Skip to navigation Skip to content

Remote Area Aboriginal Health Services (RAAHS) quality checking in QST 111-22180000

Expand/Collapse all sectionsExpand all


Services Australia website

PBS for pharmacists

Remote Area Aboriginal Health Services (RAAHS or AHS) and the Pharmaceutical Benefits Scheme

Department of Health and Aged Care website

Pharmaceutical Benefits Scheme (PBS)

Aboriginal Health Services and the Pharmaceutical Benefits Scheme (PBS)

Enterprise Quality Framework

Privacy and Secrecy

Contacts

Aboriginal Health Services (AHS) - internal and external contacts

Health Service Delivery Division - Quality Operations & Technical Support

Learning and Development Team

Letters

Pharmaceutical Benefits Scheme (PBS)

Privacy Incident Portal

Report a Privacy Incident

Error code - error free

Table 1

Error code

Error definition

A00

No errors.

Error codes - B status codes - system errors

Table 2: system errors are recording errors in the PBS Claims processing system. Typically, this might be a typographical or a selection error. If the error relates to an incorrect determination, this is an assessment error. See E Assessing errors.

For the process, see Remote Area Aboriginal Health Services (RAAHS).

Error code

Error definition

B01R

Critical

SYSTEM claim registration error

Incorrect:

  • community registration number
  • community name
  • pharmacy approval number
  • date of supply
  • claim reference number

B02R

Critical

SYSTEM claim transaction error

Incorrect or omitted:

  • item code or item code does not match description
  • brand or manufacturer code
  • quantity
  • sub-set quantity
  • total items supplied

B04R

Critical

SYSTEM reason code error

Incorrect reason code.

B14R

Critical

SYSTEM record not updated

  • Failure to complete claim or save record
  • Failure to generate and save the Claims Summary Statement
  • Incorrect naming conventions used for saving the Claims Summary Statement

B15R

Critical

SYSTEM date of lodgement error

Incorrect date of lodgement.

B18R

Non-critical

SYSTEM comments error

Required processing notes not recorded in the system.

Error codes - C status codes - application form errors

Table 3: for the process, see Remote Area Aboriginal Health Services (RAAHS).

Error code

Error definition

C01R

Critical

FORM incomplete or not provided

Claim form:

  • not provided
  • illegible
  • missing information:
    • AHS community details
    • requested items details
    • date of supply
    • pharmacy details
    • total number of Patient Specific Medicine Supply Fee (PSMSF), where applicable
    • declaration details or signature

Error codes - D status codes - letter errors

Table 4: letter errors apply equally to emails sent from the Aboriginal Health Services team email box.

For the processes, see:

Error code

Error definition

D01R

Critical

LETTER address error

Letter or email sent to the incorrect address.

D02R

Critical

LETTER attachment error

An incorrect record or application form is included with the letter or email.

D03R

Critical

LETTER type or information error

  • The incorrect standard letter or email template is used
  • Incorrect information is included in the letter or email
  • Critical information is missing

D04R

Critical

LETTER pharmacy identification error

The incorrect pharmacy appears on the letter or email.

D05R

Critical

LETTER recipient error

Letter or email sent to the incorrect recipient.

D06R

Non-critical

LETTER minor message error

  • Administration reference information is missing or incorrect
  • Spelling errors in free text areas
  • Typographical errors in pharmacy name or approval number

Error codes - E status codes - assessing errors

Table 5: assessing errors relate to an incorrect determination of entitlement. For example, this might include failure to calculate the correct amount, or exclude ineligible prescriptions. If it is a recording error, these are listed under B - System errors.

For the process, see Remote Area Aboriginal Health Services (RAAHS).

Error code

Error definition

E01R

Critical

ASSESSING entitlement error

Rejected or approved incorrectly.

Error codes - F status codes - Processing and National Demand Allocation (PaNDA)

Table 6: for the processes, see:

Error code

Error definition

F01R

Non-critical

PaNDA program or Work Type classification error

Work is incorrectly classified.

Note: includes work incorrectly named, if also incorrectly classified.

F02R

Non-critical

PaNDA naming error

Classified correctly, but naming conventions not applied or incorrect.

F03R

Non-critical

PaNDA comment error

Required comments omitted or incorrect.

F04R

Non-critical

PaNDA documentation missing

  • Sent letter or email not uploaded to the Work Item or page/s missing in documentation
  • Rejection information not uploaded or uploaded with incorrect or missing information

F05R

Non-critical

PaNDA Work Items not merged

Connected Work Items not merged into one.

F06R

Non-critical

PaNDA Work Items not separated

Did not separate multiple Work Items in PaNDA or extract a different Work Type for separate processing.

Error codes - H status codes - database errors

Table 7: the AHS Journal database for the RAAHS programme is an administration tool. It supports production of payment journals emailed to Finance Account Branch for payment.

For the process, see Remote Area Aboriginal Health Services (RAAHS).

Error code

Error definition

H01R

Critical

DATABASE payment details error

Incorrect or omitted:

  • AHS community registration number
  • AHS claim number
  • individual supply quantity
  • date of supply

H02R

Critical

DATABASE payment amount error

Incorrect bulk supply value.

H03R

Critical

DATABASE payee error

Incorrect pharmacy approval number.

H04R

Critical

DATABASE record not created

Record not created or created in the wrong journal.

H05R

Critical

DATABASE date of lodgement error

Incorrect claim received date.