Claim line Warnings and Alerts will show on claim lines that need to be checked or edited as part of the review process. They appear on the Claim Details page and on the Edit Claim page.
Claim Line Warnings
Claim Line Warnings do not prevent you from submitting the claim, but raise any issues that might cause a problem and should be checked eg:
Alert on Code: 04_210_0125_6_1- Check if the activity fee can be claimed
Please refer to the NDIS Pricing arrangements and the Participant's plan as well as a breakdown of what is being claimed using this code.
The date of service does not include a Saturday (Sunday)
Planability will display a warning when either a Saturday or Sunday code is selected for a weekday date, but does not block the claim from processing:
The NDIS Pricing Arrangements and Price Limits indicate that providers cannot claim for Provider travel for this support item
Planability will highlight (but not restrict) when a support type is selected that is outside of the NDIS Pricing Arrangements for both PACE and non PACE plans:
TIP: As a guide, Labour Costs – Time should be claimed as “Provider Travel” and Non Labour Costs – (Activity Based Transport/KM’s travelled) should be claimed as “Direct Service”.
Claim Line Error
Claim Line Errors highlight issues that are blocking you from submitting the claim.
When there is an Error on one or more lines you will not have the option to submit a claim or request approval of the claim.
The issue must be addressed before you can proceed.
The software will block the creation of claims lines with support items selected for Public Holiday, or weekend services if the date or date range includes dates that are not weekend or public holiday dates.
The warning will display on the Edit Claim page so it is easily identifiable when reviewing scanned claims
This item code is unavailable for the service dates:
The item code selected is not active on the service dates entered. Please check you have the correct code, or the correct dates entered. You can refer to the NDIS Pricing Arrangements for clarification.
Product does not exist in service agreement. Selected product does not existin in Service Booking. An exception was raised
The item code selected and submitted to the NDIS is a Stated Item in the Plan. Please edit the claim line and select the stated item Service Booking and resubmit
Claim Line Information
If there is information regarding a support code that we can pass on to you, then it will show in an Information notification:
