Provider Factsheet - HSO Payment Information Updates - 5 April 2022
The Hearing Services Program released minor updates to the Hearing Services Online Portal (the portal) on the evening of 4 April 2022. This update improves the capacity for you to do reconciliation of payments by introducing a new report function, and to search for claims using payment date range. This change has not affected any other functions of the portal.
Issue Addressed
The previous Claims Export Report format did not allow providers to easily reconcile the claims and recoveries against the bank account statement for each payment run.
New Features
Reconciliation Report
A new Reconciliation Report is now available when a provider searches by Payment Run ID. This allows you to reconcile the claims and recoveries processed in a payment run against the bank account total paid. If claims are searched by Payment Run ID a new Reconciliation Button will appear. Clicking this button will result in the Reconciliation Report for that Payment Run ID being created and downloaded.
This report:
- Is available for download for all payment runs since 26 November 2019, as an .xls file to ensure that all fields are visible including the run IDs and that the leading 0 is shown in numbers.
- Differentiates between the claim submission and payment dates and any recovery submission and payment dates.
- Includes a new column for claim type (Electronic, Manual or Revalidation)
- Includes a summary table of the total claims, total recoveries and the total paid to the provider (as shown below) The actual payment amount will be the sum of the total claims approved since the last payment run minus any total recoveries owed.
Attachment A provides a list and description of the available fields in the new Reconciliation Report. A Quick Reference Guide and video walkthrough will be made available shortly to show the steps to producing a Reconciliation Report. The program will also be offering Q&A sessions regarding the new report if required.
Search for Claims by Date of Payment Range
Previously providers were only able to run Claims Export Reports for a date range for ‘date of submission’ and ‘date of service’. Providers can now be able to search and export a Claims Export Report by date range for date of payment.
Please note that for recovered claims the date of payment shown in the Claims Export Report is the date the amount was recovered not the date the original claim was paid.
For further information visit the program website www.hearingservices.gov.au or email hearing@health.gov.au.
Missing Payment Information
Fixes have been implemented to ensure all payment information is correctly written to the claim. For all future reports, providers should no longer have missing payment information unless there are insufficient claims to cover any recovery amounts owed. Details such as Payment Run ID, dates of payment and payment amounts should be shown in the Claims Export Report and Reconciliation Report for all claims.
Key Terms
Payment Run ID: The Payment Run ID is the 16-digit number used as a unique reference for payments made to providers. This number is shown on the provider’s bank account statement and can be used to search the portal for all claims and recoveries processed in that payment run. This number is specific to each provider and to each payment run date.
Claim - Payment Run ID: This is the column in the Claims Export Report and Reconciliation Report that shows the payment run in which the claim was paid.
Recovery - Payment Run ID: This is the column in the Claims Export Report and Reconciliation Report that shows the payment run in which the claim amount was deducted.
Claims Export Report: This is the existing export report available through the portal after searching for claims with different filters.
Reconciliation Report: This is a new report that will be available from 5 April 2022 to allow providers to reconcile claims and recoveries for an individual payment run. Providers will be able to access this report when they search by Payment Run ID.
Attachment A – Reconciliation Report Fields
|
Column Heading |
Description |
|
Claim Id |
The unique ID for the Claim |
|
Voucher Number |
The voucher number the claim was submitted for |
|
Client Family Name |
The client's family name |
|
Client First Name |
The client’s first name |
|
Item Number |
The Item number for the claim |
|
Claim Type |
The type of claim i.e., electronic, portal, manual |
|
Claim Status |
The status of the claim i.e., approved, recovered, rejected |
|
Date of Service |
The date of service supplied for the claim |
|
Date of Submission |
The date the claim was submitted |
|
Date of Payment |
The date the claim was paid |
|
Claim - Payment Run ID |
The Payment Run ID where the claim was paid |
|
Total Payment |
The total paid for the claim (GST Inclusive) |
|
GST |
The total GST amount for that claim |
|
Recovery - Payment Run ID |
The Payment Run ID where the claim amount was deducted as a recovery |
|
Recovery - Submission Date |
The date the recovery was submitted via the portal |
|
Recovery - Deduction Date |
The date the claim amount was deducted as a recovery |
|
Total Recovered |
The total amount recovered |
|
GST Recovered |
The total GST recovered |
|
Recovery Reason |
The reason entered for the recovery |
|
Provider Reference Number |
The reference number supplied by the provider for the claim |
|
Site ID |
The Site ID provided with the claim (6 digits) |
|
Practitioner Number |
the QP number provided with the claim |
|
Practitioner Family Name |
The QP family name |
|
Practitioner Given Name |
The QP given name |
|
Provider Name |
The provider who submitted the claim |
|
Contractor Code |
The provider's contractor code (4 digits) |