10

"Status Invalid". The provider number is not linked to a bank account. Contact Medicare.

137

The details of the referral provider were not included on the invoice when submitted. Update the referring provider's details:

159

You cannot claim for this service until another item number has been claimed. Contact DVA to confirm the item number that needs to be claimed first.

160

The patient has reached the maximum number of appointments covered under the referral. Contact Medicare on 132 150.

162

You have already claimed for this service, so you cannot claim again.

179

DVA has already paid a benefit for this service for the same day, item number and patient.

If the claim is correct, reprocess the claim and add explanation text in the Additional Information field (you may need to check with DVA to confirm what is an acceptable reason). Click Process when you are done. The additional information will be flagged for someone to check at DVA.

After a few days, run a Medicare Claims report to confirm if the reprocessed claim has been paid:

If the claim has not been paid, you need to undo the payment and start again. To do this:

If the claim has still not been paid, you may wish to change the fee to a private fee.

Alternatively, the claim may not have been paid due to actions taken by the patient. Please contact Medicare if you are still unsure what to do.

206

Medicare is not paying a rebate for the item number at that date of service as it may have been ineligible at that time. Confirm the details on the invoice are correct. If necessary, change the item number and/or the date of service.

217

The patient information is incorrect or missing. Edit or update the patient's name or address in the Patient section of the invoice (which updates their patient profile). Edit or update the Medicare card or reference number in the Medicare claim section of the invoice (which updates the patient's Funding page).

238

As you have only submitted the travel allowance for this claim and not an associated service, DVA will not pay the allowance. You should resubmit this claim along with the claim for the service that was performed.

249

The veteran's number that was entered may not be correct or may not have the correct number of digits.

Confirm with the patient that you have the correct DVA card number:

250

"Explanation/voucher will be forwarded separately". Halaxy does not have further information; please contact Medicare for assistance.

252

Medicare has rejected the claim as they believe this is possibly aftercare.

If the claim is eligible for a Medicare benefit and the service is not normal aftercare, you can make a note of this by following the steps below:

255

The amount payable for this service has increased from the amount you claimed. You have been paid at the higher level, but you should update your fees by editing them on your Fee List.

267

Medicare will not pay this specific item without another associated item in the claim. Check the invoice and add the second service that must be claimed with this claim.

279

Approval must be sought from DVA before this claim can be processed. Contact DVA at 1800 550 457.

298

A reduced amount has been paid, as Medicare does not pay the first 10 kilometres for DVA travel (or 50 kilometres for OT80). The benefit has been paid, so no action is required.

338

The practitioner's Provider Number was not registered with Medicare or DVA for the item number at the date of service.

You need to reconfirm your Provider Number and/or check with Medicare or DVA. Once you have done that, update your details.

374

An expired Medicare card has been used - obtain the patient's updated Medicare details and add them on the Medicare claim section of the invoice (which updates the patient's Funding page).

376

The Medicare card number entered into Halaxy is incorrect. Verify the patient's Medicare card number by performing an Online Patient Verification.

If the verification is successful, the icon changes to a Verified icon and you can reprocess the claim.

If verification is unsuccessful, Medicare provides you with a message saying why the details are not correct so you can obtain the correct Medicare details from the patient.

377

The number of patients seen has not been entered on the invoice.

378

The referring practitioner has not provided Medicare with details of the referral. You should speak to the referring practitioner, who will need to forward the referral to Medicare.

529

The bulk bill benefit is applicable for concession holders and the patient may not have valid concession details entered.

If the unreferred Medicare service and related bulk bill additional item are eligible for a Medicare benefit, make sure you lodge both items together in the same claim for the patient. Use the correct bulk bill incentive item that applies to the unreferred Medicare service.

532

The provider number used for this claim is not registered for GST with DVA. You need to register your provider number with DVA for GST. Please be aware that each provider number needs to be registered with DVA for GST.

540, 550

The referring GP likely has not yet submitted the referral information to Medicare, or has submitted incorrect referral information to Medicare. Wait two days and process again. If the claim still cannot be processed, contact Medicare on 132 150.

581

The condition treated and the type of card has not been recorded on the claim.

As the patient is a DVA white card holder, the Condition Treated / Accepted Disability needs to be recorded. You also should specify that the card type is "White" or "White Card".

583

Under DVA's rules, the patient is not eligible to claim these item numbers. Check with DVA or the referring practitioner for eligibility.

600

Requesting/referring provider unable to be identified. The referring GP's provider number is likely incorrect. Check it on the referral you received and edit the referral details on Halaxy so that the correct provider number is shown.

605

The referral has expired. Check the date of the referral provided by the referring practitioner or confirm with Medicare.

606

Referring provider practice location is closed. You should speak to the referring practitioner, who will need to advise the correct Provider Number or details.

609

 or their representative has called Medicare and cancelled the claim. The invoice should be updated, so you can reprocess the claim if you choose.practitionerThe The practitioner or their representative has called Medicare and cancelled the claim. The invoice should be updated, so you can reprocess the claim if you choose.

618

The practitioner's Provider Number was not registered with Medicare or DVA for the item number at the date of service.

To update the provider number:

654

The invoice submitted may have have been submitted with the wrong item number or may not be eligible for online claiming. Confirm that you have used a DVA item number if the claim is for DVA and a Medicare item number for a Medicare claim. Alternatively, call Medicare.

748

The initial consultation was not claimed as part of this referral but the invoice is claiming end of cycle report. Please contact Medicare for further assistance.

9119-9125

You usually receive this error when Medicare has not yet processed your Medicare online claiming registration. It usually takes 5 business days for Medicare to register practitioners, so wait until this time has elapsed before trying again (see here for more information on registering for Medicare).

If you are an allied health practitioner and the first claim you ever process is a DVA claim, you may receive error 9125 (this is a bug in DVA's claiming system that does not happen when the first claim you process is a Medicare claim). The way to overcome it is to run an Online Veteran Verification first (which allows you to check whether the DVA card details you have are correct or not), then process the claim. All future claims will be processed normally.