WorksheetsOVHC and Direct Billers Quiz 1
Total questions: 10
Worksheet time: 5mins
What does OVHC stand for?
Overseas Visitor's Hospital Cover
Overseas Veteran's Health Commission
Overseas Visitor's Health Cover
Offshore Visa Health Cover
What services does OVHC provide?
Private Health Insurance for Australian residents
Medicare benefits for outpatient and hospital admissions for non-Australian residents
Only hospital admissions for non-Australian residents
Medicare benefits for Australian residents
Which OVHC level of cover does NOT include outpatient services?
Top
Mid
Standard
Budget
How much of the Medicare Benefits Schedule fee (MBS) is covered for a General Practitioner (GP) on a Standard Working policy?
100%
85%
75%
This service is not covered.
How much of the Medicare Benefits Schedule fee (MBS) is covered for Specialists, Pathology and Radiology on a Standard Working policy?
100%
85%
75%
These services are not covered.
What is a Direct Biller?
A GP who directly bills the member.
A Specialist who asks for the bill in a direct manner.
A medical provider who bills Allianz directly via an online portal.
A medical provider who submits their claims through HICAPS.
What services do Direct Biller's claim for?
Inpatient treatment while admitted to hospital
Outpatient GP, Radiology and Pathology
GP services only
Emergency Department visits
A VEVO Check must be completed for claims over how much?
$200
$250
$500
$400
What needs to be entered in the 'Claim Total' field of the e5 work?
The total dollar value of the claims processed.
The number of claim lines that appear on the schedule regardless of what is processed.
The sum of the dollar value x the number of claim lines processed.
The number of claim lines that are processed.
What do we use the Direct Biller Master Spreadsheet for?
To determine what category the provider is in.
The Direct Biller Master Spreadsheet is not required to process these claims.
To locate the MBS item numbers.
To locate the corresponding HAMBS Provider ID using the MIDAS or GULLIVER ID provided on the schedule.
