When sending claims or receiving reports, if an error occurs, the Service Australia platform will return an error code & description. Below are the most commonly returned errors and resolutions.
Transmitting a Claim
Error Code: 9202.
Error Description: A value supplied is Invalid.
Cause: It is possible that the associated patient record Medicare Number, Medicare Reference Number, Date of Birth or invalid characters within the patient Given or Surname.
Resolution: Print an Institution Batch Report to view all data being transmitted then call up the associated patient record and amend the incorrect entry.
Medicare Payment Report
Error Code: 160 or 162.
Error Description: Maximum number of services for this item already paid or Benefit has been previously paid for this service.
Cause: The item claimed has already been paid.
Resolution: Adjust the Batch and choose “Change MBS Code for Resubmission”.
Error Code: 374.
Error Description: Old card issue used – benefit not payable.
Cause: Patient Medicare Number is out of date.
Resolution: Call up patient record and click the OPV button to update patient details.
DVA Payment Report
Error Code: 106.
Error Description: Servicing Provider cannot be identified.
Cause: An invalid or incorrect Provider Number is assigned to the Optometrist linked to the Patient Invoice being claimed.
Resolution: Call up the Optometrist record in User Setup and check that the correct Provider number for each branch has been entered.
Error Code: 131.
Error Description: Date of service not supplied/invalid.
Cause: An invalid or incorrect Invoice Date has been entered.
Resolution: Call up the patient record, open the associated patient invoice and check that the Invoice Date has been entered correctly.
Optometrist record in User Setup and check that the correct Provider number for each branch has been entered.
Error Code: 160 or 162.
Error Description: Maximum number of services for this item already paid or Benefit has been previously paid for this service.
Cause: The item claimed has already been paid.
Resolution: Adjust the Batch and choose “Change MBS Code for Resubmission”.
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