Aged Care payments quality checking in QST 111-21031647

Error code

Error definition

Error processing help

AC01

No errors.

No errors identified by QC Checker.

QC checker may include written feedback, with suggestions/improvements.

Error code

Error definition

Error scenario

AC02

Critical

Service ID, Service name or provider incorrect.

Service/Provider ID does not match the Service name.

Details for service ID keyed incorrectly.

AC03

Critical

Care recipient or client ID incorrect.

The event has been processed under the incorrect care recipient or care recipient ID.

Details for care recipient ID keyed incorrectly.

Missing CRN.

Documents lodged don’t match care recipient.

AC16

Non-critical

Incorrect date of lodgement or receipt date.

Date of lodgement or receipt date keyed incorrectly.

Not updated, removed or processed.

AC34

Critical

Service A user registration details incorrect.

Incorrect spelling of username, phone number and/or email address.

Incorrect service selected.

Incorrect authorisation level selected.

Incorrectly linked A User to the wrong service ID.

Duplication of number for existing A User.

Not updated, removed or processed.

AC55

Critical

Incomplete Form.

Care recipient details not completed.

Service Provider details not completed.

Nominated User details not completed.

Mandatory questions incomplete.

Signature/declaration not completed.

Nominee is not registered.

Form was not signed prior to admission.

AC56

Critical

Appointment of a Nominee or Power of Attorney - details missing from documentation received.

Incorrectly processed when the Appointment of a Nominee form is incomplete or incorrect.

Incorrect care recipient or nominee.

Incorrectly processed when the Power of Attorney form is incomplete or incorrect.

Incorrect care recipient or Power of Attorney.

AC57

Critical

Incorrect date.

Incorrect start date.

Incorrect end date.

Not updated, removed, or processed.

AC58

Critical

Service Provider Monthly Claim Approved incorrectly.

Incorrectly approved escalation required.

AC59

Critical

Incorrect written notification issued.

Manual written notification incorrect.

AC60

Non-Critical

No written notification issued.

No record of written notification issued to Aged Care Service Provider.

AC61

Critical

Bank Details incorrect.

Bank account details incorrect.

Bank account not in business name.

AC62

Critical

Release of incorrect information to Service Provider.

Incorrect service details.

Incorrect Aged Care A user number.

Incorrect care recipient.

AC63

Non-Critical

No record of update for Service or Care Recipient.

No Service Notes created.

No Care Recipient notes created.

AC64

Non-Critical

Additional updates not completed.

Additional updates received and outstanding.

AC65

Critical

Incorrect care recipient update.

Duplication/intertwined record or duplicate, creation of ID.

Incorrect Service Provider.

Incorrect supplement type, leave event, name change.

Supporting evidence event not supplied or incomplete.

Accepted the incorrect assessment score.

Incorrect date of diagnosis.

Incorrectly approved Name Change.

Incorrect care recipient matched.

Details not updated in Aged Care Staff Portal (ACSP) to match Customer First.

Incorrectly rejected Name Change.

Not updated, removed or processed.

AC66

Critical

Unspent Funds Overclaim/Underclaimed - incorrect manual adjustment.

Incorrect amount coded.

Incorrect Service Provider.

Incorrect or missing information record or adjustment note.

AC67

Critical

Unspent home care amount.

Unspent amount coded incorrectly.

Incorrect care recipient or Aged Care Service Provider.

AC68

Non-Critical

Incorrect activity type processed.

Incorrect activity event accepted/rejected.

Rejection reason incomplete.

AC69

Critical

Documents or supporting evidence incorrect.

Supporting evidence advice not supplied or incomplete.

Uploaded document relates to a different care recipient.