Private Health Fund Fees

Genie incorporates all the major Private Health Fund Schedules including AHSA, AXA, HCF, MBF, Medibank Private, Mutual Community and NIB. These schedules are available from the quarterly Genie update CD, and also from our FTP site.

To set up Health Funds in order to import their Fee Schedule, go to Open > Billing Items and click the Health Funds button.

This displays a list of all the Health Funds recorded in your data file. The checkboxes on the right indicate that a particular fund belongs to the AHSA and uses their common schedule of fees. You should scroll through these to ensure each fund is marked correctly.

To add a fund, click on the Add button. And subsequently to delete a fund you will not use, or to delete multiple enteries of a fund, click the Delete button. To edit a fund, double click on the fund name in the list and then Save.

The Create Schedule button allows you to add a fund for which the schedule has not been supplied to Genie Solutions, but you are aware of the percentage of the fee in relation to the Medicare Schedule.

Close this window when finished.

Assistant Fee Percentages

If you invoice an Assistant’s fee for a procedure, you also need to specify the percentage of the schedule for each private fund.

You only need to do this for item number 51303.

To do this, go to Open > Billing Items and find the record for item 51303 and open it.

In the lower half of the record you will find the list of private fund fees.

The Fee percentage should be imported for most of the funds automatically, however you may need to manually add the percentage in some cases.

However, you will need to contact the fund directly to find out what these are because we don’t have that information.