Southern Cross Manual


TABLE OF CONTENTS (for attached document)

Table of Contents .............................................................................................................................................2

Introduction to Insurer e-Claiming ...........................................................................................................2 

Requirements .....................................................................................................................................................3 

    Technical Requirements..............................................................................................................................3 

    Administrative Requirements ..................................................................................................................3 Setup.......................................................................................................................................................................3 

    Southern Cross Identifiers..........................................................................................................................3 

    Toniq Insurer e-Claiming Installation ....................................................................................................3 

Processing Prescriptions for Southern Cross Policy Holders ............................................................6 

    Adding a Southern Cross Insurance ID ................................................................................................6 

    Insurance Status.............................................................................................................................................8 

    Identification of Insured Patients.............................................................................................................8

     Processing Prescriptions............................................................................................................................8 

Southern Cross Payments................................................................................................................................9 

    Patient Receipts .............................................................................................................................................9 

    Payments from Southern Cross..............................................................................................................11

Reporting .............................................................................................................................................................12 

    Insurance Claims Report ...........................................................................................................................12 

    Dispensary Summary Report....................................................................................................................12 Appendix...............................................................................................................................................................13 

    .NET Framework Installation ...................................................................................................................13 FAQs........................................................................................................................................................................14