We tend to describe an OEC as a Quote for an IMC, and the process is very similar to doing an IMC.

  • Bring up the patient and go to ECLIPSE.
  • Check the PVM/PVF.
  • Make sure 4. Setup Provider Fund is appropriately selected (i.e. if it's SCheme, or AGreement, or PatientClaim etc).
  • You can create a possible hospital admission (or if you skip this it'll create an open-ended admission from today's date).
  • Click OEC Quote (just below IMC).
  • Choose a Presenting Illness Code (PIC). This is the main difference to an IMC.
  • Fill in the in-hospital procedures just like you would an IMC, using a possible service date in the future.
  • This will send the OEC to the fund, it will take about ~20 seconds.
  • You will get a printout of the OEC.
  • Some screenshots and a more detailed process below.

A few things to note:

  • A lot of funds either don't do OEC, or will reject things that they would normally pay. We hear this a lot - it's one of those things where we don't have much of a say unfortunately.
  • An alternate to an OEC is to use Reception Menu -> Fee Estimate. This uses the rates you have for a fund and prints it out for you and the patient to see. It is *not* a validated quote (but then neither is an OEC really - there is no guarantee).


An OEC is an Online Eligibility Claim, ostensibly it is a quote that is a precursor to an IMC. 

You must have gone through all of the relevant setup, verification and admission before you can do an OEC.


1.     Click OEC Quote


2.     Fill in the services as necessary. Be aware that you can only bill services with the asterisk modifier (in-            hospital).



3.     After submitting an OEC, the system will automatically check the status of and produce a report on the             OEC for you to give to the patient.


4.     An OEC can later be converted in to an IMC by highlighting it and pressing IMC Invoice, 

        (you will be asked if you want to convert this OEC in to an IMC). This saves time but you must ensure               that all of the details are still correct in the invoicing screen before pressing OK.