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Processing an ABSTUDY claim 010-23061559




This document outlines the process for assessing a claim for ABSTUDY.

For ABSTUDY Smart Centre processing staff.

Accepting a claim

Table 1

Expand table

Step

Action

1

Locate claim

Claims are allocated through Workload Manager. See Work Optimiser for staff.

Online claim/Assisted Customer Claim ACC

ABSTUDY claims submitted online or by ACC will generate a Social Online Application (SOA) new claim work item on the student's record. It will have all the claim details provided by the student online or entered into ACC.

Verbal claim

ABSTUDY claims submitted verbally through the ABSTUDY claiming tool will generate a new claim activity on the student's record. The claim details provided by the applicant can be found in Document Tools.

  • Schooling A claims will be on the parent/guardian's record
  • Schooling B claims will be on the student's record
  • ABSTUDY PES claims will be on the student's record

See Orientation Visit travel for non-current ABSTUDY customers for students claiming Fares Allowance for Orientation Visit travel, who meet one of the following:

  • not ABSTUDY current and visiting multiple schools for orientation
  • currently in Year 5 or lower, or
  • claiming a reimbursement for an orientation activity with a status of ABY/ASS

Paper claim

ABSTUDY paper claims scanned to the student's record will generate a new claim activity on the student's record. For:

2

Preliminary checking

Before processing the claim, check if:

If the claim is needed or must be processed, check if it is complete and the applicant has lodged all additional supporting documents by reviewing:

If the claim is:

  • assessed in Process Direct, go to Step 3
  • for a student who will be boarding privately, go to Step 4
  • neither of the above, and:
    • incomplete, and/or all additional supporting documents have not been provided, go to Step 5
    • complete and all additional supporting documents have been provided, go to Step 6

3

Claims assessed in Process Direct

When assessing a claim in Process Direct, select:

  • Open left slider; Close right slider to view the Claim Summary that has information provided by the customer
  • Tasks to view the documents requested online or by ACC
  • Notes to view the DOCs and comments recorded in Process Direct
  • Documents or the links at the bottom of the expanded Claim Summary to view the documents provided by the customer (uploaded online or scanned to their record)
  • Benefit History to view Benefit Status
  • Relations menu icon to view the Relations menu

See Process Direct navigation, common screens and functions for further guidance.

If the claim is:

  • incomplete, and/or all additional supporting documents have not been provided, go to Step 5
  • complete, and all additional supporting documents have been provided, go to Step 6

4

Private boarder document requirements

Applicants must return a signed ABSTUDY request for private board provider details form (SY115) before their claim will be assessed.

If the applicant has returned the SY115 and there will be:

  • fewer than 5 students residing on the premises or unknown, continue the claim as a private boarding student
  • 5 or more students residing on the premises, it is classed as a hostel for ABSTUDY purposes. The private board provider will need to sign into an ABSTUDY Hostel Standards Agreement to continue to receive some ABSTUDY entitlements. See ABSTUDY Hostel Agreements to start the agreement process. Continue the claim as a student claiming ABSTUDY to board at a hostel which is not a signatory to an ABSTUDY Hostels Agreement

Has the SY115 and all other needed information been provided?

5

Claim incomplete and/or supporting documents not provided

If the information can be provided verbally (such as a verbal MOD JY), make 2 genuine attempts to contact the applicant by phone to get the information needed.

For students claiming Tertiary or Masters and Doctorate Awards, or as an Australian Apprentice, do not reject the claim for failing to provide parental income information. Payment of non-means tested allowances/benefits can still occur for the relevant award. Process the claim, go to Step 6

If the information cannot be provided verbally or contact is unsuccessful, and the claim is:

6

Has the most beneficial claim been lodged?

Students may claim for an ABSTUDY Award when another may be more beneficial or appropriate.

Did the customer lodge the most beneficial claim for ABSTUDY?

7

Another ABSTUDY payment is more beneficial

Contact the customer and tell them another ABSTUDY payment may be more beneficial. Make at least 2 genuine attempts to contact.

Has the contact been successful?

