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(verifications: OCV = Concession, OVV = DVA, OPV = Medicare/Fund)
claimant.address.line1
String
First line of the temporary address to be used for the claim. Cannot be a PO Box Claimant address details must only be transmitted at the request of the claimant. These address details are temporary and must be used for that claim only. Software must not default to supplying claimant address details with every claim.
Validation Rules:
- All Must have no more than 40 characters
claimant.address.line2
String
Second line of the temporary address to be used for the claim.
Validation Rules:
- All Must have no more than 40 characters
- All Can only be set with claimant.address.line1
claimant.address.locality
String
The locality of the temporary address to be used for the claim.
Validation Rules:
- All Must have no more than 40 characters
- All Required with claimant.address.line1
- All Can only be set with claimant.address.line1
claimant.address.postcode
ZeroPaddedNumeric
The post code for the temporary address to be used for the claim.
Validation Rules:
- All Must have between 4 and 4 characters and not equal '0000'
- All Required with claimant.address.line1
- All Can only be set with claimant.address.line1
claimant.bank.accountName
String
Used for EFT payments. The claimants bank or financial institution account name.
Validation Rules:
- All Must have no more than 30 characters
- All Required with claimant.bank.accountNumber
- All Can only be set with claimant.bank.accountNumber
claimant.bank.accountNumber
AlphaNumeric
Used for EFT payments. The claimants bank or financial institution account number.
Validation Rules:
- All Must have no more than 9 characters
- All Must only be set when flags.accountPaid is Y
claimant.bank.bsb
Numeric
Used for EFT Payments. The BSB code for the bank and branch where the account is held.
Validation Rules:
- All Must have no more than 6 characters
- All Can only be set with claimant.bank.accountNumber
- All Required with claimant.bank.accountNumber
claimant.dateOfBirth
Date
The claimants Date of Birth, where a claimant is specified.
Validation Rules:
- All Must be before today
- Medicare Required when patient.dateOfBirth is within 12 years
claimant.medicare.number
Numeric
The claimants Medicare Card number when the patient and claimant are not one and the same.
Validation Rules:
- All Must have no more than 10 characters
- All Required with claimant.dateOfBirth
- All Can only be set with claimant.dateOfBirth
claimant.medicare.ref
Numeric
The claimants individual Reference Number (found to the left of the claimants name on their Medicare card), when the patient and claimant are not one and the same.
Validation Rules:
- All Must have no more than 1 character and not equal '0'
- All Required with claimant.medicare.number
claimant.name.family
NameString
The claimants family name when the patient and the claimant are not one and the same. Required if claimant is not the patient.
Validation Rules:
- All Must have no more than 40 characters
- All Required with claimant.dateOfBirth
- All Can only be set with claimant.dateOfBirth
claimant.name.first
NameString
The claimants first name when the patient and claimant are not one and the same. Required if claimant is not the patient
Validation Rules:
- All Must have no more than 40 characters
- All Required with claimant.medicare.number
- All Can only be set with claimant.dateOfBirth
contact.name
String
Name of contact at claim submission site to be contacted should clarification about claim details be required.
Validation Rules:
- All Must have no more than 40 characters
contact.phone
Numeric
Phone number of contact at claim submission site to be used should clarification about claim details be required.
Validation Rules:
- All Must have no more than 19 characters
earliestDateOfService
Date
The date to be used for the validation check.
Validation Rules:
- All Must be before today and be after date of birth.
flags.accountPaid
Bool
Indicates whether or not an account has been paid in full.
Validation Rules:
- All Must have no more than 1 character
- IMC Required
- All Must equal 'N' when flags.imcClaimType is MB,MO,AG,SC
- Medicare Required
flags.admission.admissionDate
Date
The date the patient was admitted to hospital, nursing service
Validation Rules:
- All Must be after patient.dateOfBirth and be before item.date
- VAA Required when flags.serviceType is F
flags.admission.dischargeDate
Date
The date the patient was discharged from hospital.
Validation Rules:
- All Must be after flags.admission.admissionDate and be after item.date
- All Can only be set with [Admis notsionDate]
flags.certifiedInd
Enum
Indicates the provider has certified the services within the claim have been provided. Must be Y to submit the claim.
