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LISTING OF SERVICES UPFRONT

This function allows user to submit the clinical data submitted by registered clinics and healthcare institutions under the Chronic Disease Management Program.

Estimated completion time: 1 - 2 minutes

This function allows user to search the clinical data submitted by Mediclaim System.

Estimated completion time: 1 - 2 minutes

This function is for Hospital/Clinic users to submit Online Universal Claim Form also known as UCFMSG. User may submit the different types of Claims which includes First Submission (FS), Amendment (AM), Supplementary Claim (SC) and Cancellation (CA). Upon successful online validation, the claim will be forwarded to the backend processing engine.

Estimated completion time: 1 - 5 minutes

The chronic disease claim form will be available within the MediClaim Web system as an alternative medical claim submission form to the existing Universal Claim Form. It aims to be a simpler submission form for chronic diseases.

Estimated completion time: 1 - 3 minutes

The vaccination claim form will be available within the MediClaim Web system as an alternative medical claim submission form to the existing Universal Claim Form. It aims to be a simpler submission form for vaccination.

Estimated completion time: 1 - 3 minutes

The day rehabilitation claim form will be available within the MediClaim Web system as an alternative medical claim submission form to the existing Universal Claim Form. It aims to be a simpler submission form for day rehabilitation.

Estimated completion time: 1 - 3 minutes

The Neonatal screening claim form will be available within the MediClaim Web system as an alternative medical claim submission form to the existing Universal Claim Form. It aims to be a simpler submission form for Neonatal screening.

Estimated completion time: 1 - 3 minutes

The Flexi-MediSave claim form will be available within the MediClaim Web system as an alternative medical claim submission form to the existing Universal Claim Form. It aims to be a simpler submission form for Outpatient Scans.

Estimated completion time: 1 - 3 minutes

The Outpatient Scans claim form will be available within the MediClaim Web system as an alternative medical claim submission form to the existing Universal Claim Form. It aims to be a simpler submission form for Outpatient Scans.

Estimated completion time: 1 - 3 minutes

This function allows Admim User to create and manage the hospital code.

Estimated completion time: 1 - 2 minutes

This function allows user to create and manage the MailBox details for Hospital.

Estimated completion time: 1 - 2 minutes

This function allows user to create and manage the Organisation details.

Estimated completion time: 1 - 2 minutes

This function allows user to create and manage the Hospital Accreditation details.

Estimated completion time: 1 - 2 minutes

This function allows user to map the Organisation with Hospital.

Estimated completion time: 1 - 2 minutes

This function allows user to map the Oranisation with UEN.

Estimated completion time: 1 - 2 minutes

This function allows only CPFB users to submit cancellation claim on behalf of MIs.

Estimated completion time: 1 - 2 minutes

This page allows CPFB users to search for cancellation claims submitted previously, and check the current claim status.

Estimated completion time: 1 - 2 minutes

This function allows user to check Patient's Integrated Screening Subsidy Eligibility by paitient's NRIC.

Estimated completion time: 1 - 2 minutes

The enquiry function allows Medical Institutions (MIs) to check if MediSave payer has sufficient MediSave balance to pay the estimated MediSave withdrawal amount. The user enters the payer’s CPF Account Number & estimated MediSave withdrawal amount to check the sufficient balance which is retrieved by accessing web service connecting to CPFB system.

Estimated completion time: 1 - 2 minutes

This function allows user to check the available amount for Flexi-MediSave limit for a specified payer/patient using information provided by CPFB.

Estimated completion time: 1 - 2 minutes

This function allows user to check MediShield Life/PMI Info by Patient's CPF Account Number and Enquiry Date.

Estimated completion time: 1 - 2 minutes

This function allows user to check patient's Available Amount for Chronic Disease Management Programme (CDMP) & Vaccinations by Payer's CPF Account Number and Enquiry Date.

Estimated completion time: 1 - 2 minutes

This function allows user to check patient’s Outpatient scans limit by patient's NRIC, Payer's CPF Account Number and Enquiry Date.

Estimated completion time: 1 - 2 minutes

This function allows user to check patient's MRI/CT Scan Available Amount by Patient's NRIC, Payer's CPF Account Number and Enquiry Date.

