Explanations of status descriptions in the Synapps Medical Billing System:-

Draft –Invoice has been created in our billing system and it has not been sent. An invoice can be altered while it is in Draft status. There are various reasons for a claim to be in DRAFT including; picture conversion is not completed yet, missing key information (referral, fees, Medicare/HF membership details etc). The claim can still be edited before submission. Claims may also remain in draft because they need to be sent manually (printed or emailed) and this varies depending on your package.

Claims in DRAFT can be sent to Synapse by clicking a button that appears on your app “S2S” with one click if you can’t be bothered sorting it out yourself. Additional fees apply.

Ready to send - This claim has not been sent but is ready to go. These claims are ready to be transmitted manually or automatically based on your settings.
(Please note: Your account will be set to send all invoices electronically/Emailed automatically once a day at midnight. This can be changed to instant transmission or other time frames. Please contact us.)
Sent Eclipse/Manual/Email – Your claim has been sent to the payers electronically or manually or via email

• Eclipse – Your claim was sent via Medicare’s eclipse channel electronically

• Manual - Your claim has been sent manually via post, there was no option other than snail mail for this one.
(IMPORTANT: DEPENDING ON YOUR PACKAGE YOU OR YOUR STAFF MAY HAVE TO PRINT AND POST MANUAL CLAIMS)

• Email – Your claim has been sent via email automatically, usually to Workers comp or Third party

(Please note: not all payers accept invoices via email, our data base has been set up with the email IDs of all payers who currently accept invoices via email and we regularly update and add new payers)

Accepted – Hooray! The payer has accepted the claim exactly as it was billed. Money has not been deposited to your account yet but it’s coming. Please note: This only applies to invoices sent via eclipse

o Paid – Money has been deposited to your account but has not been receipted

o Receipted – The payment has been receipted (automatically or manually) in our system and is now complete. No further action is required

Part paid/reject – The claim was either partially paid or rejected by the payer. The reason for the rejection is available in the system as an explanation code/rejection reason. Please login to the MBS to check the details. These claims can be sent to Synapse by clicking a button that appears on your app “S2S” with one click if you can’t be bothered fixing it yourself. Additional fees apply.

Lodged-NFA – The claim has been lodged to Medicare on behalf of the patient to obtain a rebate after having paid their fees. Payment of available rebates will be made by Medicare to the patient. No further action is required.

Closed – These invoices has been closed by adjusting the billed value for various reasons including Doctor error, reclassified patients or if the claim was incorrectly billed for any reason.