DETAILS NHI Number Estimated Delivery Date DETAILS OF SERVICE PROVIDED Number of Visits in the 3 rd Trimester DETAILS OF CLAIM Date Module Ended LMC 3 rd Trimester Module Full Module First Partial Last Partial REASON SERVICE COMPLETED Woman moved to next module of care Woman has changed Maternity Provider Woman has transferred to Secondary Care Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Enter the estimated date of delivery of the baby. Mandatory Enter the total number of visits between the Woman and Lead Maternity Carer in the 3rd Trimester. Mandatory Enter the date that the 3rd Trimester Module ended. Selection of one option is mandatory Select this option where the Maternity Provider provided Lead Maternity Care to the Woman for the full 3rd Trimester Module. For definitions of the eligibility criteria to claim an LMC 3 rd Trimester Full Module, refer to the Primary Maternity Services Notice 2007 Select this option where the Maternity Provider provided Lead Maternity Care to the Woman for the First Partial 3rd Trimester Module period. For definitions of the eligibility criteria to claim an LMC 3rd Trimester First Partial Module, refer to the Primary Maternity Services Notice 2007 Select this option where the Maternity Provider provided Lead Maternity Care to the Woman for the Last Partial 3rd Trimester Module period. For definitions of the eligibility criteria to claim an LMC 3rd Trimester Last Partial Module, refer to the Primary Maternity Services Notice 2007 Selection of one option is mandatory Select this option if the Woman has moved to the next module of care under the same Maternity Provider. Select this option if the Woman has changed Maternity Provider. Select this option if the Woman has transferred to Secondary Care. 25

32 Lead Maternity Carer, 3rd Trimester Claim 9.2 Online Maternity Claiming LMC 3 rd Trimester Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the LMC 3 rd Trimester screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the LMC 3 rd Trimester screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Updates the Estimated Delivery Date and stores it as a default for subsequent claims for this Woman/Caregiver. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the LMC 3rd Trimester screen with no changes made. 26

33 Lead Maternity Carer, Labour and Birth Claim 10 LMC Labour and Birth Claim This screen is called when you request to create an LMC Labour and Birth claim under the Primary Maternity Services Notice 2007 from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for LMC Labour and Birth Claim: NHI Number These details cannot be amended from the LMC Labour and Birth screen. If this information is incorrect at time of LMC Labour and Birth claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Online Maternity Claiming 2007: User Guide 27

34 Lead Maternity Carer, Labour and Birth Claim Figure 9 LMC Labour and Birth Claim (2007) screen 28

35 Lead Maternity Carer, Labour and Birth Claim 10.1 To complete the LMC Labour and Birth screen WOMAN DETAILS NHI Number Estimated Delivery Date Maternal Death No Yes BABY DETAILS Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Enter the date of delivery of the baby. Selection of one option is Mandatory. No is the default value for this information. Select this option if there was not a Maternal Death for this Pregnancy Episode. Select this option if there was a Maternal Death for this Pregnancy Episode. Mandatory. If it is a multiple birth, Baby Details must be completed for Baby 2 also. Baby 1 Date of Birth Condition Liveborn Stillborn Apgar Score at 5 Minutes Birth Weight Enter the Date of Birth of the baby. Selection of one option is mandatory Select this option if the baby is Liveborn. Select this option if the baby is Stillborn. Enter the Apgar Score of the baby taken at 5 minutes. Enter the Birth Weight of the baby. NHI of Liveborn Baby Enter the National Health Index Number of the Liveborn Baby. 1 DETAILS OF SERVICE PROVIDED LMC Attendance at Birth Yes No DETAILS OF CLAIM Date Module Ended LMC Labour and Birth GP or Obstetrician has used Hospital Midwifery Services No Mandatory Selection of one option is mandatory Select this option if the Lead Maternity Carer attended the Birth. Select this option if the Lead Maternity Carer did not attend the Birth. Mandatory Enter the date that the Labour and Birth Module ended. Mandatory if claiming an LMC Labour and Birth fee Selection of one option is mandatory Select this option if the GP or Obstetrician has not used Hospital Midwifery Services. 1 Please phone if you need assistance with the NHI 29

