Please see below new Claims Review Process as advised by NDIS
We are taking some steps to strengthen the NDIS, by reducing fraud and non-compliant behaviour.
This means from March 2024, we may take more time to check some claims before they are paid.
Valid claims will be paid within 2 to 3 business days. Some payments may take up to 10 days.
Claims review process:
Duplicate claims submitted within 14 days of the first claim will be reviewed for fraud and non-compliant behaviour. If invoicing via a Plan Manager and a duplicate invoice is submitted within 14 days this will also be reviewed for fraud and non-compliant behaviour.
If a payment within a bulk claim is being reviewed, only the claim under review will be held. All other claims will be paid according to NDIA payment terms.
If a claim is being reviewed, we will send you:
a request for information
a fact sheet with instructions on how to resolve the specific claiming issue.
When we receive the right information, we will add the claim to the next payment run.
If the information is not satisfactory (or if we receive no response), the claim will stay on hold. It will not be paid until we receive the right information.
Consider reviewing all your claiming and invoicing systems and processes to ensure they align with our payment terms and won’t hold up any payments.
For more information about NDIA provider payment terms, please visit the NDIS website.