Health Professionals

Practitioner Services - Enabling Primary Care

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Key Schedule Dates, Prior Approval and Administration Form timescales

The information below highlights payment dates, cut-off dates for claim submission and details of any additional payments.

 
March paid
April 2012
April paid
May 2012
May paid
June 2012
Paper
Friday
30 March 2012
at 16.15
Monday
30 April 2012
at 16.45
Thursday
31 May 2012
at 16.45
EDI
Thursday
5 April 2012
at 17.00
Monday
7 May 2012
at 17.00
Thursday
7 June 2012
at 17.00
Payment Date
Friday
20 April 2012
Friday
18 April 2012
Wednesday
20 June 2012

 

Commitment Payment paid quarterly

March 2012 paid Friday
20 April 2012

June 2012
paid Friday
20 July 2012

September 2012 paid Friday
19 October 2012

December 2012 paid Friday
18 January 2013

 

Prior approval receipt date of claims being reviewed
General GP17(1) claims 02 April 2012

A small volume of claims may require more time to be reviewed by our dental advisers.

 

 
Orthodontic GP17(0) claims 28 March 2012

 

QUALITY OBJECTIVES 2012/13

Objective Target
Valid claim processed in MIDAS in the first available schedule 100%
Rejections to be handled within 20 working days of being rejected* 100%
Adjustment and non payment enquiries to be handled within 20 working days 100%
Prior Approval claims to be considered within 20 working days 95%
Helpdesk calls to be closed within 2 working days 98%
% of practices sending claims electronically 65%

* Claims having been rejected from MIDAS