36 Lead Maternity Carer, Labour and Birth Claim Yes Service Type First Birth VBAC Subsequent Birth Labour Established Date Time Labour & Birth Exceptional Circumstances Labour & Birth Rural Support Homebirth Supplies & Services Birthing Unit Services REASON SERVICE COMPLETED Woman moved to next module of care Woman has changed Maternity Provider Woman has transferred to Secondary Care Select this option if the GP or Obstetrician has used Hospital Midwifery Services. Selection of one option is mandatory Select this option if the Labour and Birth Module was a First Birth. Select this option if the Labour and Birth Module was a Vaginal Birth After Caesarean. Select this option if the Labour and Birth Module was a Subsequent Birth. Mandatory if claiming an LMC Labour and Birth fee Enter the Date that Labour was established. Enter the Time that Labour was established. Mandatory if claiming an LMC Labour and Birth Exceptional Circumstances fee Mandatory if claiming an LMC Labour and Birth Rural Support fee Mandatory if claiming a Homebirth Supplies & Services fee Mandatory if claiming a Birthing Unit Services fee Selection of one option is mandatory Select this option if the Woman has moved to the next module of care under the same Maternity Provider. Select this option if the Woman has changed Maternity Provider. Select this option if the Woman has transferred to Secondary Care. 30

37 Lead Maternity Carer, Labour and Birth Claim 10.2 Online Maternity Claiming LMC Labour and Birth Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the LMC Labour and Birth screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the LMC Labour and Birth screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Updates the Estimated Delivery Date and stores it as a default for subsequent claims for this Woman/Caregiver. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the LMC Labour and Birth screen with no changes made. 31

38 Lead Maternity Carer, Services Following Birth Claim 11 LMC Services Following Birth Claim This screen is called when you request to create a Lead Maternity Carer Services Following Birth claim under the Primary Maternity Services Notice 2007 from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for LMC Services Following Birth Claim: NHI Number These details cannot be amended from the LMC Services Following Birth screen. If this information is incorrect at time of LMC Services Following Birth claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Online Maternity Claiming 2007: User Guide 32

39 Lead Maternity Carer, Services Following Birth Claim Figure 10 LMC Services Following Birth Claim (2007) screen 33

40 Lead Maternity Carer, Services Following Birth Claim 11.1 To complete the LMC Services Following Birth screen WOMAN/CAREGIVER DETAILS NHI Number Service Provided To Birth Mother Caregiver Date of Discharge from LMC BIRTH MOTHER INFORMATION EDD Smoking Status No Yes Cigarettes per Day Under 10 Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Selection of one option is mandatory Select this option if the Services Following Birth is for the Birth Mother. Select this option if the Services Following Birth is for the Caregiver. Enter the Date of Discharge from LMC of the Woman or Caregiver. Mandatory if Service Provided to Birth Mother = Yes Enter the date of delivery of the baby. Selection of one option is mandatory Select this option if the Birth Mother does not currently smoke. Select this option if the Birth Mother currently smokes. If Smoking Status = Yes, Cigarettes per Day fields are displayed. Selection of one option is mandatory if Smoking Status = Yes Select this option if the number of cigarettes smoked per day by the Birth Mother is under to 20 Select this option if the number of cigarettes smoked per day by the Birth Mother is between 10 and 20. Over 20 BABY DETAILS Select this option if the number of cigarettes smoked per day by the Birth Mother is over 20. Mandatory. If it is a multiple birth, Baby Details must be completed for Baby 2 also. Baby 1 Date of Birth Condition Liveborn Stillborn Enter the Date of Birth of the baby. Selection of one option is mandatory Select this option if the baby is Liveborn. Select this option if the baby is Stillborn. NHI Number Enter the National Health Index Number of the Baby. 1 NHI Number is only mandatory if Baby Condition = Liveborn. Date of Neonatal Death If there has been a Neonatal Death, enter the Date of Neonatal Death. 1 Please phone if you need assistance with the NHI 34

