Set up billing for National Health Service (NHS) for UK

In Halaxy, the National Health Service (NHS) is available as a preset funder for practices located in the United Kingdom, including Great Britain (England, Wales, Scotland) and Northern Ireland.

The preset NHS funder also includes preset fees - which include Health Resource Groups (HRGs) names with their codes and unit prices. This means all you need to do is import fees to appointments, add your practitioner identification, and set up patient NHS details.

In just a few clicks, the appointment invoice automatically configures all the necessary information for you.

The NHS billing setup checklist

This checklist outlines what you need to do to set up your practice billing.

For step-by-step guides for each of these checklist items, refer to the subsequent sections in this article.

Task

What it does

Details

  • Import NHS fees

  • Automatically sets up the correct billing and claim structure in invoices that contain NHS fees (HRGs)

  • Adds NHS services and their corresponding rebate pricing to your practice group

Where to set up: When creating appointments

You only need to import each fee once.

  • Set up the patient claim

  • Verifies the patient's enrolment and eligibility for coverage with NHS

  • Automatically adds the patient's claim details to any invoice billed to them that contains NHS fees

Where to set up: Calendar appointment

You only need to set up each patient's NHS claim once.

  • Add your required identification

Sets up your required IDs to automatically populate in invoices.

Where to set up: Appointment invoice

You only need to add your General Medical Council (GMC) number once per practice location.

When all your requirements are in place, your invoices containing NHS fees are automatically set up with all relevant information.

Import NHS fees (HRGs)

This step adds HRGs - with their codes and unit prices - to your practice. This step can be done as needed when creating patient appointments. By importing from Halaxy's preset fee library, any changes to unit prices are automatically done for you.

  1. On the calendar, click on a timeslot to create a patient appointment.

  2. For Fees, enter the HRG name or HRG code of the service, then click the fee to import it. The fee must be under the NHS funder.

    Billing-UK-NHS-01.png

    Example of selecting the correct funder

  3. Click Import Fee. This service has now been saved to your practice and can be reused in new appointments.

  4. To import multiple fees to add to this invoice, repeat Steps 2 to 3. If the service you want to add is unavailable as a preset, you can add and set it up as a new fee.

  5. In the appointment panel, click Save to create the appointment and automatically generate the invoice. (In the newly created appointment, click Invoice to open it.)

You have successfully imported your fee - and also created an appointment, clinical note and invoice.

Tip

If you want to set up all your fees and services without needing to create appointments, you can also import them from the Fees List.

Set up the patient claim

This step adds the patient's claim identification, which verifies their enrollment and eligibility for coverage with NHS. This step can be done as needed when creating patient appointments.

  1. From the patient's appointment on the calendar, under the claim section, click the Icon-Edit.svg pencil icon.

    Billing-UK-NHS-02.png
  2. In the pop-up, enter the patient's details for their claim:

    • NHS Number: This may be called a different term, depending on your region.

      • NHS Number - England and Wales

      • Community Health Index Number (CHI Number) - Scotland

      • Health and Care Number (H&C Number) - Northern Ireland

    • Residency Status

    • Passport Number

    • Passport Expiry Date

  3. Click Save.

The claim is added successfully to the patient's profile and any of their appointment invoices that contain the fee added to the appointment.

Tip

If you want to set up your patient's claim without creating an appointment, you can enter their claim in the Funding tab of their profile.

Add your required identification

This step sets up your GMC number, which will appear on any invoice containing NHS fees.

  1. From the patient's appointment on the calendar, click Invoice.

    Halaxy Invoice
  2. Under the Practitioner Details section, under Identification, click the Icon-Edit.svg pencil icon.

    Billing-UK-NHS-04.png
  3. In the pop-up, enter your GMC Number.

  4. Click Save.

  5. (Optional) If you haven't entered your practice address yet, next to Practitioner Details, click Edit to set up your practice details.

You have successfully added your identification for this funder. Whenever you create an invoice with NHS fees, your GMC number is automatically displayed on the invoice.

If you've completed all these steps, all you need to do is create appointments with NHS fees, and your invoices are automatically set up with the correct information.

Updated

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