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Notice of reimbursement arrangement (NORA) - Medicare Compensation Recovery 011-15030040

This document outlines details about actioning NORA for Medicare Compensation Recovery.

Action a NORA

This table follows on from Table 1 in Claim management - Medicare Compensation Recovery.

Step	Action
1	Evaluate - select document type Select Notice of reimbursement arrangement from the Document type dropdown menu Select the relevant buttons Select Continue Note: if the claim needs registration or updating, the claim will proceed to that workflow before the NORA can be processed. See Claim management - Medicare Compensation Recovery if the MO027 form is incomplete see Process Correspondence - Medicare Compensation Recovery to issue a Z2802 or Z2798 for missing details
2	Assign work item A message displays Are you sure you want to process a Notice of reimbursement arrangement? Would you like to continue? Select Yes
3	Record details Enter details of the NORA into the relevant fields. Staff must add the below details: Date of receipt - enter the date the NORA was received Date of reimbursement arrangement - enter the reimbursement commencement date provided on the NORA form Note: this date must be more than 6 months after the claim was lodged with the insurer to be notifiable Date of injury or illness - this automatically populates Date claim lodged with insurer - enter the date the claim for compensation was lodged. This date should be provided on the NORA form Start date of liability period - enter the date of injury unless a specific period of liability is advised End date of liability period - enter date of reimbursement arrangement unless a specific period of liability is advised If applicable, select is this NORA a result of an ART review? button Select Continue The next workflow depends on the fields entered and the claim status. A message shows advising what action is needed: Close claim on existing Notice of past benefits (NOPB), go to Step 4 Process Statement by claimant (SBC) to close the claim, see Table 1 > Step 9 in Process a Statement by claimant (SBC), then go to Step 6 Claim is 25(4), go to Step 5 Issue a Notice to claimant (NTC), go to Step 8 MCRS determines if the claim is not notifiable based on date validation. See Table 3 in Close, terminate or reopen a claim - Medicare Compensation Recovery
4	Close claim on an existing Notice of past benefits (NOPB) The most recent NOPB shows. To close the claim on the displayed notice: select Close case on display notice add a case note to document this process. See Table 6 in Claim management - Medicare Compensation Recovery select Submit go to Step 6 To not close the claim on the displayed notice and to issue an NTC: Do not select the Close case on display notice button select Continue a screen shows the most recent NOPB and advises if valid at date of reimbursement arrangement, it can be used to close the claim select Submit See Issue a new NTC table in Notice of past benefits request and Notice to claimant (NTC) - Medicare Compensation Recovery
5	Claim is 25(4) Message displays S25(4) applies, thus issue NOC Select Yes
6	Compensation Payer details in SAP Search for payment If payment located: enter ad-hoc payment amount, SAP document number, payment date and compensation payer unique account number select Continue If payment not located, locate compensation payer unique account number
7	Notice of charge (NOC) summary A table shows with the NOC summary. Review the summary and totals shown: if the totals are incorrect, select: the Back button to return to the Compensation payer details in SAP screen, and the Back button again to return to the SBC Capture screen, if incorrect, re-capture correct services, and Submit if totals are correct, select Submit The NOC will issue to the notifiable person, with a copy to the claimant/their authorised third party. If payment has been received and a refund is required use the Referring a case to Compensation Finance email template. See Payments, refunds and debts. Procedure ends here.
8	Issue Notice to claimant (NTC) If MCRS determines a notice to the claimant is required, a message shows No Notice of past benefits (NOPB) exist, a new Notice to claimant will be created for the case: Add a case note to document this process. See Table 6 in Claim management - Medicare Compensation Recovery Select Submit A message displays Are you sure you want to request a Notice to claimant? Select Yes See Issue a new NTC table in Notice of past benefits request and Notice to claimant (NTC) - Medicare Compensation Recovery Procedure ends here