HSP Payment different to Claim Amounts - Rejection Message - Total Amount Mismatch

HSP Payment different to Claim Amounts - Rejection Message - Total Amount Mismatch

HSP Payment different from Claim Amounts
Rejection Message - Total Amount Mismatch

HSP no longer verify the amount on the claim, they pay what they know it should be.
This can result in payment and claim mismatches.
In this case, while the claim is approved on the portal, it will be rejected in Manage.

The user must:
1)  Void the claim and set the new claim amounts to match the paid amount.
2)  Mark the claim as “Manual” then uncheck "Ready" then click Continue to Save.
3)  Navigate to Sales > Receive Payments, select account HSP, enter the payment method: HSP Direct, enter the payment date, and tick Pay on the newly created claim.

This marks the claim as approved.

Note: The VOID option is only available on claims that have been exported in the daily reconciliation process(Daily Close).

· It creates a mirror image claim to undo the original, then
· Creates a new 3rd claim which can be edited as required.
· Payments must be managed carefully on the new claims. The total payment will default to the amount of the reversal. Payment amounts can be edited prior to the daily close.
· Original and Reversal Void Claims are removed from the Patient's History.



    • Related Articles

    • VOID an HSP Claim in Aurora / Manage

      - only possible if daily close is run, and if claim is not sent to HSP [Australia only] or Rejected Claims Void Claims The VOID option is only available on claims that have been exported in the daily reconciliation process (Daily Close) but have not ...

    • HSP E-Claiming Guide - Send / Receive Claims

      1.1 HSP E-Claim Export/Import Overview When a file is created to send to HSP it marks the claims as 'Pending' and locks it so it can’t be changed. When HSP returns the file, and it is imported to Manage the following happens: · The claim status is ...

    • Add discount or product with negative quantity to an HSP Claim [Australia]

      In the Manage OMS, to add a product onto a claim with a negative amount, the product itself has to have a default quantity of -1. The field is on the right hand side of the window: Set this to -1, then add it to the Accessories window on the HSP ...

    • HSP configuration

      HSP configuration module provides integration with Australian Government Hearing Services Program. It enables Manage users to prepare claims for the HSP portal and import claims processed by HSP. General On this tab, you can specify whether your ...

    • Hearing Services Program (HSP) HSP Cloud Service Provider Checklist / IRAP Assessment - MANAGE IT Regulatory

      Provider Factsheet - Management of Client Records The Department of Health (the department) is responsible for managing and administering the Australian Government Hearing Services Program (the program). As specified in the Service Provider Contract ...