Handling Claims with Underpayment (No Co-Contribution)

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.

QuestionAnswer
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:
  1. Budget Drawdown = $30.00
  2. 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

NotesNote: 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