Cancellation and rejection codes for Essential Medical Equipment Payment (EMEP) 008-01040060
Expand allThis page provides a list of rejection/cancellation codes for Essential Medical Equipment Payment (EMEP), and advises which codes may be restored. Claims and restorations are processed by EMEP Suitably Skilled Service Officers. List of rejection and cancellation codes
Index
|
Letter |
Reason Code |
|
A-Z |
AAC, APT,CFA, CFN, CLR, CSA, DEA, ETI, FRC, HOS, IDP, IMP, INH, LEN, MOE, MOV, NAM, NEN, NEU, NHC, NIA, NMN, OTH, PAC, PEQ, PIN, POB, POI, PRI, RES, VME, WDC, WUK |
Cancellation and rejection of EMEP
|
Reason Code |
Details |
Rejection or Cancellation reason? |
Initiation: Auto or Manual |
EMEP Level |
Restoration (does not apply to REJ) |
|
AAC |
Claim address is not current address |
REJ |
Auto |
Claimant or Customer |
No |
|
APT |
Already paid twice in the financial year |
REJ |
Auto |
Equipment |
No |
|
CLR |
Withdrawn/voluntary surrender |
CAN or REJ |
Manual |
Claimant |
No |
|
CFA |
Consent form unacceptable (EMEP claimed by carer of adult equipment user) |
CAN or REJ |
Auto or Manual |
Equipment |
No |
|
CFN |
Consent form not provided |
CAN or REJ |
Auto or Manual |
Equipment |
No |
|
CSA |
Carer/equipment user not at same address |
CAN or REJ |
Auto or Manual |
Claimant |
No |
|
DEA |
Death
|
CAN or REJ |
Auto |
Claimant or Equipment User |
Restore (CAN): This image could not be displayed. |
|
ETI |
Energy type invalid |
Energy type invalid |
REJ |
Auto |
No |
|
FRC |
Failed to reply to correspondence |
Failed to reply to correspondence |
CAN or REJ |
Manual |
No Note: if this reason code is used a Decision DOC must be created and must list all documents not provided at the time of the rejection. |
|
HOS |
In hospital |
In hospital |
CAN or REJ |
Auto |
Restore (CAN)
|
|
IDP |
Claimant is dependent child |
Claimant is dependent child |
REJ |
Auto |
Claimant |
|
IMP |
Customer in prison |
Customer in prison |
CAN or REJ |
Manual |
Restore (CAN): This image could not be displayed. |
|
INH |
Customer in nursing home |
Customer in nursing home |
CAN or REJ |
Auto |
Claimant or Equipment User |
|
LEN |
No liability for energy account |
No liability for energy account |
CAN or REJ |
Auto or Manual |
Restore (CAN): Yes if energy account requirements are met. This image could not be displayed. |
|
MOE |
Moved from claim address, equipment user |
CAN |
Auto or Manual |
Equipment user EMEP will cancel for reason: ‘MOE – Moved from claim address, equipment user’ due to a change in the equipment user’s circumstances, e.g. such as a change in residential address |
CAN |
|
MOV |
Moved from claim address, claimant |
CAN |
Auto or Manual |
Claimant EMEP will cancel for reason: ‘MOV – Moved from claim address, claimant’ due to a change in the claimant’s circumstances, e.g. such as a change in residential address |
No |
|
NAM |
No acceptable medical evidence |
CAN or REJ |
Auto |
Equipment |
Restore (CAN): This image could not be displayed. |
|
NEN |
No energy account provided |
CAN or REJ |
Auto |
Claimant EMEP will cancel for reason: ‘NEN – No Energy Account Provided’ if an energy review is coded as ‘Provided And Not Acceptable’ on the Medical Equipment Energy Proof screen (MEEP) |
Restore (CAN): This image could not be displayed. |
|
NEU |
No eligible equipment user |
CAN or REJ |
Auto |
Claimant |
No |
|
NHC |
No concession card entitlement |
CAN or REJ |
Auto |
Claimant or equipment user |
Restore (CAN): This image could not be displayed. |
|
NIA |
Not located in Australia (on date of claim or anniversary date) |
CAN or REJ |
Auto |
Claimant or claim |
Restore (CAN): This image could not be displayed. |
|
NMN |
No medical evidence |
CAN or REJ |
Auto |
Equipment EMEP claims may be reassessed where all outstanding requested documents have been provided within 13 weeks of the rejection notice. |
No |
|
OTH |
Other |
CAN |
Manual |
Claimant |
No |
|
PAC |
Previously paid at claim address |
CAN or REJ |
Auto |
Claimant EMEP will reject for reason: ‘PAC – Previously Paid at claim address’ if the claimant or equipment user was previously paid within the same Financial Year when assessing a claim. |
No |
|
PEQ |
No confirmation of identity for equipment user |
CAN or REJ |
Auto |
Equipment user |
No |
|
PIN |
Permanently in an institution |
CAN or REJ |
Auto |
Claimant or equipment user |
Restore (CAN): This image could not be displayed. |
|
POB |
Proof of birth not provided |
CAN or REJ |
Auto |
Equipment user |
Restore (CAN): This image could not be displayed. |
|
POI |
Identify not confirmed for claimant |
REJ |
Auto |
Claimant |
No |
|
PRI |
Not residing in private residence |
REJ |
Auto |
Claimant or equipment user |
No |
|
RES |
Customer in respite care |
CAN or REJ |
Auto |
Claimant or equipment user |
Restore (CAN): This image could not be displayed. |
|
VME |
No valid medical equipment |
CAN or REJ |
Auto |
Claimant, equipment user or equipment EMEP claims may be reassessed where all outstanding requested documents have been provided within 13 weeks of the rejection notice. |
Restore (CAN): This image could not be displayed. |
|
WDC |
Consent withdrawn (by equipment user where EMEP claimed by carer of adult equipment user) |
CAN |
Auto |
Equipment user |
Restore (CAN): This image could not be displayed. |
|
WUK |
Whereabouts unknown |
CAN |
Manual |
Claimant |
Restore (CAN): If still at same residence EMEP was claimed for. For new residence, see Change of circumstances for EMEP |
