Claim forms submitted for online claims
Table 1: use this table to assess an IP006 submitted for sessions claimed by the practice in PIP Online.
Scenario | Claim status | Action required |
Claim form is completed correctly - Sessions listed match sessions claimed
| Waiting for payment Paid | - No action required
- Add processing note to PaNDA and complete as a duplicate work item
- The IP006 does not need to be uploaded
|
Claim form is completed correctly - The claim form is showing more sessions than were claimed online
- There is no accompanying correspondence from the practice explaining the discrepancy
| Waiting for payment Paid | - Call the practice to confirm the sessions on the form
- Process the missing sessions
- Upload the IP006
- Add a comment to the profile explaining the ‘part processed' claim
|
Claim form is completed correctly - The claim form is showing less sessions than were claimed online
- There is no accompanying correspondence from the practice explaining the discrepancy
| Waiting for payment | - Call the practice to check if there was a claiming error
- Amend the session details on the original claim
- Add a comment to the profile explaining the amendment
- Upload the IP006 to the practice profile
|
Claim form is completed correctly - The claim form is showing less sessions than were claimed online
- There is no accompanying correspondence from the practice explaining the discrepancy
| Paid | - Call the practice to confirm there was a claiming error
- Advise the practice that recovery of the overpaid sessions will be required
- Commence recovery action for the overpaid sessions
|
Claim form has not been completed correctly. | Waiting for payment | If the sessions are not eligible based on the submitted claim form: |
Claim form has not been completed correctly. | Paid | If the sessions are not eligible based on the submitted claim form: - Escalate to Policy team via Local Peer Support (LPS) for review
- Policy team will provide a free text letter advising the action required from the practice
- The letter will advise recovery action will be taken in the required information is not provided
|
Claim form shows sessions not supervised by a GP. These sessions have been claimed. | Waiting for payment | |
Claim form shows sessions not supervised by a GP. These sessions have been claimed. | Paid | - Commence recovery of the ineligible sessions
|
Payment dates for the newly approved practices
Table 2
PIP approved date | Claim processed before | Quarter in which claim is paid |
1 - 18 February | 30 April | May quarter |
19 February - 30 April | 30 April | August quarter |
1 - 18 May | 31 July | August quarter |
19 May - 31 July | 31 July | November quarter |
1st - 18 August | 31 October | November quarter |
19 August - 31 October | 31 October | February quarter |
1 November - 18 November | 31 January (following year) | February quarter |
19 November - 31 January | 31 January | May quarter |
Letters
PIP Teaching payment claim request for more information (z1656)
PIP teaching session/s not payable (z1657)
Forms
Practice Incentives Review of decision (IP027)
Practice Incentives Program Teaching payment claim (IP006)
Contacts
Practice Incentives Program (PIP)
Guidelines
PIP - Teaching Payment guidelines
Services Australia website
Practice Incentives Program
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