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Here are the business rules applied by HearAid when checking HSP claims:

1.Client Voucher number must not be null

2.Items 670, 930 & 940 cannot be claimed if service date before 1/12/2000

3.Claims for items including a maintenance component (630, 640, 700 & 710) must include left and right 3FAHL

4.If a (L) device is listed, the fitting date must be entered; similarly for (R) device

5.Warning issued if Fitting date/s is/are the same as the claim date

6.Both fitting dates must be before the claim date

7.Fitting records checked: Item 670 cannot be claimed if client has been fitted previously

8.Claims for Item 670 require Rehab Follow-up Date to be entered

9.Item 930 cannot be claimed if client has no fitting

10.Item 930 cannot be claimed if client has binaural fitting

11.Item 930 cannot be claimed less than 12 months after fitting

12.Item 940 cannot be claimed if client has no fitting

13.Item 940 cannot be claimed if client has monaural fitting

14.Items 930 and 940 cannot be claimed less than 12 months after fitting

15.Missing device code/s for fitting item claimed

16.Only one device code but binaural fitting item claimed (including 760/820 combinations)

17.Two device codes but monaural fitting item claimed

18.Check for missing Authorised Person

19.Check for missing Authorised Person Signed date

20.Check for missing Client Signed date (Maintenance Items)

21.Check Device Code in approved device list

22.Check GST amounts

23.Claims with Authorised Person/Client signed dates in the future are held over until they can be claimed.

24.GST only applied for service dates later than 1/7/2000

25.Item number must not be null

26.Service date must not be null

27.Service date must be later than voucher issue date

28.Service date for non-maintenance items must be before voucher expiry date

29.Voucher number format must be correct

30.Site ID must not be null

31.Practitioner Number must not be null

32.Hearing loss should meet Minimum Hearing Loss criteria

You should enter devices into the Fittings record before you claim either a 930 or 940 for a relocating client