41 Lead Maternity Carer, Services Following Birth Claim Breast Feeding Mandatory At 2 Weeks From the Drop Down Box, select the Breast Feeding status at 2 Weeks of the baby for this Pregnancy Episode. Breast Feeding options for selection are: Exclusive, Fully, Partial and Artificial. At Discharge from LMC Baby(s) Ethnicity 1 Ethnicity 2 Ethnicity 3 DETAILS OF SERVICE PROVIDED Number of Visits During Inpatient Postnatal Stay Number of Midwifery Home Visits Referral to Well Child Provider Plunket Other Woman Declined Referral Referral Date Referral to GP Yes Woman Declined Referral From the Drop Down Box, select the Breast Feeding status at Discharge from LMC of the baby for this Pregnancy Episode. Breast Feeding options for selection are: Exclusive, Fully, Partial and Artificial. Selection of at least one option is mandatory From the Drop Down Box, select the Ethnicity that the Birth Mother or Caregiver identifies for the Baby. A list of possible ethnicity options is contained within Appendix 1 of this document. If the Birth Mother or Caregiver identifies a second Ethnicity for the Baby, from the Drop Down Box, select the second Ethnicity that they identify with. Ethnicity 2 cannot be the same as Ethnicity 1. If the Birth Mother or Caregiver identifies a third Ethnicity for the Baby, from the Drop Down Box, select the third Ethnicity that they identify with. Ethnicity 3 cannot be the same as Ethnicity 1 or 2. Mandatory Enter the Number of Visits During Inpatient Postnatal Stay between the Woman or Caregiver and the Maternity Provider. Enter the Number of Midwifery Home Visits between the Woman or Caregiver and the Maternity Provider. Selection of One option is mandatory Select this option if the Well Child Provider referred to was Plunket. Select this option if the Well Child Provider referred to was other than Plunket. Select this option if the Woman declined referral to a Well Child Provider. Enter the date of Referral to Well Child Provider. Mandatory if Referral to Well Child Provider = Plunket or Other. Selection of one option is mandatory Select this option if there was a Referral to GP. Select this option if the Woman declined referral to GP. Referral Date Enter the date of Referral to GP. Mandatory if Referral to GP = Yes. DETAILS OF CLAIM Date Module Ended LMC Services Following Birth GP or Obstetrician has used Hospital Midwifery Mandatory Enter the date that the Services Following Birth Module ended. Mandatory if claiming an LMC Services Following Birth fee Selection of one option is mandatory 35

42 Lead Maternity Carer, Services Following Birth Claim Services No Yes Woman Received Inpatient Care No Yes Additional Home Visits Rural Travel Rural Type Semi Rural Rural Remote Rural Module Full Module First Partial Last Partial Rural Area Unit Classification Code REASON SERVICE Select this option if the GP or Obstetrician has not used Hospital Midwifery Services. Select this option if the GP or Obstetrician has used Hospital Midwifery Services. Selection of one option is mandatory Select this option if the Woman has not received inpatient care. Select this option if the Woman has received inpatient care. Mandatory if claiming an Additional Home Visits fee Mandatory if claiming a Rural Travel fee Selection of one option is mandatory. Rural Type is defined from the Rural Area Unit Classification Code Select this option if claiming for Semi Rural Travel. Refer to the Primary Maternity Services Notice 2007 to determine eligibility for Semi Rural Travel. Select this option if claiming for Rural Travel. Refer to the Primary Maternity Services Notice 2007 to determine eligibility for Rural Travel. Select this option if claiming for Remote Rural Travel. Refer to the Primary Maternity Services Notice 2007 to determine eligibility for Remote Rural Travel. Selection of one option is mandatory Select this option where the Maternity Provider provided Lead Maternity Care to the Woman or Caregiver for the Full Services Following Birth Module. For definitions of the eligibility criteria to claim an LMC Services Following Birth Full Module, refer to the Primary Maternity Services Notice 2007 Select this option where the Maternity Provider provided Lead Maternity Care to the Woman or Caregiver for the First Partial Services Following Birth Module. For definitions of the eligibility criteria to claim an LMC Services Following Birth First Partial Module, refer to the Primary Maternity Services Notice 2007 Select this option where the Maternity Provider provided Lead Maternity Care to the Woman or Caregiver for the Last Partial Services Following Birth Module. For definitions of the eligibility criteria to claim an LMC Services Following Birth Last Partial Module, refer to the Primary Maternity Services Notice 2007 Enter the Rural Area Unit Classification Code based on where the Woman or Caregiver resides. Mandatory if claiming a Rural Travel fee. Selection of one option is mandatory 36

43 Lead Maternity Carer, Services Following Birth Claim COMPLETED Woman has changed Maternity Provider Woman has transferred to Secondary Care LMC Care Complete Select this option if the Woman has changed Maternity Provider. Select this option if the Woman has transferred to Secondary Care. Select this option if the LMC care by the Maternity Provider is completed for this Pregnancy Episode Online Maternity Claiming Services Following Birth Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the LMC Services Following Birth screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the LMC Services Following Birth screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Updates the Estimated Delivery Date and stores it as a default for subsequent claims for this Woman/Caregiver. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the LMC Services Following Birth screen with no changes made. 37

44 Non-LMC 1 st Trimester Claim 12 Non-LMC 1 st Trimester Claim This screen is called when you request to create a Non-LMC 1st Trimester claim under the Primary Maternity Services Notice 2007 from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for Non-LMC 1 st Trimester Claim: NHI Number These details cannot be amended from the Non-LMC 1 st Trimester screen. If this information is incorrect at time of Non-LMC 1 st Trimester claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Online Maternity Claiming 2007: User Guide 38

45 Non-LMC 1 st Trimester Claim Figure 11 Non-LMC 1 st Trimester Claim (2007) screen 39

46 Non-LMC 1 st Trimester Claim 12.1 To complete the Non-LMC 1 st Trimester screen WOMAN DETAILS NHI Number Estimated Delivery Date LMP Date DETAILS OF SERVICE PROVIDED Number of Visits in the 1 st Trimester DETAILS OF CLAIM Date Module Ended Non-LMC 1 st Trimester Without Miscarriage or Termination With Miscarriage or Termination REASON SERVICE COMPLETED Woman has transferred to LMC Care Woman has transferred to Secondary Care Woman has had a miscarriage Woman has had a termination Woman has changed PHO Practice Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Enter the estimated date of delivery of the baby. Enter the estimated or actual date of the beginning of the woman s last menstrual period. Mandatory Enter the total number of visits between the Woman and Lead Maternity Carer in the 1 st Trimester. Mandatory Enter the date that the Non-LMC 1st Trimester ended. Selection of one option is mandatory Select this option if the Non-LMC 1 st Trimester service ended Without a Miscarriage or Termination. Select this option if the Non-LMC 1 st Trimester service ended With a Miscarriage or Termination. Selection of one option is mandatory Select this option where the Woman has transferred to Lead Maternity Carer Care. Select this option if the Woman has transferred to Secondary Care. Select this option where the Woman has had a miscarriage. Select this option where the Woman has had a termination. Select this option where the Woman has changed Primary Health Organisation (PHO) Practice. 40

47 Non-LMC 1 st Trimester Claim 12.2 Online Maternity Claiming Non-LMC 1 st Trimester Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the Non-LMC 1 st Trimester screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the Non-LMC 1 st Trimester screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Updates the Estimated LMP Date and Estimated Delivery Date and stores them for defaults for subsequent claims for this Woman/Caregiver. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the Non-LMC 1 st Trimester screen with no changes made. 41

48 Non-LMC Services Claim 13 Non-LMC Services Claim This screen is called when you request to create a Non-LMC Services claim under the Primary Maternity Services Notice 2007 from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for Non-LMC Services Claim: NHI Number These details cannot be amended from the Non-LMC Services screen. If this information is incorrect at time of Non-LMC Services claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information Online Maternity Claiming 2007: User Guide 42

49 Non-LMC Services Claim Figure 12 Non-LMC Services (for Mother) Claim (2007) screen 43

50 Non-LMC Services Claim 13.1 To complete the Non-LMC Services (for Mother) screen WOMAN/BABY DETAILS Service Provided To Mother Mandatory Selection of one option is mandatory Select this option if the service is for the Mother. Baby Woman s NHI Number Estimated Delivery Date DETAILS OF CLAIM Date of Service Non-LMC Services Service Type Urgent Normal Hours Pregnancy Care Urgent Out of Hours Pregnancy Care Labour & Birth (Rural Support) Urgent Postnatal Care Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Enter the estimated date of delivery of the baby. Mandatory Enter the date that the service was provided to the Mother. Selection of one option is mandatory Select this option where pregnancy care has been provided to the woman during normal hours. Refer to the Primary Maternity Services Notice 2007 for definition of what constitutes normal hours. Select this option where pregnancy care has been provided to the woman outside of normal hours. Refer to the Primary Maternity Services Notice 2007 for definition of what constitutes out of hours. Select this option where Labour & Birth support is provided to a woman in a rural area. Select this option where urgent care is provided to a woman away from her usual place of residence. 44

51 Non-LMC Services Claim 13.2 Online Maternity Claiming Non-LMC Services (for Mother) Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the Non-LMC Services (for Mother) screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the Non-LMC Services (for Mother) screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Updates the Estimated Delivery Date and stores it as a default for subsequent claims for this Woman/Caregiver. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the Non-LMC Services (for Mother) screen with no changes made. 45

