Hospital Casemix Protocol: CheckIt

It is a requirement of the National Health Act for private hospitals to provide Hospital Casemix Protocol (HCP) data to a registered private health insurance organisation which has an applicable benefits agreement with the patient, as well as to a private hospitals data bureau (PHDB).

Page last updated: 23 August 2016

Background

It is a requirement of the Private Health Insurance Act for declared private hospitals to provided Hospital Casemix Protocol (HCP) information to Private Health Insurers and Private Hospital Data Bureau (PHDB) information to the Department. Under the Act, registered insurers must provide HCP information to the Department.

The Department has developed an application (Check-It 2) to assist insurers and hospitals meet their HCP and PHDB reporting obligations. Check-It 2 will validate HCP and PHDB files and report whether they comply with the published specifications.
The benefits of using Check-It 2 include;
  • Immediate feedback on the compliance of your HCP/PHDB files, which will allow you to submit correct data the first time.
  • Provision of detailed reporting features that help to investigate data errors that are flagged.
  • The software is kept up to date with the latest HCP/PHDB specifications.
  • The software is provided free of charge.
The file specifications and edit checks for the HCP can be found on the following page:
Hospital Casemix Protocol (HCP)

PHDB file specifications can be found on the following page:
Private Hospital Data Bureau (PHDB)

WARNING:

The department can not guarantee and assumes no legal liability or responsibility for the accuracy, currency or completeness of the information or output of the HCP/ PHDB Checker. Please see the disclaimer below.

Disclaimer

The Commonwealth accepts no liability for any interference with or damage to a user's computer system, software or data occurring through the download and/or usage of this supporting software. Users are encouraged to take appropriate and adequate precautions to ensure that whatever is selected from this site is free of viruses or other contamination that may interfere with or damage the user's computer system, software or data.

Check-it2

Please select the appropriate Check-It 2 installation below depending on if you are a Private Hospital or Private Health Insurer. Full setup and usage instructions are contained in the user guide, also available for download below (this guide is also included in the installations).

User documentation

Documentation for Check-It (PDF 682 KB)
The guide can also be viewed as a web page: Documentation for Check-It



Version 1.13.0.2

Updated on 1/11/2016 to include:
  • Updated Hospital Provider Numbers (November 2016)
  • Updated MBS Schedule (November 2016)
  • Updated Prosthesis List (October 2016)

For Private Health Insurers

For Private Hospitals

Version 1.13.0.1

Updated on 18/08/2016 to include:
  • Updated MBS item codes
  • Updated ADA service codes (11th edition)

For Private Health Insurers

For Private Hospitals

Version 1.13.0.0

Updated on 01/07/2016 to include:
  • 2016/17 Data Specifications
  • Updated Hospital Provider Numbers (July 2016)
  • Updated MBS Schedule (July 2016)
  • Updated Postcodes (June 2016)

For Private Health Insurers

For Private Hospitals

Version 1.12.0.2

Updated on 05/04/2016 to include:
  • Updated Hospital Provider Numbers (April 2016)
  • Updated MBS Schedule (April 2016)
  • Updated Prosthesis List (February 2016)

For Private Health Insurers

For Private Hospitals


Version 1.12.0.1

Updated on 02/11/2015 to include:
  • Updated Hospital Provider Numbers (November 2015)
  • Updated MBS Schedule (November 2015)
  • Updated Prosthesis List (August 2015)

For Private Health Insurers

For Private Hospitals



Version 1.12.0.0

Updated on 01/07/2015 to include:
  • 2015/16 Data Specifications
  • Added support for DRG version 8.0
  • Added support for ICD-10-AM 9th edition
  • Updated Hospital Provider Numbers (July 2015)
  • Updated MBS Schedule (July 2015)
  • Updated Insurer Identifiers (July 2015)

For Private Health Insurers

For Private Hospitals



Version 1.11.0.4

Updated on 19/3/2015 to include:
  • Updated MBS Schedule (January 2015)
  • Updated Prosthesis List (February 2015)
  • Updated Hospital Provider Numbers (March 2015)

For Private Health Insurers

For Private Hospitals



Version 1.11.0.3

Updated on 28/11/2014 to include:
  • Updated Prosthesis List (August 2014)
  • Updated Hospital Provider Numbers (November 2014)
  • HCP2 Service Codes (November 2014)
  • Added support for 2014/2015 PHDB files

For Private Health Insurers

For Private Hospitals



Version 1.11.0.2

Updated on 07/08/2014 to include:
  • Updated Prosthesis List (February 2014)
  • Updated Medical Benefits Schedule (August 2014)
  • Updated Hospital Provider Numbers (August 2014)
  • HCP2 Service Codes (August 2014)
  • Added support for post July 2014 PHDB files

