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Running the claims report

You can generate an EPS claim report to obtain an indication of the number of EPS Release 2 prescriptions that you have claimed within a given month, with a breakdown of exempt and paying items and forms. The report calculates totals based on the claim period which runs from the 1st of the month until the 5th of the following month.

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  1. To begin, select the Completed tab in Workflow by selecting Workflow from the left-nav and the Completed tab.

Completed Workflow

  1. Select the [Claims Report - F11] button. The Claims Report displays.

Claims report

FieldDescription
FiltersUse the available Filters to search the claim report for a specific patient or prescription ID, or adjust the report Period and Years to view the report for another month/year. By default, the report Filters will be set to the current claim month and year once opened.
Claim report gridThe claim report displays one record for every individual prescription that was claimed based on your filters. In this grid you'll find the Claim Date, Exemption letter for the prescription, Total Items (includes no charge items) and more.
Summary for FP34C Submission
  • Exempt Forms: The total number of prescription forms claimed across the claim period that are flagged as exempt i.e., they do not have the exemption Paying set against the prescription forms.
  • Paid Forms: The total number of prescription forms claimed across the claim period that are flagged as paying i.e. they do have the exemption Paying set against the prescription forms.
  • Total Forms: The total number of prescription forms (Exempt + Paid) claimed across the claim period.
  • Exempt Items: The total number of items forms claimed across the claim period that are dispensed on exempt forms. This will also include the total number of no charge items that were dispensed on paid forms and item(s) endorsed with SSP on a paid form where the user has selected Yes to the question Based on the protocol, is the item eligible to be supplied free of charge?. Items marked as not dispensed will be excluded.
  • Paid Items: The total number of items forms claimed across the claim period that are dispensed on paid forms. This will exclude the total number of no charge items that were dispensed on paid forms, item(s) endorsed with SSP on a paid form where the user has selected Yes to the question Based on the protocol, is the item eligible to be supplied free of charge? and items marked as not dispensed.
  • Total Items: The total number of prescription items (Exempt + Paid) claimed across the claim period. Items marked as not dispensed will be excluded.
Breakdown of Payment Group & Fees
  • Exempt Forms: The total number of prescription forms claimed across the claim period that are flagged as exempt i.e., they do not have the exemption Paying set against the prescription forms.
  • Paid Forms: The total number of prescription forms claimed across the claim period that are flagged as paying i.e. they do have the exemption Paying set against the prescription forms.
  • Total Forms: The total number of prescription forms (Exempt + Paid) claimed across the claim period.
  • Total Exempt Items: The total number of items forms claimed across the claim period that are dispensed on exempt forms. This will not include the no charge item count.
  • Total Paid Items: The total number of items forms claimed across the claim period that are dispensed on paid forms. This will include any no charge items and any SSPs that will be switched to exempt.
  • Total Items: The total number of prescription items (Exempt + Paid) claimed across the claim period. Items marked as not dispensed will be excluded.
  • No Charge Items Paid (+ Total): The total number of no charge items claimed across the claim period dispensed on paid forms. This will also include any SSP items that will be switched to exempt.
  • Exempt Fees: The total number of dispensing fees incurred for exempt items.
  • Paid Fees: The total number of dispensing fees incurred for paid items.
  • Total Fees: The total number of dispensing fees incurred for all items (i.e. paid and exempt).
  • No. of Charges: The total number of prescriptions charges collected per item on all claimed prescriptions where Paying was set.
SSP Claims
  • Exempt Items: The total number of SSP items supplied that are exempt, including the NCI.
  • Paid Items: The total number of SSP items supplied that are paid.
  • Total Items: The total number of SSP items.
[Print Details Report - F1]View a print preview of all the information available on the grid based on your filters. You can print the report from this window.
[Export to Excel - F2]Export the claim report (based on your filters) to Excel.