  • Yes, and the customer wants to:
  • No:
    • Issue the relevant paper claim form for the most beneficial ABSTUDY payment if needed
    • Continue processing the allocated claim. Note: if contact was unsuccessful for a student applying for ABSTUDY Living Allowance who is deemed eligible for ABSTUDY PES or the Part-time Award, process the claim as an Incidentals only claim following the Incidentals Table
    • For claims lodged through:
      - the ABSTUDY Claiming Tool, go to Step 9
      - all other claims, go to Step 10

8

Claiming more beneficial payment

If additional information is needed, ask the customer for it during the call.

Did the customer provide all needed information for the new claim?

9

ABSTUDY Claiming Tool

Applicants who complete a claim through the ABSTUDY Claiming Tool must:

  • accept a verbal declaration, or
  • return a signed Customer Declaration Form (CDF)

The accepted verbal declaration is recorded on the:

  • Verbal Declaration DOC, and
  • Progress of ABSTUDY claim DOC

If the Verbal Declaration DOC:

10

Checking the new claim (NCL) activity

Go to the Activity List (AL) screen and confirm the correct claim is indexed on the student's or Australian Apprentice's record.

Note: students under 16 years of age and studying secondary non-school level studies, should be claiming ABSTUDY Schooling B.

If an incorrect claim has been indexed, cancel the activity and index the correct claim activity.

Select the appropriate option below.

Process Direct claims

For ABSTUDY Tertiary, Masters and Doctorate and Part-time Awards, check if a claim has been created in Process Direct.

If a claim has not been automatically created, create a blank Social Online Application (SOA) shell in Process Direct.

  • Benefit Type: select as appropriate, for example ABSTUDY - Tertiary Living Allowance
  • Customer CRN
  • Date of Receipt

See Process Direct navigation, common screens and functions.

Go to Step 13.

ABSTUDY NCL activity is indexed

Check the Source is correct:

  • Select the started ABSTUDY NCL activity
  • The Source must be 'SCT', 'SY018', 'SY019', 'SY022' or 'SY092'. If another Source is coded:

Check the keywords are correct:

  • Go to the AL screen
  • Select the ABSTUDY NCL activity
  • From the Selection Options screen, select Keywords
  • Check the appropriate claim type keyword has been added:
    • 'ABYNCL' - ABSTUDY Living Allowance
    • 'ABTNCL' - ABSTUDY Schooling A
    • 'BOARDER' - ABSTUDY Secondary Boarding
    • 'EPANCL' - ABSTUDY Pensioner Education Supplement
  • Check the appropriate Verbal Declaration keyword has been added:
    • 'VERBNIL' - if the applicant accepted a verbal declaration and did not need to provide any supporting documents
    • 'VERBDOC' - if the applicant accepted a verbal declaration and needed to provide supporting documents
    • 'VERBNO' - if the applicant did not accept a verbal declaration

If the Source and Claim Type and Verbal Declaration keywords are correct, go to Step 11.

If the correct Claim Type and Verbal Declaration keywords are missing:

  • Go to the AL screen
  • Select the ABSTUDY NCL activity
  • From the Selection Options screen, select (O). Transfer the activity to another site/region
  • Add the appropriate Claim Type keyword:
    • 'ABYNCL' - ABSTUDY Living Allowance
    • 'ABTNCL' - ABSTUDY Schooling A
    • 'BOARDER' - ABSTUDY Secondary Boarding
    • 'EPANCL' - ABSTUDY Pensioner Education Supplement
  • Add the appropriate Verbal Declaration keyword:
    • 'VERBNIL' - if the applicant accepted a verbal declaration and did not need to provide any supporting documents
    • 'VERBDOC' - if the applicant accepted a verbal declaration and needed to provide supporting documents
    • 'VERBNO' - if the applicant did not accept a verbal declaration

Go to Step 11.

ABSTUDY NCL activity is not indexed
  • Index a NCL activity
  • Key the Source as 'SCT', 'SY018', 'SY019', 'SY022' or 'SY092'
  • Go to the AL screen
  • Select the ABSTUDY NCL activity
  • From the Selection Options screen, select (O). Transfer the activity to 'ABS'
  • Add the appropriate Claim Type keyword:
    • 'ABYNCL' - ABSTUDY Living Allowance
    • 'ABTNCL' - ABSTUDY Schooling A
    • 'BOARDER' - ABSTUDY Secondary Boarding
    • 'EPANCL' - ABSTUDY Pensioner Education Supplement
  • Add the appropriate Verbal Declaration keyword:
    • 'VERBNIL' - if the applicant accepted a verbal declaration and did not need to provide any supporting documents
    • 'VERBDOC' - if the applicant accepted a verbal declaration and needed to provide supporting documents
    • 'VERBNO' - if the applicant did not accept a verbal declaration

Go to Step 11.

