Changes to claiming aftercare

Changes have been made to the application of the aftercare rule to Patient Claims Interactive (PCI) channel.

If you transmit a service where an aftercare period applies, you’ll receive a warning message of 9698 - Service is possible aftercare, check the account and resubmit with a valid indicator if not normal aftercare.

If the service is aftercare, you can’t claim a Medicare benefit. If the service is not aftercare, you must indicate this by setting the Aftercare Override Indicator in your software.

If you don’t know how to set this override indicator, please contact your software vendor.

If your software is unable to set the Aftercare Override Indicator, you may submit your claim using the Patient Claim Store and Forward (PCS) channel. You need to add ‘not normal aftercare’ in service text. Notations include:

  • Not Normal Aftercare
  • NNAC
  • NNA

Alternatively, you can now submit your patient claims online through Health Professional Online Services (HPOS) via Webclaims.

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Page last updated: 7 March 2017

This information was printed Tuesday 30 May 2017 from humanservices.gov.au/health-professionals/news/changes-claiming-aftercare It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.