Continence Aids Payment Scheme (CAPS) quality checking in QST 111-23090850

Error code

Error definition

Processing tip

C01

Error free

Quality check did not detect errors

Error code

Error definition

Processing tip

C03 Non-critical

Eligibility Guide not completed

It is an error when the CAPS Eligibility Guide has not been completed and there is no verification present.

C04 Non-critical

Documentation not certified

It is an error when copies of evidence of the legal representative’s or parent’s (where applicable) authority has not been certified.

C05 Critical

Insufficient, inappropriate or no documentation to support action taken

To support processing action taken (registration or amendment), it is an error when there is:

• insufficient documentation
• inappropriate documentation
• no documentation

C06 Critical

Applicant details incomplete or omitted

It is an error when the applicant's following details are incomplete or omitted and there is no verification present:

• name
• address

C07 Non-critical

Correspondence recipient details incomplete or omitted

It is an error when the correspondence recipient details are incomplete or omitted and there is no verification present.

C08 Critical

Applicant payment details incomplete or omitted

It is an error when the applicant's following details are incomplete or omitted and there is no verification present:

• BSB
• account number
• account name

C09 Critical

Applicant declaration omitted

It is an error if the applicant's signature is incomplete or omitted and there was no verification present.

Note: if the signature does not match, further clarification is required.

C10 Non-critical

Representative details incomplete or omitted

It is an error when the representative's following details are incomplete or omitted and there is no verification present:

• relationship
• name (organisation or personal)
• address
• phone number

C11 Critical

Representative payment details incomplete or omitted

It is an error when the representative's following details are incomplete or omitted and there is no verification present:

• BSB
• account number
• account name

C12 Non-critical

Representative declaration omitted

It is an error when the representative's signature was incomplete or omitted and there was no verification present.

Note: if the signature does not match, further clarification is required.

C13 Critical

Declaration to authorise payment to an Organisation incomplete

It is an error when an Organisation is authorised for payment and the following details are incomplete or omitted, and there is no verification present:

• representative's relationship
• organisation name
• organisation ABN
• signature

C14 Critical

Organisation details or declaration details incomplete or omitted

It is an error when the Organisation's following details are incomplete or omitted and there is no verification present:

• name
• ABN
• authorised representative
• address
• contact number
• signature
• BSB
• account number
• account name

C17 Non-critical

Health professional details incomplete or omitted

It is an error when the health professional's following details are incomplete or omitted and there is no verification present:

• name
• contact details
• address
• profession

C18 Non-critical

Health Report Applicant details incomplete or omitted

It is an error when the applicant's condition information on the Health Report was either incomplete or omitted and there was no verification present.

C19 Non-critical

Health professional signature and date incomplete or omitted

It is an error when the Health Professional has not signed/dated the Health Assessment section and there is no verification present.

Error code

Error definition

Processing tip

C30 Critical

Date of lodgement

It is an error when the date of lodgement keyed does not match supporting documentation.

C31 Critical

Incorrect Applicant selected

It is an error when the incorrect applicant has been selected.

C32 Critical

Applicant type incorrect

It is an error when the incorrect applicant type has been selected (CAAS (Do not use) has been selected instead of CAPS).

C33 Critical

Main contact selected incorrectly

It is an error when the applicant has nominated a correspondence nominee or a correspondence and payment nominee and the main contact has been selected as the main applicant.

C34 Critical

Payment frequency selected incorrectly

It is an error when the payment frequency:

• selected does not match supporting documentation
• bi-annual has been selected when the 'Payment details' section was blank

C36 Critical

Nominee type registered incorrectly or Additional Nominee not keyed

It is an error when the nominee type has been registered incorrectly or the additional nominee has not been keyed.

C37 Non-critical

Authority details incorrect

It is an error when the following details do not match supporting documents:

• authority relationship selected
• evidence of authority keyed

Note: this can only apply to:

• correspondence only
• payment only
• correspondence and payment

C38 Non-critical

Nominee details incorrect

It is an error when the following details are not keyed or keyed incorrectly:

• Organisation name (if applicable)
• family name
• given name
• phone number
• address

C40 Critical

Customer / Nominee bank account details incorrect

It is an error when the customer or nominee's following details are not keyed or keyed incorrectly:

• BSB
• account number
• account name
• not end dated when required
• keyed against the incorrect customer/nominee

C42 Non-critical

Date of health assessment incorrect

It is an error when the date of health assessment keyed does not match supporting documents.

C43 Non-critical

Health professional details incorrect

It is an error when the health professional's following details are not keyed or keyed incorrectly:

• family name
• given name
• phone number
• mobile number
• fax number
• address
• email address
• business/employer name

C45 Non-critical

Health professional type incorrect

It is an error when the health professional's:

• Type: has been selected incorrectly
• Other type: has not been keyed correctly

C46 Critical

Health professional assessment details incorrect

It is an error when 'Able to make assessment' and 'refer to continence plan' are selected incorrectly.

C47 Critical

Applicant condition details incorrect

It is an error when the following details are keyed or selected incorrectly:

• applicant condition type
• condition name
• function loss

C48 Critical

Applicant eligibility details incorrect

It is an error when the applicant’s eligibility details selected do not match supporting documentation.

C49 Critical

Entitlement details incorrect

It is an error when the following are keyed, not keyed or selected incorrectly:

• Entitlement start date
• Entitlement end date
• Entitlement end reason
• Entitlement not validated and saved

C50 Non-critical

Comment or processing note in PaNDA keyed incorrectly

It is an error when comments:

• keyed are unrelated, or irrelevant
• not keyed when required
• keyed on an incorrect CAPS registration
• are keyed with symbols, special characters or copy and pasted on CAPS causing system error

C51 Critical

Incorrect CAPS registration created and finalised

It is an error when a CAPS registration is processed:

• under an incorrect Medicare card number or Consumer ID, and
• an incorrect customer is registered on CAPS

C52 Critical

Customer’s address details keyed incorrectly or not updated when appropriate

It is an error when the address was:

• keyed incorrectly
• not updated
• keyed in Personal/Group inappropriately

C53 Critical

Customer’s Association ID CRN or DVA card number keyed incorrectly or not updated when appropriate

It is an error when the external ID was:

• keyed incorrectly
• not updated
• relates to someone other than the customer
• not verified using the available resources
• not keyed when required

C54 Critical

Date of death or notification source incorrect

It is an error when a customer's date of death:

• has been keyed incorrectly
• has not been keyed when notified or identified
• notification of deceased source has been selected incorrectly

C55 Non-Critical

Personal contact details not keyed or keyed incorrectly

It is an error when a customer's contact details are not keyed or keyed incorrectly. This includes when the following do not match supporting documentation when legible:

• business phone number
• home phone number
• fax number
• mobile number
• email address

C56 Critical

Work item not actioned completely

It is an error if a work item has not been actioned completely as per the business rules. An error also occurs when a work item:

• is closed in PaNDA without being processed, and
• has no comments in PaNDA and CAPS to explain the action taken

C57 Non-Critical

Letter not actioned when required

It is an error when a letter that needed action has not been processed.

C58 Critical

Manual payment not identified and escalated for it to be paid

It is an error when a manual payment is:

• not identified
• escalated for it to be paid

C59 Critical

Incorrect letter sent to the customer/Nominee

It is an error when an incorrect letter has been sent to:

• customer
• Incorrect customer/Nominee
• with incorrect details and options selected on letter