11

Verbal declaration, CDF or claim form

Has the applicant accepted the verbal declaration, returned a signed CDF or completed an ABSTUDY paper claim form?

12

Verbal declaration not accepted, CDF or claim form not provided

If the customer did not provide a signed CDF or paper claim form, and a verbal declaration has not been accepted, make 2 genuine attempts to contact the customer to obtain the verbal declaration.

  • If contact is successful and verbal declaration has been provided and documented, go to Step 13
  • If contact is unsuccessful and the claim is:
    • 18 days or older, go to Step 18
    • 17 days or younger, place the claim on hold until day 18. Procedure ends here

13

Future Away from Base pre-assessment checks

Due to system limitations students need to initially be granted ABSTUDY Incidentals only, where they:

  • are transferring to ABSTUDY from another benefit, and
  • need travel and/or meals/accommodation to be booked in advance of their course start date

This can occur where the student:

  • is claiming ABSTUDY Living Allowance
  • will be attending an Away from Base activity within the next 6 weeks as confirmed by received correspondence, and
  • is currently getting another benefit

Does the student meet all of the above?

14

Check previous payments

Does any payment have the benefit status show as CNP, or are there any outstanding employment income reports?

15

Cancelling previous payments

If the status of the previous payment is CNP (cancel next payment), or there are outstanding employment reports, Service Officers must cancel the payment. This activity must be completed outside of the NCL activity:

In Process Direct or Customer First:

  • go to the Payment Summary (PS) screen
  • in the Number of months in past: field key '999'
  • select Execute/Enter
  • note the DPT+1
  • go to the Benefit Action (BA) screen
  • code the cancellation. Use reason OTH from DPT+1
  • inhibit the letter on the Actions (ASC) screen before finalising the activity
  • record cancellation details. Use Fast Note - select Auto text, use Generic > SUS/CAN/RES > Suspend Cancel Reason

For further coding advice, for:

The benefit status should now be CAN. Go to Step 16.

16

ABSTUDY Award eligibility

Is the customer eligible for an ABSTUDY Award?

17

Australian Apprentice

Australian apprentices must have a current Commonwealth registration number.

Before assessing the claim, Services Australia will obtain the Australian Apprenticeship details from the Department of Employment and Workplace Relations.

If the customer's Australian Apprenticeship details are not yet current:

  • Record the details in the Progress of ABSTUDY Claim DOC
  • Contact the customer and tell them payments cannot occur until confirmation of their Australian Apprenticeship status is received
  • Place the claim on hold for 14 days

While waiting for confirmation, claims can be re-held for up to 13 weeks. After 13 weeks, reject the claim NAT (Not an Apprentice). See Rejecting an ABSTUDY claim.

Does the Australian Apprentice have a current Commonwealth registration number?

  • Yes, go to Step 20
  • No, and the Apprentice claim has been held for:
    • under 13 weeks, place the claim on hold for 14 days. Procedure ends here
    • 13 weeks or more, go to Step 18

18

Not eligible for ABSTUDY

The ABSTUDY claim may reject automatically (following the updating of information on the customer's record, for example, student attending primary school) or may need to be rejected manually.

Note: use discretion when to apply either a streamline, manual or automatic rejection. An automatic rejection is the preferred option.

See Codes for ABSTUDY cancellation, suspension and rejection for a list of automatic and manual rejection codes.

To reject the claim:

19

Automatic rejection

If the student is current on ABSTUDY Schooling A and the rejected claim is incorrectly affecting the students ABSTUDY Schooling A entitlement, see the Resources page for a workaround.

