Verification of Attendance
Can we use a client's confirmation of future appointment letter be used as confirmation of attendance?
No
Need to verify using another way and/or check for prior-approval given by Managing Site.
Ferries for Treatment (STCT)
Can we approve? Any exceptions?
Yes but checking that it seems appropriate for where the client travelled from and to.
Exception: Inter-Islander, this needs prior approval from Managing Site.
What does the black x mean on invoice lines?
That line and/or invoice has been rejected (declined)
KMCT
Client Travel by Private Motor Vehicle to Treatment
Reimburse at $0.29 per km
Tv Show or Movie reccomendation?
Thanks! Here's 100 points
What two things can we use to confirm attendance from an ACC250?
Provider Stamp
Provider Signature
At what KMs distance should we be verifying using AA Maps (or Google Maps)?
400km and over
What does the yellow triangle mean on a loaded invoice?
Invoice line(s) have been bypassed
ACCOM
Client Accommodation - Contribution to Cost
Reimburse at Contribution Rate or can be edited to match prior approval
If a client states their travel is 605KMs, but when we've checked it looks to be 587KMs. What amount are you entering?
605KMs
Yes or No:
We are unable to confirm attendance in MFP but the Managing Site has put in the Task Description that they want us to pay. Do we pay?
Yes
If a client's ACC250 includes a mix of treatment and work travel, can we approve any of this?
Verification of treatment attendance is needed.
Vocational (Work) travel needs approval from Managing Site.
Do not half load invoices, need approval for the Work portion before completing invoice
An error on an invoice line 'Not enough kilometres travelled'
What do you need to check and do?
Checking if the client has met the threshold
• they travel more than 20km from the start point to the destination point in a single, one-way trip within 14 days of the injury
• they travel more than 80km in total, made up of any number of trips, in any calendar month.
If they have, then a bypass can be loaded.
If not, then DO NOT REJECT THE LINE. Leave without bypass
STCS
Client Travel by Public Transport to Social Rehabilitation
Reimburse as per receipt
If we cannot read the client's handwriting on an ACC250, what do we do?
Check through contacts, documents, decisions tab, MFP etc for details.
Check in with Case Owner if possible or contact the client to clarify.
In which MFP screen can we check that an appointment has been attended?
Query Service
Once fully signed off, what is the threshold where invoices need peer-approval?
Who needs to approve the invoice?
Payments Assessor who loaded the reimbursement:
$0.00-$999.99
Second Payments Assessor
$1000.00-$19,999.99 (as long as no individual line is $5,000.00 and over)
Team Leader
$5,000.00 and over for individual line
$20,000.00 and over for invoice total
An error shows for a invoice line. 'Potential Duplicate Line'
What are your next steps?
Checking the invoice number it has provided. Once certain it is okay to pay both lines then bypass can be loaded.
If it is a duplicate, then rejected.
AIRC
Client Air Travel Pre-Approved
Reimburse as per receipt
With MyACC travel tasks, where do we find the client's ACC250?
It is likely not going to be one.
But remember MyACC travel requests still need to have attendance verified and loaded under the appropriate code.
When calling a provider, what should you cover in the conversation?
Are from ACC, and only need to confirm the client's attendance at an ACC injury related appointment
Provide them with either the client's full name, Date Of Birth, National Health Index number or claim number (or all, depending on what the provider asks for)
Then advise of the dates that we are requesting attendance confirmation for.
Task has come in that is requesting reimbursement for:
460km round trip KMCT - Surgery
$25 prescription attached
$300 receipt attached for a shower stool client has purchased
Talk us through your next steps
- KMCT KMs to be verified (and attendance)
- The prescription and equipment receipt are actioned by those in Pharmaceuticals and Other Reimbursements. So a Make MFP Payment task needed (with matching target date and priority) and to be sent to Hamilton SC - Claimant Reimbursement queue
When closing your task an error appears saying ‘You cannot close this task without linking at least one document that is on this task to the invoice, please link and attempt to close this task again.’
1. Unlink all documents from the task and restart EOS and try again
2. Look at the invoice to see what document was used to create the task (this is when a document other than an ACC250 is uploaded to the claim labelled as an ‘ACC250’ incorrectly)
3. If you are still unable to close the task, [Cancel] the task and select [Original task Type Inappropriate] and note in description "Unable to close task".
4. If you have ‘Cancelled’ a reimbursement task rather than closed it after processing a reimbursement, you will need to manually send the client an e-txt to advise their reimbursement has been processed.
Template is - Kia Ora from ACC. Your travel reimbursement request meets ACC criteria. The payment will be in your chosen bank account in the next 1-2 working days. Need help? Visit http://acc.co.nz or call 0800101996.
PACA1
Client Travel Pre-Approved (e.g. Taxi) to Cover Assessment
Reimburse as per receipt
If we only receive page 2 of an ACC250, can we proceed with paying the client?
Yes but we need to make sure we are loading on the correct claim.
- Checking MFP for claim billing
- Checking Documents, Contacts, Injury