Validation Rules:
- All Must and be one of 'Y,N'
flags.compensationClaim
Bool
Indicates whether or not the voucher contains services that are subject to a compensation claim. Note: if not set assumed not to be subject to compensation.
Validation Rules:
- All Must not be set when OECTypeCde is ECM
flags.financialInterestDisclosureInd
Bool
Indicates that the Provider providing hospital treatment or associated professional attention under a gap cover scheme has disclosed to the insured person any financial interest that the first-mentioned Provider or associated professional person has in any products or services recommended or given to the insured person.
Validation Rules:
- All Must when flags.imcClaimType is SC
flags.hospitalInd
Bool
Indicates if service rendered in hospital or not. Note: if not set assumed the service was not rendered in hospital.
Validation Rules:
- All Must when location.type is H
flags.ifc
Enum
Indicates 'IFC' was provided prior to the Episode of care. Note: if not set assumed not issued.
Options:
Validation Rules:
- All Must be one of 'V,W,N,X'
- All Must be one of 'W,X' when flags.imcClaimType is SC
- All Must be one of 'V,W,X' when flags.imcClaimType is AG
flags.imcClaimType
Enum
Determines the processing class under which a claim is submitted.
Options:
Validation Rules:
- All Must be one of 'MO,PR,PU,AG,SC,MB,PC' unless OECTypeCde is OEC
- All Required and be one of 'AG,SC,MB,PC' when OECTypeCde is OEC
- IMC Required
flags.isAccident
Bool
Indicates whether or not the associated information relates to the patient experiencing an accident.
Options:
Validation Rules:
- All Required when flags.imcClaimType is AG,SC,MB,PC
- All Must not be set when OECTypeCde is ECM
flags.serviceType
Enum
Indicates the type of service that makes up the claim. All ItemNum/s within the claim must be consistent with the Service Type selected.
Options:
Validation Rules:
- All Must be one of 'P,S,O,F,G,L,I,J,K'
- DVA BulkBill IMC Required and must be one of 'P,S,O'
- VAA Required and be one of 'F,G,L,I,J,K'
item.SCPId
AlphaNumeric
The Licensed Collection Centre Identifier, now known as Specimen Collection Point (SCPId), is used to identify the site where the pathology specimen was collected.
Validation Rules:
- All Must have between 3 and 5 characters, and not be all zeros
- DVA VAA BulkBill IMC Must only be set when flags.serviceType is P
- DVA Required when flags.serviceType is P
item.afterCareOverride
Bool
Indicates if service is part of normal aftercare for the patient.
Validation Rules:
- All Must not be set when flags.serviceType is P,R,D
item.chargeAmount
Currency
The amount charged for the service in dollars and cents (e.g. 50.50). For Bulk Bill and DVA claims, this is the benefit assigned. Note: Notional charge amounts are not acceptable for DVA medical/pathology claims.
Validation Rules:
- DVA VAA Required unless item.itemNumber is OT80, unless item.itemNumber is KM
- BulkBill Required
item.date
Date
The date the service was rendered to the patient or the patient was assessed.
Validation Rules:
- All Required and must be after patient.dateOfBirth and be before today
- InPatientMedical BulkBill Must be after y2 and be before today
item.dental.jaw
Enum
Identifies if the dental service relates to the upper or lower jaw. Note: The DVA Dental items that may require either a value of 'UPR' or 'LWR' to be present for claims processing purposes are as follows: D744,D743,S744 and S743
Options:
Validation Rules:
- All Must be one of 'UPR,LWR'
- All Must only be set when flags.serviceType is G
item.dental.numberOfTeeth
ZeroPaddedNumeric
Validation Rules:
- All Must have no more than 2 characters
- All Must only be set when flags.serviceType is G
item.dental.tooth
Numeric
Identifies the tooth number that relates to the dental service provided. Note: The DVA Dental items that may require a Tooth number to be present for claims processing purposes are as follows: D311, D314, D322, D323, D324, D597, S311, S314, S322, S323, S324, S597
Validation Rules:
- All Must have no more than 2 characters
- All Must only be set when flags.serviceType is G
item.distance
Numeric
Indicates travelling distance involved in a Home, Nursing Home or Hospital visit.
Validation Rules:
- All Must have between 2 and 4 characters
- All Must not be set when location.type is R
item.duplicateServiceOverride
Bool
Indicates if practitioner attended patient on more than one occasion on same day.