52 Non-LMC Services Claim Figure 13 Non-LMC Services (for Baby) Claim (2007) screen 46

53 Non-LMC Services Claim 13.3 To complete the Non-LMC Services (for Baby) screen WOMAN/BABY DETAILS Service Provided To Mandatory Selection of one option is mandatory Mother Baby Select this option if the service is for the Baby. Baby s NHI Number Enter the National Health Index Number of the Liveborn Baby. 1 Date of Birth DETAILS OF CLAIM Date of Service Non-LMC Services Service Type Urgent Postnatal Care Enter the date of birth of the baby. Mandatory Enter the date that the service was provided to the Baby. Mandatory Select this option where urgent care is provided to a baby away from its usual place of residence Online Maternity Claiming Non-LMC Services (for Baby) Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the Non-LMC Services (for Baby) screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the Non-LMC Services (for Baby) screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the Non-LMC Services (for Baby) screen with no changes made. 1 Please phone if you need assistance with the NHI 47

54 Pending Claims for Submission 14 Pending Claims for Submission This screen is called when you select the Pending Claims option from the Current Women/Caregivers homepage. It contains information on all claims that are in Pending status during this session. Provider Details information is entered by HealthPAC at the time of Online Maternity Claiming user set up, and is linked to the unique Username and Password generated for each user by HealthPAC. The following fields default with information supplied to HealthPAC by each Online Maternity User: Name Registration Number Payee Number Agreement Number These details cannot be amended by an Online Maternity Claiming user. If this information is incorrect, the user will need to advise HealthPAC of any changes, and request an update to the information to be made. Summary data for each saved claim in an Online Maternity Claiming session is displayed on the Pending Claims for Submission screen. The following information is displayed for each claim in Pending status: Date of Service NHI Number Name Claim Type (Service Type only, not Module Type) Amount (GST excl) These details cannot be amended from the Pending Claims for Submission screen. If this information is incorrect at time of submitting a claim file, the user will need to click on the Edit button and amend and save the updated information. Note - If there are claims under the 2002 S88 Maternity Notice pending for submission, these are displayed in a separate section beneath the Claims under 2007 Primary Maternity Services Notice section. The data displayed mirrors the 2007 information. Prior to submitting a claim file to HealthPAC, Online Maternity Claiming users must print a copy of the claim submission screen for their records. This forms part of the contractual agreement for claiming via the Online Maternity Claiming system, as outlined in the Primary Maternity Services Notice Online Maternity Claiming 2007: User Guide 48

55 Pending Claims for Submission Figure 14 Pending Claims for Submission screen 49

56 Pending Claims for Submission 14.1 To complete the Pending Claims for Submission screen PROVIDER DETAILS Name Registration Number Payee Number Agreement Number CLAIMS UNDER 2007 PRIMARY MATERNITY SERVICES NOTICE Claim Reference Number Date of Service NHI Number Claim Type Amount (GST excl) Provider Details default from information supplied to HealthPAC in the Online Maternity Claiming Questionnaire Displays the name of the Maternity Provider. Displays the Registration Number of the Maternity Provider. Displays the Payee Number of the Maternity Provider. Displays the Agreement Number of the Maternity Provider. Mandatory Enter a reference number for the claim file you will be submitting to HealthPAC. Claim Reference Numbers should be different for each claim file submitted. Displays the Date of Service (or Module End Date) for the claim. Date of Service is repeated for each Pending Claim. Displays the National Health Index Number for the claim. NHI Number is repeated for each Pending Claim. Displays the Claim Type for the claim (Service Type only, not Module Type within that Service). Claim Type is repeated for each Pending Claim. Displays the Amount (GST exclusive) for the claim (based on Service and Module Type). Amount (GST excl) is repeated for each Pending Claim. 50

57 Pending Claims for Submission 14.2 Online Maternity Claiming Pending Claims for Submission Command Buttons Edit Do not Submit Submit to HealthPAC Cancel Navigates the user to the Service Type screen for the claim to edit the details of the claim prior to submission to HealthPAC. Warns the user, The <Claim Type> will not be submitted, but will still be available for submitting later. [OK] [Cancel]. If [OK] is selected, removes the selected claim from the list, so that it does not get submitted with the current claim file. If [Cancel] is selected, the user is returned to the Pending Claims for Submission screen with no changes made. Performs validations on each field and alerts the user of any errors or validation issues that are present. For valid forms: Warns the user, These claims are about to be submitted. If you haven t already printed the submission for your records, press Cancel now and then print the screen [OK] [Cancel]. If [OK] is selected by the user, each claim will change to a status of Submitted, and the date of submission will appear as today s date. Warns the user, These claims will not be submitted at this time [OK] [Cancel]. If [OK] is selected, the user is returned to the Current Women/Caregivers homepage. If [Cancel] is selected, the user is returned to the Pending Claims for Submission screen with no changes made. 51

