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In order to facilitate upcoming CDA Claiming changes from paper to email based processing,
the following information outlines how OHSA claims & prior approvals can be generated, in
order to send them via email, from EXACT.
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NOTE: CDA Changes are being rolled out via a phased approach - please contact CDAclaims@health.govt.nz to confirm you are ok to start sending claims via email instead of paper - you should/will receive an official go-live date. Do not send Claims via eMail until then, as these may not be processed. |
IMPORTANT: Following the upcoming changes, the Claim Summary form and the Prior Approval form will need to be signed before the Claim(s) can be eMailed for processing (either manually signed and scanned back in or 'electronically signed' on the PDF). Any pertinent claim details omitted will potentially see claims put on-hold and any notes/feedback about claims will be notified to you.
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NOTE: CDA Changes are being rolled out via a phased approach - please contact CDAclaims@health.govt.nz to confirm you are ok to start sending claims via email instead of paper - you should/will receive an official go-live date. Do not send Claims via eMail until then, as these may not be processed. |
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Privacy is very important but accidents do happen. If you receive or disclose out and CDA claim information by accident - you must notify Te Whatu Ora. hnzprivacy@health.govt.nz |
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CDA CLAIM BACKGROUND: There are 2 types of OHSA forms created when claiming;
Individual Treatment Reports (ITRs) and also a Claim Summary form, which summarises the
ITR(s) details. Both forms need to be sent together in order to make an OHSA Claim.
NOTE: These forms can be printed from EXACT and signed manually before scanning them
into a computer as PDF's, ready for emailing. You could also send a picture (.jpg file) of the signed claim.
You should ideally state your Agreement & Payee Numbers and the Claim type in your
email subject line when sending claims.
In order to comply with upcoming changes, both the Claim Summary and the Prior Approval
form need to be signed before being emailed for processing. The ITRs and the Claim
Summary form need to be attached to the same eMail.
The maximum number for any one emailed claim is 100 patients and/or 200 treatments.
SDS/OHSA-EX claims are still to be claimed as per the current paper process.
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The process below describes how an electronic signature can currently be added in EXACT, in preference to printing and signing forms manually, then scanning them back in.
Coming soon - A version Upgrade of EXACT will be released which will allow you to automate this task
EXACT – Processing a Claim for OHSA
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