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Aged Care payments quality checking in QST 111-21031647



Privacy and Secrecy

Enterprise Quality Framework

Contact details

Health Service Delivery Division - Quality, Performance & Technical Support

Aged care - external and internal contacts

Error codes - error free

Table 1

Error code

Error definition

Error processing help

AC01

No errors.

No errors identified by QC Checker.

QC checker may include written feedback, with suggestions/improvements.

Error codes - B status codes - Mainframe system

Table 2

Error code

Error definition

Error scenario

AC02

Critical

Service ID, Service name or provider incorrect.

Service/Provider ID does not match the Service name.

Details for service ID keyed incorrectly.

AC03

Critical

Care recipient or client ID incorrect.

The event has been processed under the incorrect care recipient or care recipient ID.

Details for care recipient ID keyed incorrectly.

AC04

Critical

Signature missing.

A form was not signed/declaration not completed.

Note: electronic signatures are acceptable and apply to both forms and certificates. This must be a:

  • digital copy, or
  • image of a signature

AC05

Critical

Appointment of a Nominee – details missing from documentation received.

Incorrectly processed when the Appointment of a Nominee form is missing details.

AC06

Critical

Power of Attorney documentation incomplete or incorrect.

Incorrectly processed when the Power of Attorney documentation is incomplete or incorrect.

AC07

Critical

Nominee information missing.

Nominee information is missing and/or incorrect.

Spelling errors.

AC10

Non-critical

Date missing on claim form.

Incorrectly processed when the signature was not provided.

AC14

Critical

Incorrect start date.

Date of entry keyed incorrectly.

Not updated, removed, or processed.

AC15

Critical

Incorrect end date.

Date of departure keyed incorrectly.

Not updated, removed or processed.

AC16

Non-critical

Incorrect date of lodgement or receipt date.

Date of lodgement or receipt date keyed incorrectly.

Not updated, removed or processed.

AC17

Critical

Claim or payment not finalised.

Claim not finalised in the Aged Care Staff Portal.

AC18

Non-critical

CRN not update in entry event.

Customer Reference Number (CRN) number not keyed into entry event.

Not updated, removed or processed.

AC19

Critical

Incorrect home care details entered.

Palliative care status not selected.

Award settlement indicator not selected and /or selected incorrectly.

Not updated, removed or processed.

AC20

Non-critical

Home care recipient postal address recorded incorrectly.

Spelling error.

Incorrect postal address.

Not updated, removed or processed.

AC24

Critical

Supplements - no certificate attached or incorrect certificate from doctor attached.

Supplement processed without an appropriate certificate.

AC25

Critical

Incorrect supplement claim type.

Selected the incorrect supplement claim type.

AC27

Critical

Dementia supplement - assessment score incorrect

Accepted the incorrect Assessment score.

AC28

Critical

Dementia supplement - incorrect date of diagnosis.

Date of Diagnosis keyed incorrectly.

Not updated, removed or processed.

AC33

Critical

Service registrations details incorrect.

Name, phone number, email address keyed incorrectly.

Processed for the wrong service ID.

Not updated, removed or processed.

AC34

Critical

Service user registration details incorrect.

Name, phone number, email address keyed incorrectly.

Incorrect authorisation level selected.

Processed for the wrong service ID.

Not updated, removed or processed.

AC39

Critical

Viability supplement details incorrect.

Address and dates keyed incorrectly.

Spelling errors.

Not updated, removed or processed.

AC40

Non-critical

Unspent home care value incorrect.

Unspent amount keyed incorrectly.

Not updated, removed or processed.

AC42

Critical

Claims - incorrect number of community or residential days.

Number of days keyed incorrectly.

Keyed into the wrong type of days.

Not updated, removed or processed.

AC43

Critical

Claims - departure date incorrect.

Departure date keyed incorrectly.

Not updated, removed or processed.

AC44

Non-critical

Claims - departure reason incorrect.

Departure reason selected incorrectly.

Not updated, removed or processed.

AC48

Critical

Incorrect email sent to the provider

Email notification sent to provider did not state the relevant reason/s for rejection.

Using the wrong template for the situation.

Note: includes email not uploaded on to PaNDA

AC49

Critical

Correct email sent to incorrect provider

Email notification sent to the incorrect provider.

AC50

Non-critical

Application form incorrectly rejected

The application form can be processed but it was incorrectly rejected.

AC51

Non-critical

Care recipient notes not entered

No care recipient notes created.

AC52

Non-critical

Work items not separated

Did not separate multiple Work items in PaNDA, or extract a different work type for separate processing.

AC53

Critical

Unspent Funds Overclaim - incorrect manual adjustment value

Did not create a manual adjustment or process an incorrect adjustment amount.

AC54

Critical

Unspent Funds Underclaim - no escalation

Did not escalate to LPS as required.