Less admin, better cashflow: it all starts with your claims process. Whether you provide services to NDIS plan, agency or self-managed participants, the systems you have in place to manage how you claim and manage payments can have a serious impact on your success as an NDIS provider.

Giving people with a disability genuine choice about the supports and services they use is a wonderful thing. It makes your job as a provider slightly more complicated, because you potentially need to coordinate administrative processes for three different types of claims for payment. Of course, it's easier when you have a robust and flexible software solution like Comm.care by Pnyx, which helps providers to easily filter services delivered by method of payment; extract activity reports and ready-to-upload files for NDIS bulk payment requests. Create support logs (progress notes) or invoices that you can provide to clients or their Plan Managers as proof of support delivered.

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Are you claiming with efficiency?

Using software specifically designed for disability service providers ensures careful management of processes within your control, enabling compliance, client satisfaction, and effective payment.

Plan Managed

1. Validate hours have been entered from Org Calendar - on Friday
2. Create Invoice - entered info for header and Roadmap shows as Plan Manager note the extra fields that your plan managers are going to love since it makes their reporting job easier ;-)
3. Send invoice to Plan Manager. Learn more here.

NDIS Managed

1. Validate hours have been entered from Org Calendar - on Friday
2. Create NDIS Bulk upload, quick check and fix if necessary, but always mentioned to the staffer about the error is the only way for them to learn.
3. Upload csv file to PRODA. Learn more here.

Self Managed

1. Validate hours have been entered from Org Calendar - on Friday
2. Create Invoice - entered info for header and Roadmap shows as Self managed. note the extra fields that your plan managers are going to love since it makes their reporting job easier.
3. Send invoice to the participant. Learn more here.

NDIS providers need a business system that helps you.

• Easily keep track of all billable hours
• Provide timely support logs to inform participants.
• Generate invoices to send out to plan-managers and/or participants.
• Create NDIS bulk upload for agency managed clients.
• Claim more often or more consistently.
• Be audit-ready at all times!

Comm.care by Pnyx helps streamline care coordination for NDIS providers to help you get paid! Learn more about Comm.care's features.

FAQ

What are the most common pitfalls in NDIS claims?

Common mistakes include using the wrong line item, exceeding the participant’s funding, submitting claims with incorrect dates, or failing to match the claim to the participant’s current plan. Typos, missing details, and poor documentation are also frequent issues that lead to rejections or payment delays.

How can providers ensure they are claiming the correct support items?

Always refer to the most recent NDIS Pricing Arrangements and check the participant’s plan to confirm what's funded. Using case management software like Comm.care can help by preloading the correct line items into appointments and progress notes. It reduces manual errors and keeps your claims aligned with NDIS rules.

What steps can be taken to avoid delays in NDIS payments?

Make sure your claims are complete, accurate, and supported by clear progress notes. Use bulk claims when possible, double-check key details like dates and funding limits, and keep participant plans updated. A reliable system like Comm.care automates much of this process and helps prevent costly delays.