If the claim is in:

Process Direct
  • Select the Process button
  • Update the screens with the details provided in the ABSTUDY claim
  • After updating the screens, select the Assess button to assess and finalise the claim
  • Contact the applicant and explain the reason for the decision. See Advising verbally of an unfavourable decision
  • Record details on a DOC
  • Procedure ends here
Customer First
  • Go to the Activity List (AL) screen
  • Select the started ABSTUDY NCL activity
  • Go to the ABSTUDY Task Selector (EYTS) screen
  • Update the appropriate screens using the details provided in the ABSTUDY claim
  • After updating the screens, go to the Assessment Results (AR) screen
  • Finalise the activity
  • Contact the applicant and explain the reason for the decision. See Advising verbally of an unfavourable decision
  • Record details on a DOC - Use Fast Note - select Auto text, use Students, ABSTUDY & Apprentices > Claims - ABSTUDY > ABY Granted/Rejected > Confirm
  • Expire the 'Progress of ABSTUDY claim' Display on Access DOC
  • Procedure ends here

20

Australian Apprentice start date

Due to system limitations, an Apprentice claim Date of Receipt (DOR) may need to be changed to align with the calculated start date.

To determine correct start date, see Start and closing date for ABSTUDY claims.

Does the claim DOR align with the calculated start date?

21

Date of Receipt (DOR)

To update the DOR:

  • Select Update DOR in More Options menu
  • Key the calculated start date and select Continue

For:


For information on how to complete the required action, select the option from the dropdown box below.

Schooling A

Table 2

Expand table

Step

Action

1

Start claim activity

Confirm the student ABSTUDY start date, see Start and closing date for ABSTUDY claims. Once start date is confirmed:

  • Go to Activity List (AL) screen
  • Select the new claim activity
  • Go to the Customer Details Task Selector (CDTS) screen
  • Select and update the screens using the details provided in the claim. Selected screens include:
    • Address (AD)
    • Accommodation (AC)
    • Telephone details (TDS)
    • Tax File Number Details (TFN)
    • Payment Destination Details (PASB)
    • Residence Requirement (RSLEG)
    • Proof of Identity (POI)
    • Other Contact Details (OCD)
    • Office codes (OC)
    • Links Summary (LS)
  • Select Next to progress through the claim

2

Address details (AD)

The Address History (ADH) screen for the student must reflect the applicant's ADH screen from the date of grant.

No update is needed if the address is already correct from or before the date of grant.

Check the student’s postal (POS) address matches the applicant's.

If updates are needed, see Updating address details.

3

Accommodation details (AC)

On the AC screens the event date must align with the first day of entitlement in the grant period.

When there are multiple events updated on ADH screen, only one AC screen event date can be input which must align with the date of grant.

Note: if the AC screen is already coded with the following details from an earlier event date, do not code any further details. If not, code the AC screen as follows:

  • Address Type - HOM
  • Event Date - must align with the first date of entitlement in the grant period
  • Home Ownership - Non homeowner (NHO)
  • Type of Rent - No rent paid (NRP)
  • Sharer Status - Lives with Parents (LWP)

4

Tax File Number (TFN)

A Tax File Number (TFN) is not needed for a student under 16 years. Key:

  • the TFN for the student if available, or
  • the exemption reason 'U16' - under 16 years of age

Note: where a claim is lodged before the closing date but after the student has turned 16, a workaround exists to allow the U16 TFN exemption to be entered. If the student has no TFN:

  • change the Date of Receipt (DOR) to 1/1 in the year the assistance is being claimed for
  • do not use the actual DOR the claim was lodged to allow the U16 exemption to be coded

5

Payment Destination details (PAS)

Update the details on the Payment Destination Details (PA) screen. This is the payment details for the applicant, not the student.

6

Proof of Identity (POI)

Continue through this screen. It is not needed:

  • while the student is under 16 years
  • for the applicant

7

Link Summary (LS)

All Schooling A claims must have an STA link to the applicant. Check for any existing or started (STA) links on the Links Summary (LS) screen.

To allow an STA link to be created, the student and the applicant must be in the same environment. For details, see Inter-environment change of address (ICoA) transfer of a customer record.

Select the appropriate option below.

Current STA link linking the student to the applicant

No further action is needed on the LS screen.

Go to Step 8.

Current incorrect STA link already exists

This will need to be end dated on the date before the new link starting on the LS screen by:

  • selecting the incorrect STA link
  • End date - date before the new link start date
  • Reason - NLC
  • Select Continue
  • Return to LS screen to link correct applicant

Go to Step 8.

