How to use the PRODA Payment Requests API
Please note you will need to have a HICAPS registration that is synced with Careview before using this process. Please refer to the attached guide for instructions on signing up for HICAPS If you have any questions please contact support@careviewapp.com
For this feature the Use Payment Summary File setting will have to be enabled. If you are unfamiliar with this please refer to our NDIS Payment Reconciliation User Guide for more information.
1. Enable the PRODA Payment Request API under NDIS Sync Pro - PACE & PRODA API settings
2. Select an Extract Generated invoice to claim
3. Go to Action -> Submit Claim to PRODA
4. Payment Summary window will be displayed. Please note - on hold invoices will be omitted from the submission if they are selected
5. Once submitted, view your claim(s) in the Payment Requests tab. Invoices are claimed on a line level (e.g. 3 line invoice = 3 separate claims)
On the Payment Requests screen, pressing the Invoice number will take you to the relevant invoice entry. Similarly on the invoice entry screen, pressing the invoice number will open the associated payment request claims.
Claim Statuses
Cancelled - claim has been cancelled
Error - system error
Open - claim submitted, awaiting adjudication
Paid - claim has been approved and paid
Payment Pending - claim has been approved, awaiting payment
Processed - submission is being processed
Rejected - claim has been rejected, failure reason is populated by NDIS rejection code
6. When the payment has been received the invoice status will automatically update to either Fully Reconciled - Ready for provider payment if the payment matches the claim amount (or falls within the tolerance set in your reconciliation settings) or Part Paid - Requires reconciliation if there are some lines on the invoice paid and some that are still pending payment (or falls outside the tolerance set in your reconciliation settings)
7. If you need to split line items to a new invoice you can do so from the Payment Requests screen -> select the claim(s) to be split -> Action -> Split Claims to New Invoice
A new Invoice will be created with the selected Claim(s), the Invoice Number will be '{InvoiceNumber}-split'. Original Invoice details will be updated to reflect the split Items.8. To cancel a claim select the claim(s) to be cancelled -> Action -> Cancel claims
Cancelling a claim will set the Invoice status to Extracted with On Hold Reason
You can view our video on the PRODA Payment Requests API below:
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