Estimated completion time: 1 - 2 minutes

The MediShield Life calculator module will allow hospital staff to compute the estimated claimable amount from MediShield Life based on various inputs, e.g. estimated length of stay, table of surgical procedures, implants etc.

Estimated completion time: 1 - 2 minutes

This function allows user to check patient’s Assisted Conception Procedure (ACP) limit by patient's NRIC and Payer's CPF Account Number.

Estimated completion time: 1 - 2 minutes

This function allows the healthcare institutions to download the payment reconciliation files (CPFB Payment Reconciliation (CPFPAY), CPFB IBG Letter (CPFIBG), CPFB Summary Listing (CPFSUM), Insurer Payment Reconciliation (PMIPAY) and Insurer IBG Letter (PMIIBG)).

Estimated completion time: 1 - 2 minutes

This function allows the private insurers to upload "PMIPAY"/"PMIIBG" file for processing by the central MediClaim engine.

Acceptable File Types are "PMIPAY"/"PMIIBG" and maximum upload file size is 5 MB.

Estimated completion time: 1 - 2 minutes

This function allows the private insurers to download "PMIPAY"/"PMIIBG" files processed by the central MediClaim engine.

Estimated completion time: 1 - 2 minutes

This function allows user to view the Integrated Private Insurance Plan for patient. Coverage information is uploaded by private insurers periodically.

Estimated completion time: 1 - 2 minutes

This function allows CPFB and Private Insurers to enquire the past hospitalisation history of patients with specified diagnosis code using batch files.

Acceptable File Type is "PMIPEI" and maximum upload file size is 5 MB.

Estimated completion time: 1 - 2 minutes

This function allows user to search and download the output files by selected date ranges.

Estimated completion time: 1 - 2 minutes

This function allows user to select the audit trail records by Submission Date, Function and User ID.

Estimated completion time: 1 - 2 minutes

This function allows user to select all the Error Message by Submission Date.

Estimated completion time: 1 - 2 minutes

This function allows user to select all the Exception Listing by Submission Date and Processing Statuses (Pending(PN), Approved by Private Insurer(PA), Rejected by Private Insurer(PR), Approved In Principle (AI)).

Estimated completion time: 1 - 2 minutes

This function allows user to select the claims which have been successfully deducted from CPF accounts.

Estimated completion time: 1 - 2 minutes

This function allows user to select the submitted claims by selected submission date ranges.

Estimated completion time: 1 - 2 minutes

This function allows user to select the received CPFADV by selected date ranges.

Estimated completion time: 1 - 2 minutes

This function allows user to select all MediClaim Users.

Estimated completion time: 1 - 2 minutes

This function allows user to generate quarterly report for insurers.

Estimated completion time: 1 - 2 minutes

This function allows user to select Billing Details by selected date ranges.

Estimated completion time: 1 - 2 minutes

This function allows user to select all the submissions for all hospitals in the month. It includes ‘FS’, ‘AM’ and ‘CA’ submissions.

Estimated completion time: 1 - 2 minutes

This function allows user to generate and publish to report queue for the reports such as RPTM_CD04, RPTM_CD05, RPTM_MSV01, etc.

Estimated completion time: 1 - 2 minutes

This function allows user to select the Bill Sizes by selected date ranges.

Estimated completion time: 1 - 2 minutes

This function allows MOH users to generate reports for Mediclaim Report Queue.

Estimated completion time: 1 - 2 minutes

This function is for healthcare institutions and private insurers to batch upload claim files.

Acceptable File Type is "UCFMSG" and maximum upload file size is 5 MB.

Estimated completion time: 1 - 2 minutes

This function allows user to download the "Error Messages", "Claim Advice", "Exception Listing", "Summary Listing" and "Deduction Listing" files.

Estimated completion time: 1 - 2 minutes

This function is for private insurers to upload claim advice files.

Acceptable File Type is "PMIADV" and maximum upload file size is 5 MB.

Estimated completion time: 1 - 2 minutes

This function allows private insurers to download the PMIREQ, CPFADV_PMI, ERRMSG_PMI files.

Estimated completion time: 1 - 2 minutes

This function allows private insurers to search the Archived PMIREQ, CPFADV_PMI, ERRMSG_PMI by date range.

Estimated completion time: 1 - 2 minutes

This function allows private insurers to search for the UCFMSG that was created by batch upload.

Estimated completion time: 1 - 2 minutes