Notice of reimbursement arrangement (NORA) - Medicare Compensation Recovery 011-15030040

• Select Notice of reimbursement arrangement from the Document type dropdown menu
• Select the relevant buttons
• Select Continue

Note:

• if the claim needs registration or updating, the claim will proceed to that workflow before the NORA can be processed. See Claim management - Medicare Compensation Recovery
• if the MO027 form is incomplete see Process Correspondence - Medicare Compensation Recovery to issue a Z2802 or Z2798 for missing details

• A message shows
  Are you sure you want to process a Notice of reimbursement arrangement? Would you like to continue?
• Select Yes

Enter details of the NORA into the relevant fields.

Staff must add the below details:

• Date of receipt - enter the date the NORA was received
• Date of reimbursement arrangement - enter the reimbursement commencement date provided on the NORA form
  Note: this date must be more than 6 months after the claim was lodged with the insurer to be notifiable
• Date of injury or illness - this automatically populates
• Date claim lodged with insurer
• Start date of liability period - enter the date of injury unless a specific period of liability is advised
• End date of liability period - enter date of reimbursement arrangement unless a specific period of liability is advised
• If applicable, select is this NORA a result of an ART review? button
• Select Continue

The next workflow depends on the fields entered and the claim status. A message shows advising what action is needed:

• Close claim on existing Notice of past benefits (NOPB), go to Step 4
• Process Statement by claimant (SBC) to close the claim, see Step 9 in Table 1 Process a Statement by claimant (SBC), then go to Step 6
• Claim is 25(4), go to Step 5
• Issue a Notice to claimant (NTC), go to Step 8
• Terminate the claim as not notifiable, go to Step 9

The most recent NOPB shows.

To close the claim on the displayed notice:

• select Close case on display notice
• add a case note to document this process. See the Resources page for the case note templates
• select Submit
• go to Step 6

To not close the claim on the displayed notice and to issue an NTC:

• Do not select the Close case on display notice button
• select Continue
• a screen shows the most recent NOPB and advises if valid at date of reimbursement arrangement, it can be used to close the claim
• select Submit
• follow the steps in Notice of past benefits request and Notice to claimant (NTC) - Medicare Compensation Recovery table

• Message shows
  S25(4) applies, thus issue NOC
• Select Yes

Search for payment

• If payment located:
• enter ad-hoc payment amount, SAP document number, payment date and compensation payer unique account number
• select Continue
• If payment not located, locate compensation payer unique account number

A table shows with the NOC summary. Review the summary and totals shown:

• if the totals are incorrect, select:
• the Back button to return to the Compensation payer details in SAP screen, and
• the Back button again to return to the SBC Capture screen, if incorrect, re-capture correct services, and
• Submit
• if totals are correct, select Submit

The NOC will issue to the notifiable person, with a copy to the claimant/their authorised third party.

If payment has been received and a refund is required use the Referring a case to Compensation Finance email template. See Payments, refunds and debts.

Procedure ends here.

If MCRS determines a notice to the claimant is required, a message shows
No Notice of past benefits (NOPB) exist, a new Notice to claimant will be created for the case:

• Select Submit
• Add a case note to document this process. See the Resources page for the case note templates
• A message shows Are you sure you want to request a Notice to claimant?
• Select Yes
• Follow the steps in Issue a new Notice to claimant table
• Procedure ends here

If MCRS determines the claim is non-notifiable based on date validations, an error message/s will show. The NORA cannot be actioned, and the claim requires termination:

• Select Cancel
• Select Actions from the left panel
• Select Terminate from the Actions dropdown menu

• Select Not notifiable from the Close reason dropdown menu
• Select Submit
• A message appears
  Terminate claim - Are you sure you want to close the case?
• Select Yes

The Z2797 correspondence screen shows:

• Complete all required entries
• Select Submit
• The system will issue the Medicare Compensation Recovery and the claim will terminate