For Private Health Insurers

For Private Hospitals



Version 1.11.0.1

Updated on 26/03/2014 to include:
  • Updated Prosthesis List (February 2014)
  • Updated Medical Benefits Schedule (March 2014)
  • Updated Hospital Provider Numbers (February 2014)

For Private Health Insurers

For Private Hospitals



Version 1.11.0.0

Updated on 01/11/2013 to include:
  • 2013/14 Data Specifications
  • Updated MBS Items (January 2014)
  • Updated Postcodes (September 2013)
  • Updated Hospital Provider Numbers
  • Updated HCP2 Service Codes (October 2013)

For Private Health Insurers

For Private Hospitals



Version 1.10.1.0 (used to validate files from 1 July to 30 October 2013)

Updated on 26/07/2013 to include:
  • Updated MBS Items (July 2013)
  • Updated Postcodes (May 2013)
  • Updated Hospital Provider Numbers
  • Updated insurer Identifiers
  • Updated Prosthesis List (June 2013)
  • Updated HCP2 Service Codes (June 2013)
  • Added support for DRG version 7.0
  • Added support for ICD-10-AM 8th edition

For Private Health Insurers

For Private Hospitals



Version 1.10.0.0 (used to validate files from 1 July 2012 to 30 June 2013)

Updated on 10/12/2012 to include:
  • 2012/13 Data Specifications
  • MBS Items (December 2012)
  • New Hospital Provider Numbers
  • Added support for DRG version 6.0x
  • Introduced Windows 7 compatible version

For Private Health Insurers

For Private Hospitals




Version History

Version 1.12.0.0

Updated on 01/07/2015 to include:
  • 2015/16 Data Specifications
  • Added support for DRG version 8.0
  • Added support for ICD-10-AM 9th edition
  • Updated Hospital Provider Numbers (July 2015)
  • Updated MBS Schedule (July 2015)
  • Updated Insurer Identifiers (July 2015)

Version 1.11.0.0

Updated on 01/11/2013 to include:
  • 2013/14 Data Specifications
  • Updated MBS Items (January 2014)
  • Updated Postcodes (September 2013)
  • Updated Hospital Provider Numbers
  • Updated HCP2 Service Codes (October 2013)

Version 1.9.0.3

Updated on 02/11/2012 to include:
  • New Hospital Provider Identifiers

Version 1.9.0.2

Updated on 4/9/2012 to include:
  • Validation for data up to 31 October 2012
  • New Hospital Provider Identifiers
  • New Insurer Identifiers
  • MBS Items (August 2012)
  • Prostheses Schedule (August 2012)
  • 2012 Australian Postcodes

Version 1.9.0.1

Updated on 23/04/2012 to include:
  • New Hospital Provider Identifiers
  • MBS Items (March 2012)
  • February 2012 Prosthesis List
  • 2012 Australian Postcodes

Version 1.9.0.0

Updated on 7/09/2011 to include:
  • 2011/12 data specifications
  • MBS Items (July 2011)
  • Prostheses Schedule (August 2011)
  • New Hospital Provider Numbers
  • 2011 Australian Postcodes
  • HCP2 Service Codes

Version 1.8.1.0

Updated on 17/01/2011 to include:
  • MBS Items (January 2011 and November 2010)
  • New Hospital Provider Numbers
  • Removed Error E004 and E005 for 2010/11 PHDB specification

Version 1.8.0.0

Updated on 16/08/2010 to include:
  • 2010/11 data specifications
  • MBS Items (July 2010)
  • Prostheses Schedule (August 2010)
  • 7 th ICD-10-AM codes
    2010 Australian Postcodes

Version 1.7.2.0

Updated on 15/05/2010 to include:
  • MBS items (May 2010)
  • Prostheses Schedule (February 2010)
  • Changed Edit rules for Admission FIM Item Scores, Discharge FIM Item Scores, AN-SNAP Class and SNAP Version in HCP1 (from Insurers to the Department) and HCP (from Hospitals to Insurers) data specifications
  • Australian Dental Association codes lookup table updated to allow all codes valid for Service Codes in GT-Dental specifications

Version 1.7.1.0

Updated on 03/02/2010 to include:
  • MBS items (January 2010)
  • Changed Error codes ME005.1 and ME010.1 to Warning codes MW005.1 and MW010.1
  • Added new Service Speciality codes for HCP2 data collection

Version 1.7.0.0

Updated on 10/11/2009 to include:
  • MBS items (November 2009)
  • 0910 GT-Dental specification
  • New edit rule for HCP2 service code field which allows prostheses in this field
HCP Support Staff, Hospital Data Management Section on 02 6289 8058
Email: Hospital Casemix Protocol Top of page