Claim Management

NDIS

Claim Method

In Maica, there are two different Claim Methods you can chose from, these include:

Claim Method	Description
API	Setting Claim Method to API is the most automated option and the one that leverages the integration strength of Maica and PRODA. API means Payment Request records will be automatically created and submitted to the NDIS for processing based on the Claim Frequency Settings and on the Claim Behaviour.
BPR File	Setting Claim Method to BPR File uses the more traditional file-based claiming solution. BPR File means Payment Request records will be automatically created but not submitted to the NDIS for processing. In order to submit the Payment Request, you need to generate the Bulk Payment Request (BPR) File via the Generate Bulk Payment Request . You can then upload this file via the MyPlace Provider Portal.

Depending on which Claim Method is configured in your Maica Settings, will determine how your Claiming process unfolds.

Section on Claim Behaviour - how will this operate in OEM?

Claim Behaviour Info:

Claim Behaviour	Description
Use Claim Settings	The invoice follows the default claim settings defined in Maica.
Claim Immediately	The invoice is automatically claimed as soon as it's processed, this only applies to API Claim Methods.
Claim via BPR File	The invoice is claimed manually through a BPR file submission.
Do Not Claim	The invoice is won't be claimed by Maica and will require manual claiming.
Claim Attempted	An attempt was made to claim the invoice, and Maica is awaiting a response from the NDIA. This is an automatically set behaviour after a Claim has been made.