CCMS Bulk Claim Upload Pilot Use Only

Transcription

1 The bulk upload facility in CCMS allows you to export data from your case management system and upload it directly into CCMS. This replaces the need for you to manually enter bills line by line. Your software vendor will be able to assist you with producing a file from your case management system to upload. Follow this quick guide to: 1. check the pricing information for the claims you want to submit 2. upload and submit the claims to the LAA After exporting your file, log in to CCMS. On the CCMS home page, click Create Request. The Create General Request page is displayed. Click the drop down button and choose from: Claim Upload (Pricing Only): this will validate your claims and send you a copy of the pricing information for successful claims. This option will not submit the claims to the LAA. Claim Upload: once you are happy with the pricing, choose this option to validate your claims and then submit them to the LAA. Only successfully validated claims will be submitted. This option will also send the pricing.

2 Select Claim Upload (Pricing Only). Click the Browse button and locate the.xml file from your drives. Select the file and click Open. Enter any additional information about the claim (this field can be left blank) and click Submit. Tip: Anything you enter here will appear in the header information of your notification, so you may want to include your case or certificate references as a reminder. The Submission Confirmation page is shown. Note: This message means that the file has been successfully uploaded ready for system validation. It does not mean that the file has been accepted for assessment. Click Next.

3 The successfully uploaded file will now proceed to system validation. The system will check for: matching case references correct provider data correct fee scheme data The system will then price all successfully validated claims and send you a notification which contains the following information in attachments: which claims were successfully validated pricing information for the successfully validated claims Rejection reasons for any unsuccessful claims Click Your Actions and Notifications to view the attachments. The notification will have the subject of Claim Upload Pricing Only. Click the subject to open the notification. The notification will summarise the results of your upload. In the example below, only one claim was submitted. It was successfully validated, and priced only. Scroll down to the attachments and click View.

4 The example upload summary and bill pricing attachments below show that the claim has not been taken forward for assessment, and also the pricing information for the claim. Note: your claims have not been submitted to the LAA at this stage. You must complete steps 10 and 11 in order to submit them. If any of your claims are rejected, the upload summary attachment will contain the reason why as shown below. Depending on the error message, you may need to contact your vendor, or the LAA. Note: you will not receive billing information for any rejected claims, because CCMS cannot validate them.

5 At this point, if you want to make any changes to your claims, you can return to your case management system to amend them. If you are happy with your claims and the pricing, you can now proceed to Claim Upload. Return to the home screen and click Create Request. This time, choose Claim Upload from the options in the drop-down box and click Next. Browse for and upload your file as shown in steps 3-5. The system will validate and price your file again, but this time it will submit your successful claims to the LAA. View your notifications again as in steps 6 & 7. This time the summary will state that the claims have been taken forward for assessment. You will receive the same attachments as before, confirming which claims have been submitted and the pricing information, but this time the attachments will state that the claims have been accepted for assessment. You have now successfully submitted your claims to the LAA. Bills submitted via the bulk upload facility will appear in CCMS in the same way as bills that have been submitted line by line. Once the bill is assessed by the LAA you will receive a notification confirming the result of the assessment. Any payment made will appear on your statement of account.