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On this page
  • How do I Reclaim an Invoice via the NDIS on Maica?
  • Reclaiming
  • How do I submit a Reclaim?
  • What happens after I submit my Claim?
  • API
  • BPR File
  • Applicable Invoice Line Item Rules

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  1. Invoices
  2. Invoice Actions

Reclaim an Invoice

Learn how to Reclaim via the NDIS when your Funding Type is Agency Managed in Maica

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Last updated 4 months ago

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How do I Reclaim an Invoice via the NDIS on Maica?

Maica has Automation for NDIS Claiming. This article talks about scenarios in which manual claiming may be required or chosen for a specific , this process is called .

To learn more about Maica's Claiming Automation, click .

Claiming only applies when the Funding Type is Agency Managed.

Reclaiming

Unfortunately, not all claiming attempts are successful. There are scenarios within Maica's Claiming Automation in which a Payment Request may be rejected by the NDIS, for example, if the Service Date was to be outside of the Active Service Booking it will result in the NDIS rejecting your claim. Additionally, you also may receive a Failed Payment Request, indicating that the claim was not properly submitted to the NDIS for processing. In these scenarios, the Payment Request status will be updated to either Rejected or Failed and you may need to Reclaim, as shown below.

Maica will provide you with a detailed description as to why your Claim may have either Failed or been Rejected, it is important to address these reasons before Reclaiming.

How do I submit a Reclaim?

You can also Reclaim numerous Invoices at once if necessary. To do so, pick them in the Invoice list view from the Invoices tab in the Maica menu, and then click the Claim Management icon in the upper right corner of the interface. Then, follow the same steps outlined below.

Claim Management Field
Description
  1. General Fields

  1. Line Total

  1. Claimed Amount

  1. Available Claim Amount

This represents the maximum value remaining that can be claimed, and is the difference between the Line Total and Claimed Amount.

  1. Claim Amount

This is a input field that is used to specify the amount you would like to claim during any particular claim attempt. This amount automatically populates to the Available Claim Amount but is manually edited if desired.

Next, confirm all your details are correct by checking the box at the bottom, and submit your Claim.

What happens after I submit my Claim?

After you submit your Claim, the next steps of the process are dependant on your Claim Method settings set by your Organisations Administrator. Your Claim Method will be set as one of the following:

API

BPR File

Applicable Invoice Line Item Rules

Applicable Invoice Line Items in Maica are determined by a set of rules and logic that are important to maintaining the integrity of the software.

  • BLANK

  • Awaiting Approval

  • Pending Payment

  • Fully Paid

Should you wish to include an Invoice record with such an existing Payment Request, you need to first cancel the Payment Request via the Cancel Quick Action on the Payment Request itself.

In order to manually claim or reclaim an in Maica, simply navigate to the record from the Maica menu bar. Once you are in the Invoice record, click the Claim button in the top right corner of your interface, as shown below.

Once the Claim button has been clicked, Maica will present a Claim Management screen. This screen will display all the key Invoice information, as well as all . As shown below.

Applicable Invoice Line Items are defined by a set of rules within Maica. These are described in more detail .

This includes basic information on the including the ID, Date, Participant, etc. It also includes basic information for each including Support Category, Support Item, etc.

This is the total sum for the Support Items delivered for each .

This represents the total amount of money claimed for each . If you received a partial payment for a previous claim, this could represent a portion of the Line Total.

To learn more about Claim Method Settings, click .

If your Claiming Method is API, then there is nothing left for you to do. A new will be automatically generated and submitted to PRODA. Your will be set to a status of , your new will be set to a status of and your Invoice Claim Behaviour will be set to Claim Attempted.

To learn more about the how the API Claim Method works in Maica, click .

If your Claiming Method is BPR File, then, similar to API, a new will automatically be generated, however, it will not be submitted for claiming. The will be generated and picked up up via the standard BPR File Generation Process.

Once the BPR File is generated (with the newly created included), your will be set to a status of , your new will be set to a status of and your Invoice Claim Behaviour will be set to Claim Attempted.

To learn more about the how the BPR File Claim Method works in Maica, click .

In Maica, any record that is associated with a and holds any of the below listed Status values cannot be . These values include:

Maica considers Payment Request records with the Status values to either be part of an Active or Complete Claim Cycle, and hence we do not allow them to be as to avoid duplicate being generated.

Invoice
Invoice
here
Applicable Invoice Line Items
below
API
BPR File
Invoice
here
Reclaiming
Reclaimed
Reclaimed
Example of a Rejected Payment Request
Example of a Rejected Payment Request
here
here
Payment Request
Invoice Line Item
Claimed
Payment Request
Awaiting Approval
Payment Request
Payment Request
Payment Request
Invoice Line Item
Claimed
Payment Request
Awaiting Approval
Invoice Line Item
Payment Request
Payment Requests
Invoice
Invoice Line Item
Invoice Line Item
Invoice Line Item