5B

Capture & Submit Billing — For Anaesthetists

Anaesthetics billing follows the same patient-first flow as physician billing, with a few extras: required initiation items, time-based billing, and a choice of four gap types.

The complete workflow looks like this:

1
Add Patient
2
Billing Sheet
3
Time-Based Item
4
Referrals
5
Gap Type
6
Submit
1

Add Your Patient

Add patients the same way as Section 3. Each card also shows whether the patient is an Out-patient or In-patient. Tap "Add item" on their card to start billing.

Patients list showing Out-patient and In-patient badges
2

Open the Billing Sheet

Tapping "Add item" opens a quick Billing Sheet with common consult items.

  1. Choose a Consult item for a quick bill, or
  2. Tap "Switch to full billing sheet" for initiation items, time-based billing, and modifiers
Quick billing sheet with consult items
3

Add Consult & Initiation Items

The full billing sheet adds a Surgeon name, plus item categories specific to anaesthetics.

  1. Enter Surgeon first/last name (optional)
  2. Select any Consult items
  3. Select at least one Initiation item
Initiation Item Required

Unlike Consult items, Initiation items are marked with a red asterisk — you must select at least one to submit an anaesthetics claim.

Full billing sheet with consult and initiation items
4

Add a Time-Based Item

Anaesthetics is billed by duration. Scroll down to record the exact time spent, then add any modifiers that apply.

  1. Tap Start time and End time under Time-Based Item
  2. Add Modifiers or After hours emergency modifiers if they apply
  3. Add any Additional services provided
Time-based item with start and end time, modifiers, and additional services
5

Referrals

Link the referring doctor to the claim — search for them, pick a favourite, or note that there's no referral.

  1. Search — Enter State, then Surname (3+ letters) and First name
  2. Favourites — Pick a saved referring doctor, or tap "Switch to search"
  3. No referral — Select a Reason code from the dropdown
Referring doctor search
Referring doctor favourites, empty state
6

Choose a Gap Type

Under Gap instructions, choose how any gap between the fee and the scheduled benefit is handled.

No Gap

No out-of-pocket cost for the patient.

Known Gap

Enter the gap amount and choose who invoices it — you, or Medbill on your behalf.

Custom Fee

Set a fee per unit or a total amount, and record anything already paid.

AMA

Bill at the AMA rate and record anything already paid by the patient.

Gap instructions - No Gap
Gap instructions - Known Gap
Gap instructions - Custom Fee
Gap instructions - AMA
7

Search for Specific Item Numbers

Can't find a code in the quick-pick bubbles? Search the full item list.

  1. Tap any "Add item +"
  2. Search by code (e.g. "110") or keyword
  3. Toggle on the items you need, then tap Save
Add item numbers search screen
Add item numbers search results
8

Submit for Billing

Add any Submission notes, then Submit for Billing.

  1. Type notes in Submission notes (max 1000 characters, optional)
  2. Tap "Submit for billing"
  3. Made a mistake? Tap "Delete from Submission" to remove it before submitting
Submission notes and Submit for billing button