This report can be used to reconcile with the
Payment Advice Statement received from Medicare.
NOTE: This report
is not an option on the PBS Online menu; this report is a scheduled task set to
run regularly.
To run the “Payment
Validation Report”, the Posh Report
Processing Screen is used. This screen
can be accessed by the zoom “[REPORT”.
· Enter the zoom [REPORT
· Enter ? in Field 1 and a list of all
availabel reports will appear.
· Select PHR.PBSOL.PVR.XML i.e. PBS Online
Payment Validation Report
· Field 4.2: Enter User Id
· Field 4.3: Enter the Start Date
· Field 4.4: Enter the End Date
· Field 4.5 Enter the Main Store Id OR
leave blank and all sites will be included in the report
· Type <R> in the Option Line to run
the report
· When it has finished, escape out of the
screen and enter the zoom [EXPORT. The following screen will open:
Complete the fields as follows:
· Field 1: Leave blank (Nothing needs to
be entered in this field)
· Field 2: Enter PVR (must be in capitals) (for
Payment Validation Report) to filter the results
· Field 3: Enter the path for the report
to be exported to – this must be a drive on the computer that will allow
you to export to
· Field 4 should populate automatically.
To choose which report(s) you wish to export, at the option line, type the reference
for the report : e.g. 4.6 (i.e. line 6 of Field 4) The ‘N’ next to the report
will change to ‘Y’. You can select multiple reports to export at once.
· Type <E> for Export at the Option
Line and <Y> when the box opens.
· The report will now be exported to the
folder specified in EXCEL format (.xls) to the designated directory; you
may need to go to the drive you saved the file into to open it.
The report can be exported to a local drive when required
and opened in Excel as a spreadsheet. The
Payment Validation Report includes the following tabs:
· Claim
Analysis
This details the estimated rebate for each patient category.
· Statement
Analysis
This details the actual rebate current as at a specified
date. The report will remain interim until the paper prescription has
been processed by Medicare at which time the report becomes complete.
· Bank
Deposit
This details dates, Reserve Bank account reference numbers,
and the dollar value of each payment.
· Discrepancies
Report
This details any differences between estimated and actual
rebate.
· Non-transmitted
Script Report
This details any prescriptions with a status of W.
· Rejected Scripts
This details a valued list of rejected prescriptions,
aligned with a relevant reason code
Scripts Rejected
Initially are those that appear as Rejected through PBS Online; Rejected in Statements are those sent
back from Medicare following auditing of paper.
· Scripts
not in Statement
This details any item that appears on the transaction screen
but not on the statement screen. This
allows the user to ensure nothing is missed.
· Hard Copy
Scripts Required
This details any prescriptions with a status of S where Medicare require a prescription
before confirming the payment of the item. Often this will occur where the cost of the item exceeds $5000, however
this is not the only instance.
