Common situations
Fix common mistakes
Run this checklist before you send a large claim or finish the month.
Quick answer: The mistakes most often caught before billing are the wrong category, missing activity descriptions, incomplete month data, incorrect rounding, over-limit time, and a $0 billed amount.
Last reviewed September 9, 2026
Daily record check
- The service date matches the day the work occurred.
- The entry contains actual cumulative time, not scheduled hours.
- Out-of-office telephone care is separate from standard direct care.
- Indirect care and clinical administration have useful activity summaries.
- No delegate time, non-rostered care, uninsured work, travel, or ordinary business administration is included.
Month check
- Every claimed day appears in the app, or you have reconciled the app with hours kept elsewhere.
- No day exceeds 56 combined units.
- The month stays within its prorated unit maximum.
- Indirect care plus clinical administration and clinical administration alone stay within their ratios.
Claim check
- Daily category minutes were combined before applying the eight-minute rounding threshold.
- The full fee codes include the A suffix.
- The billed amount equals units multiplied by $20 or $17, as applicable. It is not $0.
- The correct group or solo billing number is present.
- The remittance advice is reviewed after payment.
Important notes
- This checklist does not replace the current Schedule of Benefits, Ministry INFOBulletins, the FHO agreement, or advice for a specific claim.