DVA testing

Provider details

To get going quickly, we have created test business, practice and providers. Each test business has:

  • two practice locations
  • three providers: one allied healthcare professional, one GP and one Medical Specialist
  • Providers enabled for claims across all HICAPS funds, all Medicare functions, all CTP / icare functions
  • A merchant account enabled for all card payments Contact the Tyro Health Online support team at hello@medipass.com.au for access credentials and API keys. Alternatively, you can use the details listed below:
Provider type Provider number Last name First name
Physiotherapist 2429581T Han Clifton
General Practitioner 2409661B Miranda Raphael
Medical Specialist 2429591L Browning Charlene

Valid patient test details include:

Veteran File No Last name First name Date of birth
QX901543 FIONA ANNE-MARIE 10/04/1954
QX901544 GRAHEME DIMITRY 27/05/1961
QX901545 JACKI GERRY 13/07/1969
QX901546 KEVIN JADE 28/09/1956

DVA simulated responses

Medicare Bulk Bill submissions are usually processed overnight. To quickly simulate responses (and test configured webhooks), transactions can be stubbed. Stubs can be applied at multiple levels:

  • Submission
  • Processing
  • Processing claim item
  • Payment
Sub Text Level Expected Response Notes
STUB_OK Submissions (required) Submission succeeds
STUB_DOWN Submissions (required) Submission fails with 3004 (medicare down) Claim will be successful after the next batch run. Approx every 2 hour
STUB_FAIL Submissions (required) Submission returns a fail 3999 Claim will not be resubmitted
STUB_FAIL_XXXX Submissions (required) Submission returns a fail XXXX Replace XXXX
STUB_PROCESSING_ITEM_FAIL Processing claim item Processing report returns with Explanation code 160
STUB_PROCESSING_ITEM_FAIL_XXX Processing claim item Processing report returns with Explanation code XXX Links to return codes: Medicare/,
STUB_PAYMENT_FAIL Payment Payment report returns with fail 8002
STUB_PAYMENT_FAIL_XXXX Payment Payment report returns with fail XXXX

Stub text(s) are applied on claim item's Service Text field and should be set on the first claim item of the claim, with the exception of STUB_PROCESSING_ITEM_FAIL, which can differ for each claim item. Stub outcome can also be applied on different levels ie. Submission, Processing claim item, Payment. To initiate a stub, Submission level is mandatory.

Examples:

  • STUB_OK;STUB_PROCESSING_ITEM_FAIL_123: Submission submits successfully, but processing report returns an explanation code of 123 and results in no benefits paid for the item.
  • STUB_DOWN;STUB_PAYMENT_FAIL_1234 : Submission failed because medicare was down. After a couple of hours, re-submission succeeds with a successful approval of claim. Payment fails with an error code of 1234.
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