Claims Officer
Import roster once; we route agency vs plan-managed.
Export from rostering once. Reclaim360 validates every line and routes agency-managed work to NDIA claims and plan-managed work to invoice packs — with blocked lines explained.
Processing NDIS claims manually or through generic systems often leads to high rejection rates, silent drops, and cashflow delays. Reclaim360 introduces a structured, automated validation pipeline designed specifically for NDIS registered providers handling both agency-managed and plan-managed participants.
Seven-Step Pre-Submission Validation Engine
Every line imported from your rostering system undergoes a comprehensive 7-step validation process before any claim hits the NDIA. We automatically verify participant plan periods, check active PACE My Provider relationships, validate support catalog codes against current price guides, check funding limits, route claiming paths (NDIA vs. Plan Manager), and prevent duplicate submissions. If any line fails, it is flagged in your cockpit with clear, actionable reason codes.
- Import summary: X → NDIA claims, Y → plan manager invoices, Z blocked
- 7-step validation before NDIA sees agency-managed lines
- One-click bulk NDIA submit (agency lines only)
- Validated invoice packs (PDF + CSV) grouped by plan manager
- Clear reason codes on blocked lines — no silent drops
Ready to see Reclaim360?
Book a demo with your claims team. We will run an import on your rostering export format.