DVA Allied Claims

DVA Allied Claims #

DVA claims for allied health practitioners have special DVA item numbers and require different service_type to indicate the type of service provider. All ItemNum/s within the claim must be consistent with the Service Type selected.

Options for DVA Allied are:

F: Community Nursing
G: Dental
L: Optical
I: Speech Pathology
J: Allied
K: Psych

POST - Submit a DVA Allied claim #

{{base_url}}/{{version}}/claims?location={{location_id}}

Headers

HeaderValue
Acceptapplication/json
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
    "type": "VAA",
    "flags": {
        "serviceType": "J"
    },
    "items": [
        {
            "chargeAmount": "62",
            "date": "2020-10-30",
            "itemNumber": "10960",
            "secondDeviceInd": "N"
        },
        {
            "date": "2020-10-30",
            "distance": 20,
            "itemNumber": "KM"
        }
    ],
    "location": {
        "name": "St Elsewheres Hospital",
        "type": "H"
    },
    "patient": {
        "address": {
            "locality": "PORT MACQUARIE",
            "postcode": "2444"
        },
        "dateOfBirth": "1929-01-12",
        "dva": {
            "number": "NKM05733"
        },
        "gender": "M",
        "name": {
            "family": "CHAPMAN",
            "first": "WILLIAM"
        }
    },
    "provider": {
        "payee": "2433411Y",
        "servicing": "2433411Y"
    },
    "referral": {
        "overrideCode": "L"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claims?location=25' \
--header 'Accept: application/json' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
    "type": "VAA",
    "flags": {
        "serviceType": "J"
    },
    "items": [
        {
            "chargeAmount": "62",
            "date": "2019-10-30",
            "itemNumber": "10960",
            "secondDeviceInd": "N"
        },
        {
            "date": "2019-10-30",
            "distance": 20,
            "itemNumber": "KM"
        }
    ],
    "location": {
        "name": "St Elsewheres Hospital",
        "type": "H"
    },
    "patient": {
        "address": {
            "locality": "PORT MACQUARIE",
            "postcode": "2444"
        },
        "dateOfBirth": "1929-01-12",
        "dva": {
            "number": "NKM05733"
        },
        "gender": "M",
        "name": {
            "family": "CHAPMAN",
            "first": "WILLIAM"
        }
    },
    "provider": {
        "payee": "2433411Y",
        "servicing": "2433411Y"
    },
    "referral": {
        "overrideCode": "L"
    }
}'

Example Response:

Body:

{
  "claimId": 170408,
  "medicareClaimId": "V0003@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP000004clkh5f10wvzLLef"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length149
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS

POST - Submit a DVA Allied claim - Optican w/ White Card cond. #

{{base_url}}/{{version}}/claims?location={{location_id}}

Headers

HeaderValue
Acceptapplication/json
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
    "type": "VAA",
    "flags": {
        "serviceType": "L"
    },
    "items": [
        {
            "chargeAmount": "65",
            "date": "{{yesterday}}",
            "itemNumber": "OP01",
            "opticalScript": "LS"
        }
    ],
    "location": {
        "name": "St Elsewhere's Hospital",
        "provider": "9988770W",
        "type": "H"
    },
    "patient": {
        "address": {
            "locality": "PORT MACQUARIE",
            "postcode": "2444"
        },
        "alias": {
            "family": "CHAPMANN",
            "first": "BILL"
        },
        "dateOfBirth": "1929-01-12",
        "dva": {
            "disability": "Visually impaired",
            "number": "NKM05733"
        },
        "gender": "M",
        "name": {
            "family": "CHAPMAN",
            "first": "WILLIAM",
            "second": "S"
        }
    },
    "provider": {
        "payee": "2433411Y",
        "servicing": "2433411Y"
    },
    "referral": {
        "date": "{{yesterday}}",
        "periodType": "S",
        "provider": "2054781W"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claims?location=25' \
--header 'Accept: application/json' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
    "type": "VAA",
    "flags": {
        "serviceType": "L"
    },
    "items": [
        {
            "chargeAmount": "65",
            "date": "2020-01-07",
            "itemNumber": "OP01",
            "opticalScript": "LS"
        }
    ],
    "location": {
        "name": "St Elsewhere'\''s Hospital",
        "provider": "9988770W",
        "type": "H"
    },
    "patient": {
        "address": {
            "locality": "PORT MACQUARIE",
            "postcode": "2444"
        },
        "alias": {
            "family": "CHAPMANN",
            "first": "BILL"
        },
        "dateOfBirth": "1929-01-12",
        "dva": {
            "disability": "Visually impaired",
            "number": "NKM05733"
        },
        "gender": "M",
        "name": {
            "family": "CHAPMAN",
            "first": "WILLIAM",
            "second": "S"
        }
    },
    "provider": {
        "payee": "2433411Y",
        "servicing": "2433411Y"
    },
    "referral": {
        "date": "{{yesterday}}",
        "periodType": "S",
        "provider": "2054781W"
    }
}'

Example Response:

Body:

{
  "claimId": 170409,
  "medicareClaimId": "V0004@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP00000Ts8UA0bUcYklMrvB"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length149
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS

POST - Submit a DVA Allied claim - With KMs Travelled #

To include kilometres travelled in a DVA or VAA claim, after the consultation item add another item with date, the itemNumber set to KM and distance in kilometres. Don’t put a fee on the item, DVA will calculate and pay the fee at the appropriate rate.

{{base_url}}/{{version}}/claims?location={{location_id}}

Headers

HeaderValue
Acceptapplication/json
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
    "type": "VAA",
    "flags": {
        "serviceType": "J"
    },
    "items": [
        {
            "chargeAmount": "62",
            "date": "2020-01-08",
            "itemNumber": "10960",
            "secondDeviceInd": "N"
        },
        {
            "date": "2020-01-08",
            "distance": 20,
            "itemNumber": "KM"
        }
    ],
    "location": {
        "name": "St Elsewhere's Hospital",
        "type": "H"
    },
    "patient": {
        "address": {
            "locality": "PORT MACQUARIE",
            "postcode": "2444"
        },
        "dateOfBirth": "1929-01-12",
        "dva": {
            "number": "NKM05733"
        },
        "gender": "M",
        "name": {
            "family": "CHAPMAN",
            "first": "WILLIAM"
        }
    },
    "provider": {
        "payee": "2433411Y",
        "servicing": "2433411Y"
    },
    "referral": {
        "overrideCode": "L"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claims?location=25' \
--header 'Accept: application/json' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
    "type": "VAA",
    "flags": {
        "serviceType": "J"
    },
    "items": [
        {
            "chargeAmount": "62",
            "date": "2020-01-08",
            "itemNumber": "10960",
            "secondDeviceInd": "N"
        },
        {
            "date": "2020-01-08",
            "distance": 20,
            "itemNumber": "KM"
        }
    ],
    "location": {
        "name": "St Elsewhere'\''s Hospital",
        "type": "H"
    },
    "patient": {
        "address": {
            "locality": "PORT MACQUARIE",
            "postcode": "2444"
        },
        "dateOfBirth": "1929-01-12",
        "dva": {
            "number": "NKM05733"
        },
        "gender": "M",
        "name": {
            "family": "CHAPMAN",
            "first": "WILLIAM"
        }
    },
    "provider": {
        "payee": "2433411Y",
        "servicing": "2433411Y"
    },
    "referral": {
        "overrideCode": "L"
    }
}'

Example Response:

Body:

{
  "claimId": 180066,
  "medicareClaimId": "V0002@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP00000yYAoqQMCKrD4KCzd"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length149
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS