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Medicare Entitlement Statement (MES) quality checking in QST 111-22112508

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Enterprise Quality Framework

Contact details

Health Service Delivery Division – Quality, Performance and Technical Support team

Error codes - Error free

Table 1

Error codes	Error definition
MS01	No errors

Error codes - Processing IHI Portal and manual

Table 2

Error codes	Error definition
MS03 Critical	First name/Surname missing at Question 23 - Application form (MS015 2205)
MS04 Critical	Declaration not ticked at Question 23 - Application form (MS015 2205)
MS05 Critical	Question 13, 14 and 19 not answered or incorrectly answered and nothing noted that phone call has been made - keyed and accepted manual processing
MS06 Critical	Declaration made by 3rd party not applicant manual processing
MS07 Critical	Gender and/or date of birth keyed incorrectly manual processing
MS08 Critical	Name/title keyed incorrectly
MS09 Critical	Residential/postal address keyed incorrectly or omitted manual processing
MS10 Critical	Incorrect period approved IHI and manual processing
MS11 Critical	Financial year keyed incorrectly manual processing
MS13 Critical	Tax Agency details not keyed or keyed incorrectly in Agency Tab manual processing
MS15 Critical	Critical questions not completed on MES form - Questions 6,17,18 and 23 manual processing
MS16 Non-critical	Comments in the portal keyed incorrectly or omitted IHI
MS17 Critical	Same financial year keyed and approved in portal - MES portal/database check not performed/dup function overridden IHI
MS42 Critical	Passport details (names, gender, date of birth, the origin of passport) recorded incorrectly but has not been amended as per the supplied passport (IHI)
MS43 Critical	Application was not keyed while it should have been (manual)
MS44 Non-critical	Applicant ID has been duplicated (manual)
MS45 Critical	Incorrect period approved (both)
MS46 Critical	More information requested but status not changed to 'on hold' in the MES portal (both)

Error codes - Letters IHI Portal and manual

Table 3

Error codes	Error definition
MS18 Critical	Incorrect letter chosen and/or inappropriate options selected for documents requested IHI and manual processing
MS19 Critical	Name/address on letter keyed incorrectly IHI and manual processing
MS20 Critical	Letter not sent to applicant/tax agent IHI and manual processing
MS21 Critical	Incorrect recipient chosen - applicant/tax agent IHI and manual processing
MS22 Critical	Incorrect application number quoted in the letter IHI and manual processing

Error codes - PaNDA IHI Portal and manual

Table 4

Error codes	Error definition
MS23 Non-critical	Naming convention error (this is not changed for MES DUC) manual processing
MS24 Non-critical	Comment omitted from pended PaNDA file IHI and manual processing
MS25 Non-critical	Letter sent not attached to PaNDA file IHI and manual processing
MS26 Non-critical	Word document with multiple application numbers not uploaded to PaNDA file IHI and manual processing
MS27 Critical	Actioned without correct documents uploaded/associated manual processing
MS28 Critical	PaNDA file completed in error - no action taken IHI and manual processing
MS29 Critical	Incorrect files associated (different applicants, different programme) IHI and manual processing
MS30 Critical	Incorrect document uploaded (e.g. documents for enrolments uploaded and used) IHI and manual processing
MS47 Critical	Multiple IHI files have been associated in error
MS48 Non-critical	Work items via DUC, email or post for the same applicant (pend/open status) allocated in a bundle and actioned by same operator but not associated manual processing

Error codes - Assessing IHI Portal and manual

Table 5

Error codes	Error definition
MS31 Critical	Application assessed incorrectly
MS32 Critical	Multiple applications for different financial years submitted but not all keyed
MS33 Critical	Application for partner submitted in same PDF file but not extracted and re-uploaded to PaNDA for processing
MS34 Critical	Not all checks completed CDMS/VEVO/Database resulting in an incorrect assessment
MS35 Critical	Not all pages of the PDF checked and PR documents missed (sometimes there may not be an Immigration link)
MS36 Critical	Application approved without a clear passport or no passport - full name and date of birth or IHI application approved while travel documents not verified and no passport copy supplied
MS37 Critical	Duplicate statement not issued/issued in error
MS38 Critical	Not skilled for work type - actioned in error
MS39 Critical	Missing information/documents - Email check/PaNDA search not performed
MS50 Critical	Application approved without correct documents IHI and manual processing

Error codes - Email

Table 6

Error codes	Error definition
MS40 Critical	Email response sent to incorrect recipient
MS41 Critical	Sent email response not moved to 'Sent' folder in MES box
MS51 Non-critical	Email sent with incorrect classification other than 'Official-Sensitive'