New Exception Report
The new RxOne Exception Report functions similar to the previous one but with some extra benefits!
Go to Exception Report through SmartClaim > Exception Report
Start by choosing Exception Report through SmartClaim as per usual and enter in the required criteria as you would have done previously.
Once the report loads, you will notice different tabs.
Items To Be Fixed - This tab check scripts for errors that may cause the claim to fail.
Check the “Error Details” tab and amend scripts accordingly until there are no more scripts in this tab
Manual Claim Items – Items older than 4 months that have been added to the claim.
Please contact MOH to arrange scripts to be claimed manually if script is more than 4 months old.
Claim Regardless – Scripts that have been ticked as “Claim Regardless”.
Ensure the scripts here have a valid reason to be claimed.
NSS Items – Scripts that have a category of NSS and won’t be included in the claim.
OPTIONAL - You may choose to check if scripts here have been incorrectly flagged as NSS.
Held/Phoned Items – Scripts that are on hold or marked as phoned and won’t be included in the claim.
OPTIONAL - You may choose to check if you have received any of the phone scripts.
Missing NHI and NHI to Validate – Patients within the claim period that either need an NHI entered or need their NHI validated.
Highlight the required patient, press “Validate NHI”. If there is no NHI number, an NHI search will be performed. If there is already an NHI, an NHI validation will be performed
MOH rejects the claim if more than 10% of the NHI within the claim have not been validated. Check your percentage using the statistics at the top of the report.
Missing Prescriber Numbers – Prescribers during the claim period that need a registration number entered.
Select a prescriber, press “Edit” and enter a prescriber number then Save.
MOH rejects the claim if more than 10% of the prescribers within the claim have no NZMC number. Check your percentage using the statistics at the top of the report.