58 Previous Submissions 15 Previous Submissions This screen is called when you select the Previous Submissions option from the Current Women/Caregivers homepage. It contains information on the ten most recent submissions submitted by the user. Summary data for each submitted claim in an Online Maternity Claiming session is displayed on the Previous Submissions screen. The following information is displayed for each claim: Submitted Claim Reference Number Number of Claims Total Amount (GST excl) These details cannot be amended from the Previous Submissions screen. Note - If there are claims under the 2002 S88 Maternity Notice pending for submission, these are displayed in a separate section beneath the Claims under 2007 Primary Maternity Services Notice section. The data displayed mirrors the 2007 information. Figure 15 Previous Submissions screen 15.1 Online Maternity Claiming Previous Submissions Command Buttons View Close Displays the claim information for each Service Type submitted in the claim. Returns the user to the Current Women/Caregivers homepage. Online Maternity Claiming 2007: User Guide 52

59 Single Service (2002) 16 Single Service (2002) This screen is called when you request to create a Single Service claim under the 2002 S88 Maternity Notice from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for Single Service (2002) Claim: NHI Number These details cannot be amended from the Single Service screen. If this information is incorrect at time of Single Service claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information Figure 16 Single Service (2002) screen Online Maternity Claiming 2007: User Guide 53

60 Single Service (2002) 16.1 To complete the Single Service (2002) screen WOMAN/CAREGIVER DETAILS NHI Number DETAILS OF CLAIM Date of Service Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Mandatory Enter the date that the service was provided to the Mother. Single Service Service Type Service Classification From the Drop Down Box, select the Service Type. Service Type options are: Pregnancy Care, Pregnancy Care (Urgent and Out of Hours), Threatened Miscarriage, Assessment Prior to T.O.P, Attendance at Miscarriage, Postnatal Consultation (Non-LMC), Exceptional Circumstances. Selection of one option is mandatory. From the Drop Down Box, select the Service Classification. Service Classification options are determined by the Service Type option selected. If Service Type = Pregnancy Care or Urgent and Out of Hours, Service Classification options are: 1 st Trimester 2 nd /3 rd Trimester Unregistered Woman 2 nd /3 rd Trimester Woman away from usual place of residence 2 nd /3 rd Trimester Medical emergency, LMC contact attempted Following a Miscarriage/Termination of Pregnancy If Service Type = Exceptional Circumstances, Service Classification options are: Transfer to secondary maternity Urgent non-lmc assistance to rural LMC Ambulance Transfer No Service Classification is required for any other Service Type. If any other Service Type is selected, Service Classification defaults to No Selection Required. Baby DOB Enter the Date of Birth of the Baby. Mandatory if Service Type = Postnatal Consultation (Non-LMC). Service Provided To From the Drop Down Box, select the Service Provided To. Service Provided To options are: Mother, Baby. 54

61 Single Service (2002) 16.2 Online Maternity Claiming Single Service (2002) Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the Single Service (2002) screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the Single Service (2002) screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the Single Service (2002) screen with no changes made. 55

62 Register as LMC (2002) 17 Register as LMC (2002) This screen is called when you request to create a Registration under the 2002 S88 Maternity Notice from either the Woman/Caregiver Summary or Maintain Woman/Caregiver Details screens. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for Register as LMC: NHI Number Name Address Date of Birth Ethnicities Gravida Parity These details cannot be amended from the Register with an LMC screen. If any of this information is incorrect at time of Register with an LMC, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Online Maternity Claiming 2007: User Guide 56

