Submit DVA claims easily with Zanda. Follow our step-by-step guide for setup and submission. Ensure compliance and streamline your process today.
Important
You must fill out your HW027 form to register for Online Claiming. If you or any providers that submit claims through your account have not filled out this form previously please do so immediately. Details on how to fill out the form and submit it to Medicare can be found here. Please keep Question 3 on the form blank.
Once you have configured the DVA insurer, added your provider number(s) and recorded a client’s DVA details on their client record you are ready to begin submitting DVA claims through Zanda. Follow on below to learn how!
In this article:
Submitting a claim
If you’re familiar with submitting Medicare claims through Zanda then this process should feel very familiar. To submit a DVA claim follow the steps below.
Important
When submitting these claims you will need to ensure that you have the correct services configured (including the correct service code). You can learn more about how to set services up here.
- On the appointment panel or edit invoice page, select the Medicare button.
- Select either Create DVA Allied Health (for allied health, community nursing, psych, and speech pathology) or Create DVA Paperless (for specialists and GPs) depending on which type of claim you would like to submit.
- Most of the information will be automatically filled out for you, such as patient and provider information and referral information (if this was selected on the invoice). You will only need to input a small amount of information such as the treatment location.
- Once you have filled out any relevant information simply click Send or Save and Send Later (if you would like to submit multiple claims at once at a later time).
And that’s it! Your claim should go through with a status of Referred if it was successful. If you receive another message you should be able to follow the prompt to troubleshoot and resubmit.
For information on cancelling a DVA claim, please refer to our article here: DVA claims: Troubleshooting and Frequently Asked Questions.
Understanding the DVA fields
When submitting DVA claims you will need to fill out a few fields (accessible via Show More field) that you may be unfamiliar with (especially if you are used to claiming through a service such as PRODA). The tables below should help in filling this section out.
Treatment Location
Only applicable for DVA Medical Paperless claims. In the majority of situations, R will be selected, indicating rooms (such as your practice).
Claim Certified
Accepted Disability
Set this to Y if the patient is a DVA White Card holder. If you set this to Y then you also have to fill out the Accepted Disability text field below which is used to describe the condition that was treated during the session being claimed.
Accepted Disability Text
Understanding the Service Item fields
When viewing the table of service items, if you click "Show More" you will see several additional fields that can be filled in. This section explains what these fields are used for and when they should be filled. For more information on these fields please see Medicare's website here.
Service Text
Free text used to provide additional information to assist with the assessment of the service.
Account Reference Number
Optional field to record a reference to identify the claim (such as invoice number)
Restrictive (override code)
This code is used to allow payment for services where the account provides indication that the service is not restrictive with another service within the same claim or on the patient history.
Aftercare
Only applicable for DVA Medical Paperless claims. Indicates whether or not the service was performed as part of normal aftercare for the patent (post-operative care and treatment including all attendances until recovery).
Patients Seen
Only applicable for DVA Medical Paperless claims. List the number of patients seen for the service.
Self Deemed
These services do not require a referral.
Distance Kms
Indicates travelling distances involved in a home, nursing home, or hospital visit.
Second Device
Only applicable for DVA Allied Health claims. This field identifies the provision of second medical grade footwear service.
LSPN Number
Only applicable for DVA Medical Paperless claims. Location Specific Practice Number used for diagnostic and radiation oncology that is specific to an individual location.
Multiple Procedures (override)
Only applicable to DVA Medical Paperless claims. Indicates whether the multiple services rule should or shouldn't be applied to the services being claimed.
Duplicate (Services) Override
Indicates whether multiple services performed on the same day, by the same service provider should be treated as separate services.
In Hospital
Facility Id
The Commonwealth Hospital Facility Provider Number. A unique identifier of a Registered Hospital or Day Care Facility.
Specimen Collection Point
Only applicable to DVA Medical Paperless claims. Used to identify the site where the pathology specimen was collected.
Admission date
Only applicable for DVA Allied Health claims. The date the patient was admitted to hospital.
Discharge Date
Only applicable for DVA Allied Health claims. The date the patient was discharged from hospital.
