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Continence Aids Payment Scheme (CAPS) quality checking in QST 111-23090850



Enterprise Quality Framework

Quality Standards in Service Delivery

Contacts

Health Service Delivery Division - Quality Operations & Technical Support

Tier 0 technical support - self-sufficiency

Error codes - error free

Table 1

Error code

Error definition

Processing tip

C01

Error free

Quality check did not detect errors

Error codes - document error status codes

Table 2

Error code

Error definition

Processing tip

C03 Non-critical

Eligibility Guide not completed

It is an error when the CAPS Eligibility Guide has not been completed and there is no verification present.

C04 Non-critical

Documentation not certified

It is an error when copies of evidence of the legal representative’s or parent’s (where applicable) authority has not been certified.

C05 Critical

Insufficient, inappropriate or no documentation to support action taken

To support processing action taken (registration or amendment), it is an error when there is:

  • insufficient documentation
  • inappropriate documentation
  • no documentation

C06 Critical

Applicant details incomplete or omitted

It is an error when the applicant's following details are incomplete or omitted and there is no verification present:

  • name
  • address

C07 Non-critical

Correspondence recipient details incomplete or omitted

It is an error when the correspondence recipient details are incomplete or omitted and there is no verification present.

C08 Critical

Applicant payment details incomplete or omitted

It is an error when the applicant's following details are incomplete or omitted and there is no verification present:

  • BSB
  • account number
  • account name

C09 Critical

Applicant declaration omitted

It is an error if the applicant's signature is incomplete or omitted and there was no verification present.

Note: if signature does not match, further clarification is required.

C10 Non-critical

Representative details incomplete or omitted

It is an error when the representative's following details are incomplete or omitted and there is no verification present:

  • relationship
  • name (organisation or personal)
  • address
  • phone number

C11 Critical

Representative payment details incomplete or omitted

It is an error when the representative's following details are incomplete or omitted and there is no verification present:

  • BSB
  • account number
  • account name

C12 Non-critical

Representative declaration omitted

It is an error when the representative's signature was incomplete or omitted and there was no verification present.

Note: if signature does not match, further clarification is required.

C13 Critical

Declaration to authorise payment to an Organisation incomplete

It is an error when an Organisation is authorised for payment and the following details are incomplete or omitted, and there is no verification present:

  • representative's relationship
  • organisation name
  • organisation ABN
  • signature

C14 Critical

Organisation details or declaration details incomplete or omitted

It is an error when the Organisation's following details are incomplete or omitted and there is no verification present:

  • name
  • ABN
  • authorised representative
  • address
  • contact number
  • signature
  • BSB
  • account number
  • account name

C17 Non-critical

Health professional details incomplete or omitted

It is an error when the health professional's following details are incomplete or omitted and there is no verification present:

  • name
  • contact details
  • address
  • profession

C18 Non-critical

Health Report Applicant details incomplete or omitted

It is an error when the applicant's condition information on the Health Report was either incomplete or omitted and there was no verification present.

C19 Non-critical

Health professional signature and date incomplete or omitted

It is an error when the Health Professional has not signed/dated the Health Assessment section and there is no verification present.

Error codes - processing error status codes

Table 3

Error code

Error definition

Processing tip

C30 Critical

Date of lodgement

It is an error when the date of lodgement keyed does not match supporting documentation.

C31 Critical

Incorrect Applicant selected

It is an error when the incorrect applicant has been selected.

C32 Critical

Applicant type incorrect

It is an error when the incorrect applicant type has been selected (CAAS or CAPS).

C33 Critical

Main contact selected incorrectly

It is an error when the applicant has nominated a correspondence nominee or a correspondence and payment nominee and the main contact has been selected as the main applicant.

C34 Critical

Payment frequency selected incorrectly

It is an error when the payment frequency:

  • selected does not match supporting documentation
  • bi-annual has been selected when the 'Payment details' section was blank

C36 Critical

Nominee type registered incorrectly or Additional Nominee not keyed

It is an error when the nominee type has been registered incorrectly or the additional nominee has not been keyed.

C37 Non-critical

Authority details incorrect

It is an error when the following details do not match supporting documentation:

  • authority relationship selected
  • evidence of authority keyed

Note: This can only apply to:

  • correspondence only
  • payment only
  • correspondence and payment

C38 Non-critical

Nominee details incorrect

It is an error when the following details are not keyed or keyed incorrectly:

  • Organisation name (if applicable)
  • family name
  • given name
  • phone number
  • address

C40 Critical

Nominee bank account details incorrect

It is an error when the nominee's following details are not keyed or keyed incorrectly:

  • BSB
  • account number
  • account name

C42 Non-critical

Date of health assessment incorrect

It is an error when the date of health assessment keyed does not match supporting documentation.

C43 Non-critical

Health professional details incorrect

It is an error when the health professional's following details are not keyed or keyed incorrectly:

  • family name
  • given name
  • phone number
  • mobile number
  • fax number
  • address
  • email address
  • business/employer name

C45 Non-critical

Health professional type incorrect

It is an error when the health professional's:

  • Type: has been selected incorrectly
  • Other type: has not been keyed correctly

C46 Critical

Health professional assessment details incorrect

It is an error when 'Able to make assessment' and 'refer to continence plan' are selected incorrectly.

C47 Critical

Applicant condition details incorrect

It is an error when the following details are keyed or selected incorrectly:

  • applicant condition type
  • condition name
  • function loss

C48 Critical

Applicant eligibility details incorrect

It is an error when the applicant’s eligibility details selected do not match supporting documentation.

C49 Critical

Entitlement details incorrect

It is an error when the following are keyed or selected incorrectly:

  • Entitlement start date
  • Entitlement end date
  • Entitlement end reason

C50 Non-critical

Comment keyed incorrectly

It is an error when comments keyed are unrelated or were not keyed when required.