Before you start...
Setting up the HICAPS Digital Claims integration is essential prior to processing any payments or claims for NDIS via HICAPS Digital Claims.
Important!
There are additional steps required by HICAPS Digital to use the integration for claiming NDIS Agency Managed Invoices:
1. Integrate your PMS with HICAPS Digital
2. Sign up for the NDIS APIs
Both must be completed in order for Agency Managed Claiming to be processed via the integration.
The HICAPS NDIS Agency Managed integration allows you to submit claims directly to NDIS.
Adding Claimable Services and Classes
Once HICAPS Digital Claims is linked to Nookal, Services, Classes, Inventory and Passes will need to be set as Claimable.
1. Go to Setup > Items > Services.
2. Click on the Service to open the details page.
3. Tick Enable Integrations if not already ticked.
4. Tick Enabled next to NDIS.
Important!
Enable Integrations needs to be ticked for the item to be able to claim it with HICAPS Digital Claims.
5. Click Save Changes.
6. Repeat for all claimable Services, Classes, Inventory and Passes.
7. Once the items are set as claimable, go back to Setup > Connections > Integrations > HICAPS Digital Claims > Configure.
8. Click on the relevant NDIS tab and add the specific NDIS Codes for each item claimable with NDIS.
If you already have the National Disability Agency Scheme Integration configured, the services/codes will automatically appear in the HICAPS setup page.
9. Once all the codes are added, click Save Custom Codes.
Submitting NDIS Agency Managed Claims
1. In the Diary, open the booking and click Generate Invoice.
2. Edit or add items if required and click the Pay Via button and select HICAPS from the bottom of the invoice.
3. Select NDIS Agency Managed.
4. Click Setup to expand the section in which some required NDIS claiming details will be pre-filled from information in Nookal.
5. Enter or edit any missing or inaccurate information.
The Client's Patient Membership No. will automatically populate if this has been added into the NDIS Field in the Clients > Health section.
Please note that any other details will need to be entered manually for the first claim for each client.
These NDIS details will then be saved for all future claims.
6. Double check the correct items for claiming have been selected, and click Pay with HICAPS.
7. The invoice will be submitted and the status will be set as Pending. Any action related to the claim can be seen in the History tab on the invoice. If the claim is successful, the paid amount will be added to the invoice automatically once NDIS has processed the claim.
Important!
Information can be found here regarding payment and processing times.
Discover more...
See the articles below to learn more about the changes with the NDIS operating systems:
- HICAPS and NDIS PACE Changes
- NDIS Improvements