A DVA claim is a claim made by a former ADF member for compensation regarding the treatment and rehabilitation of injuries or diseases linked to their time in service. Essentially, the client doesn't have to pay anything for the service, the practitioner submits a claim to DVA for the appointment and DVA pays the fee for the service.
Before submitting DVA claims, make sure you have everything set up correctly with our handy guide to Setting up Medicare & PRODA
To submit claims, you need to first create an invoice. For this example, we will simply create an invoice through: Clients > [choose client] > Invoicing > Create Invoice
💡 This feature is only available on the plus plan
🛑 Once the invoice has been saved as a DVA claim, it can't be edited and reverted back to a private claim
Please, follow the steps below to submit a DVA claim:
Step 1 - Start a claim by creating a new invoice
Create an invoice via Client file > Invoicing > Create Invoice, and select one of the DVA options from the Medicare Claim drop-down list (as pictured below). The Service Category may also need to be set.
💡 If you select DVA Allied Health Claim from the Medicare Claim drop-down, then the Service Category should always be Allied Health
💡 If you select DVA Medical Claim from the Medicare Claim drop-down, then the Service Category should be General if your patient didn't require a referral for this consultation, otherwise set it to Allied Health
Step 2 - Add Consultation information
The compulsory fields to enter at this step are:
Date of Consultation
Location
Provider Number
Allocate to referral
Step 3 - Billing Information
Enter the relevant Service Type by starting to type in the item code. The fee, owing amount and other fields should then automatically populate
Ensure that no payments are recorded against the service type, as the client has not paid up-front for the consultation
Tick the 'Transmit' box, to indicate that you wish to send this claim to DVA for processing
Step 4 - Client Information
The client information should populate automatically, based on the Client details on record. However, you are able to modify these on the invoice as well.
You can add a condition on DVA invoices via Client Information > Show > Accepted Disability Text.
🛑 Please, note that the text entered in the Accepted Disability Text field will have to be in all capitals. See here for more details.
💡It's recommended for white card holders to have the Accepted Disability ticked as Yes and enter the condition treated in capital letters in Accepted Disability Text.
Step 5 - Referral\Request Information
Similarly to Step 4, the referral details should automatically populate based on the Client's details. These can be manually updated if needed.
💡It's recommended to have the Referral Override Code set to N/A and the Referral Period Type set to 12 months.
Step 6 - Claim Information
The fields in this section may vary slightly, depending on which type of DVA claim you have selected in Step 1, as well as the Service Category.
The 'Certificate Store' should already be set by default
'Authorised by Client', 'Send request now' and 'Submit claim to Medicare assessor' should all be set to 'Yes'
If activated within your Medicare claiming defaults, you can also alter the 'Payee provider number'
Step 7 - Save the Invoice
Now that all relevant fields are filled, you can add any notes if you wish and then click Save Invoice when completed
🚀 You can sync all your invoices for accounting purposes in one place via our Xero add-on. Please, find more about it here: Xero
Please let us know if you have any questions and don't forget to rate this help article below, so that we can continue to improve our support to you!