63 Register as LMC (2002) Figure 17 Register as LMC (2002) screen 57

64 Register as LMC (2002) 17.1 To complete the Register as LMC (2002) screen WOMAN/CAREGIVER DETAILS NHI Number Name Address Date of Birth Ethnicities PREGNANCY DETAILS Estimated LMP Date Estimated Delivery Date Gravida Parity DETAILS OF CLAIM Registration Date Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Defaults to the Name supplied in the Maintain Woman/Caregiver Details screen. Defaults to the Address supplied in the Maintain Woman/Caregiver Details screen. Defaults to the Date of Birth supplied in the Maintain Woman/Caregiver Details screen. Defaults to the Ethnicities supplied in the Maintain Woman/Caregiver Details screen. Mandatory Enter the estimated or actual date of the beginning of the woman s last menstrual period. Enter either the estimated date of delivery of the baby or the actual date of delivery of the baby. Defaults to the Gravida supplied in the Maintain Woman/Caregiver Details screen. Defaults to the Parity supplied in the Maintain Woman/Caregiver Details screen. Mandatory Enter the Date that the Woman or Caregiver signs the Registration with the Lead Maternity Carer. Register as LMC Registration Type Claim Fee From the Drop Down Box, select the Registration Type. Registration Type options are: New Registration and Change of LMC. Ensure this box is ticked if Registration Type = New Registration, and you are wanting to claim a fee for this service. 58

65 Register as LMC (2002) 17.2 Online Maternity Claiming Register as LMC (2002) Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the Register as LMC (2002) screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the Register as LMC (2002) screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the Register as LMC (2002) screen with no changes made. 59

66 Second/Third Trimester Module (2002) 18 Second/Third Trimester Module (2002) This screen is called when you request to create a 2 nd /3rd Trimester Module (2002) claim under the 2002 S88 Maternity Services Notice from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for Second/Third Trimester Module (2002) Claim: NHI Number These details cannot be amended from the Second/Third Trimester Module screen. If this information is incorrect at time of Second/Third Trimester Module claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Note Only one module type (either Second Trimester or Third Trimester) can be claimed per Second/Third Trimester Module screen. If the user wishes to complete both a Second and Third Trimester claim for a Woman, they must be claimed on two separate screens. Online Maternity Claiming 2007: User Guide 60

67 Second/Third Trimester Module (2002) Figure 18 Second/Third Trimester Module (2002) screen 18.1 To complete the Second/Third Trimester Module (2002) screen WOMAN DETAILS NHI Number DETAILS OF SERVICE PROVIDED Number of Visits Received in 2 nd & 3 rd Trimesters Woman has had the Following Tests during this Pregnancy Chorionic Villous Sampling Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Mandatory Enter the total number of visits between the Woman and Lead Maternity Carer in the Trimester Module being claimed (2 nd or 3 rd ). Tick this check box if the woman has received a Chorionic Villous Sampling test during this Pregnancy. 61

68 Second/Third Trimester Module (2002) Foetal Blood Sampling Amniocentesis DETAILS OF CLAIM Date Module Ended Tick this check box if the woman has received a Foetal Blood Sampling test during this Pregnancy. Tick this check box if the woman has received an Amniocentesis test during this Pregnancy. Mandatory Enter the date that the 2 nd or 3 rd Trimester Module ended. LMC 2 nd /3 rd Trimester Trimester Module Full Module First Partial Last Partial From the Drop Down Box, select the Trimester being claimed. Trimester options are: Second and Third. Selection of one option is mandatory Select this option where the Maternity Provider provided Lead Maternity Care to the Woman for the full Trimester Module being claimed. Select this option where the Maternity Provider provided Lead Maternity Care to the Woman for the first partial Trimester Module being claimed. Select this option where the Maternity Provider provided Lead Maternity Care to the Woman for the last partial Trimester Module being claimed Online Maternity Claiming Second/Third Trimester Module (2002) Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the Second/Third Trimester Module (2002) screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the Second/Third Trimester Module (2002) screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the Second/Third Trimester Module (2002) screen with no changes made. 62

69 Labour and Birth (2002) 19 Labour and Birth (2002) This screen is called is called when you request to create a Labour and Birth (2002) claim under the 2002 S88 Maternity Notice from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for Labour and Birth (2002) Claim: NHI Number These details cannot be amended from the Labour and Birth screen. If this information is incorrect at time of Labour and Birth claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Online Maternity Claiming 2007: User Guide 63

70 Labour and Birth (2002) Figure 19 Labour and Birth (2002) screen 64

71 Labour and Birth (2002) 19.1 To complete the Labour and Birth (2002) screen WOMAN DETAILS NHI Number BABY DETAILS Mandatory Defaults to the NHI Number supplied in the Maintain Woman/Caregiver Details screen. Mandatory. If it is a multiple birth, Baby Details must be completed for Baby 2 also. Baby 1 Date of Birth Condition Liveborn Stillborn Enter the Date of Birth of the baby. Selection of one option is mandatory Select this option if the baby is Liveborn. Select this option if the baby is Stillborn. NHI of Liveborn Baby Enter the National Health Index Number of the Liveborn Baby. 1 Apgar Score at 5 Minutes Birth Weight ADDITIONAL INFORMATION Placenta Kept by Woman LMC Attendance at Birth Number of Visits Received in 2 nd & 3 rd Trimesters Woman has had the Following Tests during this Pregnancy Chorionic Villous Sampling Foetal Blood Sampling Amniocentesis Maternal Death DETAILS OF CLAIM Lead Maternity Carer Enter the Apgar Score of the baby taken at 5 minutes. Enter the Birth Weight of the baby. Mandatory Tick this check box if the Placenta has been kept by the Woman. Tick this box if the Lead Maternity Carer attended the Birth. Enter the total number of visits between the Woman and Lead Maternity Carer in the 2 nd and 3rd Trimesters. Tick this check box if the woman has received a Chorionic Villous Sampling test during this Pregnancy. Tick this check box if the woman has received a Foetal Blood Sampling test during this Pregnancy. Tick this check box if the woman has received an Amniocentesis test during this Pregnancy. Tick this check box if there has been a Maternal Death during the Labour and Birth period. Mandatory From the Drop Down Box, select the Lead Maternity Carer type. Lead Maternity Carer options are: Midwifery, GP/Specialist, Hospital. 1 Please phone if you need assistance with the NHI 65

72 Labour and Birth (2002) Birthing Unit Birth Occurred at Home Birthing Unit/Home Birth Fee Type Labour & Birth Service Type First Birth VBAC Subsequent Birth If the birth occurred at a Birthing Unit, from the Drop Down Box, select the Birthing Unit the birth occurred at. Birthing Unit options are: Blank, Marton, Murupara Birthing Unit, Opotiki, Otaki Birthing Unit, Other, Raetihi, Rhoda Read Maternity Morrinsville, Wellsford Birthing Unit. If the birth did not occur in a Birthing Unit, select Blank. Tick this check box if the birth occurred at home. Mandatory From the Drop Down Box, select the Fee Type being claimed. Fee Type options are: No Fee Specified, Birthing Unit Service, Home Birth Supplies & Service. If no Birthing Unit or Home Birth fee is being claimed, select No Fee Specified. Selection of one option is mandatory Select this option if the Labour and Birth Module was a First Birth. Select this option if the Labour and Birth Module was a Vaginal Birth After Caesarean. Select this option if the Labour and Birth Module was a Subsequent Birth Online Maternity Claiming Labour and Birth (2002) Command Buttons Calculate Save & Close Cancel Calculates the fee amount payable for the service type and Date Module Ended combination supplied by the user. If the Date Module Ended is an invalid date, today s date is used to calculate the fee amount however an error message will be displayed when Save & Close is selected. Performs validations on all fields entered on the Labour and Birth (2002) screen and responds accordingly, advising users of any issues (see Field Formats and Validations information). If the Labour and Birth (2002) screen is completed without any validation rejections, saves all data entered and stores it as a Pending Claim. Returns the user to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). Warns the user Any changes you have made to this information will not be saved. [OK] [Cancel] If [OK] is selected, the user is returned to the previous screen (e.g. Woman/Caregiver Summary or Maintain Woman/Caregiver Details). If [Cancel] is selected, the user is returned to the Labour and Birth (2002) screen with no changes made. 66

73 Services Following Birth Module (2002) 20 Services Following Birth Module (2002) This screen is called when you request to create a Services Following Birth (2002) claim under the 2002 S88 Maternity Notice from the Woman/Caregiver Summary screen. Entry of Woman/Caregiver information in the Maintain Woman/Caregiver screen stores certain claim information for that Woman/Caregiver which appears whenever a service type is selected. The following fields default with information entered on the Maintain Woman/Caregiver screen for Services Following Birth (2002) Claim: NHI Number These details cannot be amended from the Services Following Birth Module screen. If this information is incorrect at time of Services Following Birth Module claim, the user will need to return to the Maintain Woman/Caregiver Details screen and amend and save the updated information. Online Maternity Claiming 2007: User Guide 67

74 Services Following Birth Module (2002) Figure 20 Services Following Birth Module (2002) screen 68

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