Handling Claims with Underpayment (No Co-Contribution)
The system handles claims where the payment is less than the claimed amount and no co-contribution applies.
| Question | Answer |
| How does CareVision handle scenarios where Services Australia returns a claim with a payment less than the claimed amount and no co-contribution applies? | CareVision uses the total amount returned by Services Australia as the value reflected in the invoice and statement. Any difference from the original claimed amount is recorded as a variance.
The Quantity column in the invoice is recalculated to represent the service hours corresponding to the payment received. |
Example
You deliver a service for 2 hours at $16.58 per hour, totalling $33.16 in the SAH Claim File (CareVision).
In the SAH Payment Statement Summary (Services Australia), the payment is recorded as:
Budget Drawdown = $30.00
Co-Contribution = $0.00
(Variance of $3.16)
How It Appears in the Claims Management Dashboard
After uploading the SAH Payment Statement Summary (Services Australia) to CareVision, the dashboard shows:
Reconciliation Status: Accepted
How It Appears in the Invoice
The payment is shown in a single row:
1.8094 hours x $16.58 = $30.00

Note: Calculated values in the Invoice may display up to 5 decimal places. These values are rounded up to 2 decimal places in the SAH Monthly Statement File.
How It Appears in the SAH Monthly Statement File
The statement shows the same amount as the invoice:
1.8094 hours x $16.58 = $30.00
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