PRODA Payment Request API - Unit Price Claimed is above NDIS Price Limit Claim Rejection Resolved

NDIS SyncPro - PRODA Payment Request API - Unit Price Claimed is above NDIS Price Limit Claim Rejection Resolved

The following system validation has been implemented to resolve the numerous PRODA “unit price claimed is above the NDIS price limit” claim rejections received when submitting claims via the Payment Request API. 

Alert
This issue does not apply to Manual Claims.

PRODA Claim Rate Miscalculation

If the PRODA Payment Request API is enabled, and where certain invoices are created with a Qty entered as a fraction i.e. 0.5, via the Service Entry, Streamline or the Bulk Invoice File Import features, a claim rate miscalculation was occurring.

When the Claim is sent via the PRODA Payment Request API, the Qty and Rate are submitted to PRODA, and PRODA are carrying out an additional calculation, which was leading to certain claims being rejected.

Example

  1. Invoice is created with a Qty of 0.5 x Rate of 65.47 = 32.735, which is rounded up to 32.74.
  1. PRODA multiplies the Total of 32.74 x 2 = 65.48.  And 65.48 exceeds the rate of 65.47 and the Claim is rejected.
 
Careview Solution Example

Additional Line Item is created at time of Saving or Updating an Invoice.