Claims can be edited via the claim form or through clicking 'edit' on a claims page. Non-ACC fields for a claim are at the bottom of claim forms. The non-ACC section is used for your own management and tracking of claims.
If you no longer need to invoice on a claim, eg. the patient is better or has a new claim, the claim should be set to in-active by deselecting the active check box. Inactive claim will be hidden from being selected on the appointments page. Claims can be reactivated by checking the active checkbox.
You can toggle the status of a claim between active and in-active and vise-visa by clicking on the green ticks or red X, on the Claims page, or in the the claims list on a patient's page.
You can also set the claims to become inactive when they are used up or when they expire. After invoicing it will check whether you have reached your treatment allowance. If all the treatments have already been used up and you don't wish to invoice again, then make the claim inactive immediately, rather than setting Mark inactive when treatments used up. As using the when used up method will only check if the claim is used up after invoicing.
Claim treatment counts
Treatment counts keep track of how many times a claim has been invoiced, as well as managing the expiry date of the claim. Claim's expiry date is set to one year after the first treatment date for each provider type. For new claims, first treatment date will be set automatically for the provider type creating the claim. For existing claims, the first treatment date should be set for each provider. If you want a claim to become inactive when it expires or when all the treatments are used up you can set this in the 'Treatment Counts' section or from the dashboard.
If the claim has been used at another clinic with the same provider type, then you should enter the number of treatment had elsewhere in the 'OTHER' column. In the image above the patient has used the claim 2 times prior, so 2 is entered in the 'OTHER' column.
Extending treatment counts
On approval of an ACC32, the 'EXTEND' column is where you add the number of treatments the extension specifies.
Custom treatment count
If a claim has a custom number of treatments, eg. the number of treatments has been set by an accredited provider, enter the maximum number of treatments in the 'Custom treatment max' field.
Check accredited employer, and select or create an accredited employer if the claim is handled by an accredited employer/provider. Learn more about invoicing accredited employers.
Claims created in SubmitKit can have one of five statuses. Colour codes are used throughout SubmitKit to help identify which state a claim is in.
- Pending claims are claims that have not yet been submitted to ACC. This could be because the claim has not yet been submitted by your clinic, or it is an existing claim that is not yet registered with ACC.
- Registered claims are existing claims that have been registered with ACC.
- Submitted claims are claims that have been submitted to ACC through SubmitKit by your clinic.
- Accredited claims are claims that have been marked as being handled by an accredited employer.
- Failed claims are claims that have not yet been registered with ACC, due to an error in submission.
- Declined claims, are claims that have not been accepted by ACC and that you have marked as declined