Disaster Health Care Assistance Scheme (DHCAS) quality checking in QST 111-20051923

Contact details

Disaster Health Care Assistance Scheme (DHCAS) - Provider Services Support

Health Service Delivery Division - Services Delivery Quality and Support Team

Intranet links

Service Delivery Quality Centre

Enterprise Quality Framework

Error codes - Error free

Table 1

Error code

Error definition

DH01

Error free.

Error codes - Document (claim form) error status codes

Table 2

Error code

Error definition

DH02

Critical

Claim form missing, incomplete or not current.

DH03

Non-critical

Supporting documents missing, incomplete or not endorsed correctly.

Error codes - Processing error status codes

Table 3

Error code	Error definition
DH04 Non-critical	Claimant details not updated in DHCAS registration system.
DH05 Critical	Vendor EFT details not updated.
DH06 Critical	Incorrect vendor paid.
DH07 Critical	Duplicate claim created.
DH08 Non-critical	Provider details keyed incorrectly.
DH09 Critical	Date of service/supply keyed incorrectly.
DH10 Critical	Medical item number keyed incorrectly.
DH11 Critical	Incorrect payee selected.
DH12 Critical	Total charge keyed incorrectly.
DH13 Critical	Amount paid by fund (private health insurer) keyed incorrectly.
DH14 Critical	Amount paid by other keyed incorrectly.
DH15 Critical	Amount paid by Medicare keyed incorrectly.
DH16 Critical	Accommodation charge keyed incorrectly.
DH17 Non-critical	Incorrect Allied Health Care item selected.
DH18 Critical	Item paid is in excess of an allowable limit, not approved or not within the program guidelines.
DH19 Critical	Travel expense calculated incorrectly for the date claimed.
DH20 Non-critical	DHCAS check list not completed correctly.
DH21 Critical	The medical account not claimed/processed through Medicare.
DH22 Non-critical	PaNDA notes and Claim ID missing or not updated correctly.
DH23 Critical	Claim support documents missing in PaNDA.
DH24 Non-critical	Customer pharmacy, mental health or allied health sessions list not updated.
DH25 Non-critical	Services Australia Canberra letters, emails or review documents not saved to the customer file.
DH26 Non-critical	Letter details keyed incorrectly or missing - administrative error.
DH27 Critical	Letter details keyed incorrectly - privacy breach.
DH28 Critical	Claim has been rejected in error.

Error codes - Delegate error status codes

Table 4

Error code	Error definition
DH29 Critical	Delegate's processing note for approval missing/incorrect in PaNDA.
DH30 Non-critical	Claim status not updated in PaNDA.
DH31 Critical	Delegate approved an incorrect amount.
DH32 Non-critical	Delegate approved an amount above their approved delegation.