Validation Rules:
item.duration
Numeric
The duration of the service in minutes.
Validation Rules:
- All Must have no more than 3 characters and not equal '000'
- All Required when flags.serviceType is I, unless item.itemNumber is KM
item.equipmentId
ZeroPaddedNumeric
The identification number of equipment used for the service provided (allocated by the Dept. of Health and Ageing).
Validation Rules:
- All Must have no more than 5 characters
item.fieldQuantity
Numeric
The number of fields irradiated or the quantity of time blocks for derived fee intratheecal or epidural infusion services (e.g. items 18219 and 18227)
Validation Rules:
- All Must have no more than 2 characters
item.itemNumber
AlphaNumeric
A number that identifies the services provided to enable assessment of the claim for benefit (See the Dept. of Health and Ageing website for details) or as stated by DVA.
Validation Rules:
- All Must have no more than 5 characters
- All Required
item.lspNumber
ZeroPaddedNumeric
Location Specific Practice Number Only to be used in association with: services listed in the Diagnostic Imaging Services Table (DIST) Group T2 - Radiation Oncology services in the General Medical Services Table (GMST) Where these services occur this field is to be considered mandatory. For details on the services that require an LSPN specified see LSPN Requirements
Validation Rules:
- All Must have no more than 6 characters and not equal '000000'
- All Required with item.equipmentId
- BulkBill Must only be set when flags.serviceType is S
item.multipleProcedureOverride
Bool
Indicates whether service part of a multiple procedure or not. Note: when set, the associated claim is automatically sent to pend.
Validation Rules:
- All Must not equal 'Y' when flags.serviceType is P
item.numberOfPatients
Numeric
The number of patients seen. Must be set for group attendance items (eg. counselling) or visits (home, hospital or institution) to ensure the correct payment is made.
Validation Rules:
- All Must have no more than 2 characters
item.opticalScript
Enum
Identifies the restriction override for optical claims.
Validation Rules:
- All Must be one of 'LS,BR,RC'
item.patientContributionAmount
Currency
The amount paid by a patient to a provider for a service. It can be any amount paid by the patient where the service charge has not been fully paid.
Validation Rules:
- All Must have no more than 7 characters
- All Must not be set when flags.accountPaid is Y
item.restrictiveOverride
Enum
RestrictiveOverrideCde indicator is used to allow payment for service where the account provides indication that the service is not restrictive with another service either within the same claim or on the patient history.
Options:
Validation Rules:
- All Must be one of 'SP,NR,NC'
- All Must not be set when flags.serviceType is P
item.secondDeviceInd
Bool
This field identifies the provision of a second medical grade footwear service.
Validation Rules:
item.selfDeemedCode
Enum
A Self Deemed service is a service provided by a consultant physician or specialist as an additional service to a valid request. A substituted service is a service provided that has replaced the original service requested.
Options:
Validation Rules:
- All Must be one of 'SD,SS,N'
item.serviceText
String
Free text used to provide additional information to assist with the benefit assessment of the service. Note: Where used, the contents of ServiceText must also appear on the printed statement. Note: see Text Field Abbreviations for a list of suggested abbreviations for use with this field.
Validation Rules:
- DVA VAA Must have no more than 100 characters
- Medicare BulkBill IMC Must have no more than 50 characters
item.time
Time
The time the service(s) was rendered.
Validation Rules:
- All Required OR(when item.duplicateServiceOverride is Y, when item.multipleProcedureOverride is Y)
location.name
String
The name of the treatment location (Hospital, Nursing home etc)
Validation Rules:
- DVA VAA Medicare BulkBill Required when location.type is H
location.provider
ProviderNumber
The Commonwealth Hospital Facility Provider Number. A unique identifier of a Registered Hospital or Day Care Facility. If [TransferCde] is set to A, this is the transferring facility If [TransferCde] is set to S, this is the receiving facility
Validation Rules:
- All Must have no more than 8 characters
- IMC Required
location.type
Enum
A code specifying where the treatment/service was provided.
Options:
Validation Rules:
- All Must be one of 'V,H,R,N,C'
- All Must not be set when flags.serviceType is P
- All Must
patient.address.locality
String
The locality for the address to be used for patient.
