Manage NDIS claim errors for allied health

Lumary AH - This article explains how to identify and fix NDIS claim errors.

Once you upload your NDIS claim results file, the Extract Items list shows the PRODA Claim Status for each extract item. Items with an error have a red highlight and PRODA Claim Status of Claim Error. You can manage your claim errors from the extract record to make sure you don't miss out on claiming for services delivered.

Click here to find out how to get to an extract record

1. Go to the Lumary Extracts tab.

If you can't see this tab, you may need to check under the More drop-down list or click on the App Launcher nine dot grid and search for enquiries.

2. Set Extract Type to NDIS.
3. Set the date range to include the date of your extract.
4. Scroll down to the Previous Extracts section and look for the relevant extract file.
5. Click on the Extract ID text link to open your extract.

When you open your extract record, the NDIS Claim Process Tracker will show you where you're up to in the claiming process. You should be at step 4. Results Uploaded.

To manage errors in an extract:

1. Click on the Manage Claim Errors tab.
2. This will list all extract items that have claim errors. The Status Message column shows the error message from the NDIA.

The claim errors list includes unresolved errors from all extracts. You may need to take care to make sure you address errors related to your current extract.

3. To make adjustments to an SD record, go to the Serviced Delivered column and click on the record's text link. You may need to go to other parts of the system to fix the issue with your SD record.
4. Once you've reviewed your SD record and made any required changes, go back to your extract. If you're still on the SD record, you can:
   1. Scroll down to the Extracts section
   2. Click on the EXI text link in the Current NDIS Extract Item field
   3. Scroll down to the Details section, and
   4. Click on the EXT text link in the Extract field.
5. Click on the Manage Claim Errors tab.
6. Click on the pencil icon in the Error Fix Status column and select an option from the drop-down list. The purpose and outcome of each option is described in the table below.

If you fixed the issue and plan to reclaim the service delivered, select Fixed to be Reclaimed. This will unlink the SD record so that it can be included in a new extract.

Setting	Purpose and outcome
Fixed to be Reclaimed	For SD records that you've fixed so that they can be included in a future extract and claim. This setting will: clear the SD record's Current NDIS Extract Item field, and set the SD record's Claim Status to Ready to Claim. These changes allow the SD record to be included in a new extract.
Cannot Claim	For SD records where the error shows that the service delivered is not eligible for claiming from the NDIS. The SD record will not be included in any future extracts.
Claimed Manually	For SD records where the claim with the error was fixed by claiming manually through PRODA from the myplace portal. The SD record will not be included in any future extracts.

7. Once you've added your fix statuses, click on the Save button.

When you refresh your browser, the fixed claims will be removed from your Claim Errors list. Records that you fixed to be reclaimed will be ready for inclusion in a new extract that includes them in the date range.

As well as sending you the results file, the NDIA will provide a remittance file that shows the amount that was paid for each claim item. To align your records to your paid NDIS claims, the last step in the claiming process is to upload the remittance file.