Helpdesk

Your arrangements with the funds are between you and them. We (software providers) have no ability to look up or modify these arrangements. You must discuss it with the funds on behalf of your providers*. 

Part of those arrangements will be adhering to a scheme or agreement rate (they may reject if the wrong rate is charged).

All funds have a standard schedule of fees and are typically NO GAP**, i.e. you cannot charge the patient extra (unless you have some specific agreement).

BUPA/HCF have a KNOWN GAP schedule of fees (been this way for a few years now). It's a lower rate, but you can charge a gap.

Because BUPA/HCF have two different schedule rates you will need to discuss with them specifically to work out what your current arrangement is, and if it's not suitable you should change it.

Once you know your arrangements, the Medilink Fee Update should be run with the correct schedule chosen (i.e. tick KNOWN GAP if that's the choice).

Potentially if you have a changeover of arrangement type you will need to be aware of the date and manually charge accordingly before/after the date (you may be able to backdate an arrangement though - but again, you'll have to discuss with the fund(s)).

*If you have one provider who insists on doing it differently, you can manually get around this by having multiple item descriptions, i.e. two version of the same item number. The first item having the NO GAP rate, and the second having the KNOWN GAP rate.