Validation Rules:
- All Must have no more than 40 characters
- All Must
patient.address.postcode
ZeroPaddedNumeric
The postcode for the patient address.
Validation Rules:
- All Must have no more than 4 characters
- All Required with patient.address.locality
- All Can only be set with patient.address.locality
patient.alias.family
NameString
Patient s Family Name as known to the Provider for DVA if different to that known by Medicare (or DVA).
Validation Rules:
- All Must have no more than 40 characters
patient.alias.first
NameString
Patient s First Name as known to the Provider
Validation Rules:
- All Must have no more than 40 characters
- All Can only be set with patient.alias.family
- All Required with patient.alias.family
patient.concession.entitlementId
String
Indicates the number of one of the following cards: Health Care Card Pensioner Concession Card Repatriation Health Card (Specific or All Conditions) Commonwealth Seniors Health Card Repatriation Pharmaceutical Benefits Card Safety Net Entitlement card Safety Net Concession card
Validation Rules:
- All Must have no more than 11 character
patient.dateOfBirth
Date
The patient s date of birth.
Validation Rules:
- All Must be before today
- DVA VAA Required
patient.dva.adl.cognitiveBehavioralInd
Bool
Indicates if the veteran requires Cognitive Behavioral assistance for (ADL) Activities of daily living.
Validation Rules:
- All Required when flags.serviceType is F
- VAA Must only be set when flags.serviceType is F
patient.dva.adl.eatingInd
Bool
Indicates if the veteran requires assistance for Eating (ADL) Activities of daily living.
Validation Rules:
- All Required when flags.serviceType is F
- VAA Must only be set when flags.serviceType is F
patient.dva.adl.personalHygieneInd
Bool
Indicates if the veteran requires assistance for Personal Hygiene (ADL) Activities of daily living.
Validation Rules:
- All Required when flags.serviceType is F
- VAA Must only be set when flags.serviceType is F
patient.dva.adl.toiletingContinenceInd
Bool
Indicates if the veteran requires assistance for Toileting (ADL) Activities of daily living.
Validation Rules:
- All Required when flags.serviceType is F
- VAA Must only be set when flags.serviceType is F
patient.dva.adl.tool
Enum
Indicator used for recording the level of (ADL) Activities of daily living functional assessment measure.
Options:
Validation Rules:
- All Must be one of '1,2,3,4,5,6,7,8,9'
- All Required when flags.serviceType is F
- VAA Must only be set when flags.serviceType is F
patient.dva.adl.transferMobilityInd
Bool
Indicates if the veteran requires assistance for Transfer Mobility (ADL) Activities of daily living.
Validation Rules:
- All Required when flags.serviceType is F
- VAA Must only be set when flags.serviceType is F
patient.dva.disability
String
Free text used to provide details regarding the condition being treated in conjunction with AcceptedDisabilityInd
Validation Rules:
- All Must have between 1 and 100 characters
patient.dva.disabilityInd
Bool
Indicates whether the service rendered are for a White Card holder and the service is in accordance with the White Card Condition
Options:
Validation Rules:
- All Must with patient.dva.disability
patient.dva.number
String
Veterans File Number as it appears on the Veteran Card. See DVA File Number Validation for validation details.
Validation Rules:
- All Must have no more than 9 characters
patient.fund.eclipseId
Alpha
A unique identifier for each Health Fund Brand Name.
Validation Rules:
- All Must have between 3 and 3 characters
- All Required when OECTypeCde is OEC,ECF
- IMC Required when flags.imcClaimType is AG,SC,PC,MB
patient.fund.number
AlphaNumeric
Patient's Health Fund Membership or Card number. Where FundBrandId is DVA, this should be populated by the DVA Veteran File Number
Validation Rules:
- All Must have no more than 19 characters
- All Required with patient.fund.eclipseId
patient.fund.payeeId
AlphaNumeric
The Health Fund Agreement identifier for the practitioner (used to map Fund payment arrangement details).
Validation Rules:
- All Must have no more than 12 characters
- All Must not be set when flags.imcClaimType is PC
patient.fund.ref
Numeric
Fund 'Universal Patient Identifier' (UPI). The UPI appears on the Patient's fund membership card to uniquely identify individuals. (Fund equivalent of Medicare PatientReferenceNum).