Incomplete STA link exists

Select it by entering 'S' in the box next to the link.

Go to Step 8.

No STA link exists

Enter 'Y' in the box next to the add new link to create a new one.

Selecting an incomplete link or starting a new link will direct the user to the Other Customer Links (OCL) screen. On this screen, key the following:

Once the OCL screen is coded and the applicant is selected from the Link Person (LP) screen, the user will be redirected to the applicant's record to complete the STA link activity.

Go to Step 8.

8

Processing requirements in applicant's record

In the applicant's record, staff must:

  • check the applicants Tax File Number (TFN) details and Office Code (OC) are correct, and
  • make applicable updates

Go to the Assessment Results (AR) screen to finalise the activity; then key 'FL' in Nxt and press [Enter] to flip back to the student's record.

9

Education details (EDC)

To continue the claim:

  • Go to the Activity List (AL) screen
  • Select the started new claim activity
  • The screen flow will go to the ABSTUDY Task Selector (EYTS) screen
  • Continue through this until the Education Course Details (EDC) screen presents
  • To update this screen, see Coding ABSTUDY education details

Note: when processing a claim after 1 October for the current year, code the EDC screen with the current and future year education details at the same time (For example, Year 8, 2023 and Year 9, 2024).

10

Family Pool (NPPS)

On the PIT Parent Selection (NPPS) screen, check the parents are linked on the student's record.

Start date is the earliest date of:

  • ABSTUDY start date
  • Date of Receipt

The Relationship Summary (NRS) screen displays a summary of the family's details:

11

Household Income and Assets (NHI)

Check the appropriate Parental Income Test (PIT) exemption reason is displayed in the PIT Exempt Rsn: field.

Code the Date of effect (DOE) to align with the calculated claim grant date and the financial year ending as the base year.

If the details do not match:

  • Code a PITRSH activity on the applicant and/or student record outside of the new claim
  • Key 'PITRSH' in the Next: field in the applicant record
  • Select and finalise the activity generated by the system
  • PIT data will be refreshed between the applicant and the student

For information on coding/updating the parent record, see Manual PIT exemption will need to be coded on the system.

12

Supplementary Education Payments

Does the applicant want ABSTUDY School Fees Allowance (SFA) paid to the school?

13

Finalise the claim

Go to the Assessment Results (AR) screen and finalise the activity:

  • Record details of the claim on a DOC
    Use Fast Note - Select Auto text, use Students, ABSTUDY & Apprentices > Claims - ABSTUDY > ABSTUDY Schooling A - Granted/Rejected > Confirm
  • Close the Display on Access new claim progress DOC

If:

Was the claim granted and finalised on or after the School Term Allowance SAS extraction date in a particular term?

14

School Term Allowance attendance request

When the claim is finalised on or after the School Term Allowance SAS extraction date in a particular term, the student will not be included on the student list provided to the school at the end of that term or any previous terms in that year.

The ABSTUDY Smart Centre must contact the school and seek attendance details for each school term completed before the date of finalising the claim. See Resources in Processing ABSTUDY School Term Allowance payments to issue a manual attendance request.

Once the manual attendance request is issued, go to Step 15.

15

Check the Future Activity List (FAL) screen for future review activity

Where a PITRSH activity was needed, that coded HCA (Health Care Card Auto) on the Household Income and Assets (NHI) screen:

  • After finalising the claim, check the FAL screen to ensure an auto review is present. The auto review should be maturing on the day before the Health Care Card Auto exemption is due to cease
  • If no auto review is present on the FAL screen, in Customer First, create a manual review on the Review Registration (RVR) screen and complete the fields as follows:
    • Service Reason: ABA
    • Review Reason: REV (Manual Review)
    • Due Date: day before the Health Care Card auto exemption is due to cease
    • Source: INT
    • Date of Receipt: today's date
    • Notes: 'Check eligibility for PIT Exemption based on the parent(s)/guardian(s) being in receipt of HCC. See OB 010-02050020.'
    • Keywords: ABYACT and #NSSBRU
    • Workgroup: leave blank
    • Position: leave blank
    • Transfer to Region: ABS
  • The review will mature on the Due Date coded in the RVR activity. Workload Management will allocate the review for manual action

Procedure ends here.