Validation Rules:
- All Must have no more than 2 characters
patient.gender
Enum
Patient's gender
Options:
Validation Rules:
- All Required with patient.dateOfBirth
- All Must be one of 'M,F,1,2,3,9'
- All Can only be set with patient.dateOfBirth
patient.medicare.number
MedicareCard
The patients Medicare Card Number.
Validation Rules:
- All Must have no more than 10 characters
- BulkBill IMC Required
patient.medicare.ref
Numeric
The patients Medicare Reference Number. This number appears to the left of the patients name on their Medicare card.
Validation Rules:
- All Must have no more than 1 character
- All Required with patient.medicare.number
patient.name.family
NameString
The patient's family name.
Validation Rules:
- All Must have no more than 40 characters
- All Required with patient.dateOfBirth
- All Can only be set with patient.dateOfBirth
patient.name.first
NameString
The patient's first given name. Where a patient has only one name, that name should appear in the [PatientFamilyName] field and the word Onlyname be entered in the PatientFirstName field.
Validation Rules:
- All Must have no more than 40 characters
- All Required with patient.dateOfBirth
- All Can only be set with patient.dateOfBirth
patient.name.second
Alpha
The first initial of the patient's second given name.
Validation Rules:
- All Must have no more than 1 character
provider.billing
ProviderNumber
The provider number of the billing agent. This is used to direct payments.
Validation Rules:
- All Must have no more than 8 characters
- IMC Required when flags.imcClaimType is MB,MO
- Must not be set when flags.imcClaimType is PC
provider.payee
ProviderNumber
The provider number of the principal provider where the payment is to be directed to other than the servicing provider.
Validation Rules:
- All Must have no more than 8 characters
- BulkBill Must not equal provider.servicing
- DVA VAA Required
- IMC Required
- BulkBill Must when #this is provider.servicing
provider.principal
ProviderNumber
The Principal Provider Number is used to direct payment.
Validation Rules:
- All Must have no more than 8 characters
provider.servicing
ProviderNumber
The provider number of the medical practitioner rendering the service(s) as allocated by Medicare
Validation Rules:
- All Must have no more than 8 characters
- BulkBill IMC Required
referral.date
Date
The date the referral was issued.
Validation Rules:
- All Must be after patient.dateOfBirth and be before today and be before item.date
- DVA BulkBill IMC Required when flags.serviceType is S, when item.date is 2010/01/01, without referral.overrideCode, without item.selfDeemedCode, without request.date
- DVA Must only be set when flags.serviceType is S, without item.selfDeemedCode
referral.overrideCode
Enum
Indicates why referral services were provided without referral from another practitioner.
Validation Rules:
- All Must be one of 'L,E,H,N,R'
referral.period
AlphaNumeric
The length of the referral in months.
Validation Rules:
- All Must have no more than 2 characters
- All Required when referral.periodType is N
- All Must only be set when referral.periodType is N
referral.periodType
Enum
Indicates period of referral.
Options:
Validation Rules:
- All Must be one of 'S,N,I'
- All Required with referral.date
- All Can only be set with referral.date
referral.provider
ProviderNumber
The referring provider number (allocated by Medicare).
Validation Rules:
- All Must have no more than 8 characters and not equal provider.servicing
- All Required with referral.date
- All Can only be set with referral.date
- All Must not be set with referral.overrideCode
referral.providerType
Enum
Set by the PMS to indicate if the referrer is GP or Specialist
Validation Rules:
- All Must be one of 'G,S'
request.date
Date
Date the request was issued.
Validation Rules:
- All Required with request.provider
request.overrideCode
Enum
Indicates why requested services were provided without a request from another practitioner.
Validation Rules:
- All Must be one of 'L,E,H,N,G,R,V'
- All Required with request.date
request.provider
ProviderNumber
The provider number for the requesting provider (allocated by the Medicare).
Validation Rules:
- All Must have no more than 8 characters
- DVA Required when flags.serviceType is P
request.providerType
Enum
Set by the PMS to indicate if the requesting provider is GP or Specialist
Validation Rules:
- All Must be one of 'G,S'
request.requestType
Enum
Indication of the type of a request
Options:
Validation Rules:
- All Must be one of 'P,D'
- All Required with request.provider