Products Overview

Product Type

Product Category


Product


Description

API

Change of Diagnosis

change-diagnosis

Allows software vendors to create a change of diagnosis with ACC. The change of diagnosis is a secondary interaction (linked to a Claim) generated for reasons such as patient revisits with new symptoms or the initial provider has referred the patient to a specialist (e.g. xray, physio, surgeon) who diagnoses a more detailed understanding of the injury.

From a software vendor perspective this is a subset of the Medical Certificate.

From a Provider perspective, making this a separate identifiable service adds considerable value.

API

Claims

claims/create

Allows software vendors to create a new claim with ACC.

Registered providers (e.g. General Practitioner / Physio) can lodge claims on behalf of their patient if they think they have an injury ACC covers. It’s best they complete the claim (and supporting material) with their patient during their first visit.

claimNumberAllocation

Provides a Claim Number to be used for claim submission.

Claim Number is valid for use for 60 days only.

API

Documents to ACC

uploaddocument

Allows software vendors to create a new service with ACC; the submission of selected documents (in PDF & up to a maximum of 20MB) through the addition of set metadata.

The documents are a secondary interaction generally linked to a Claim or resulting invoice.

API

Integrated Home & Community Support (IHCS)

 

IHCS is a contract issued to only a few external parties.

Service Consultations

Supports the submission of a Service Consultation report.

Service

Supports the submission of a Service Commencement report.

Service Review

Supports the submission of a Service Review report.

Service Completion

Supports the submission of a Service Completion report.

API

Invoice

invoices/create

This is the mechanism ACC receives invoices from Providers for ACC funded diagnosis & / or treatment linked to a Claim.

Each invoice relates to a claim.

There can be multiple invoices for each claim.

API

Medical Certificate

medical-certificates

Allows software vendors to create a medical certificate with ACC.
The medical certificate is a secondary interaction (linked to a Claim) if:

  1. A patient:
  • Needs time off work beyond the first two weeks;
  • Needs additional support to operate in life or getting to / from work;
  • Presents additional complications that need to be considered;
  1. The Provider:
  • Needs extra support services to assist with diagnosis.

This can only be generated by a Doctor or Nurse Practitioner. They are mostly generated with the claim at the patient first visit but can be generated as part of a subsequent visit or by a different registered provider at a subsequent visit.

API

Query Claims

claims/summary/patient

Allows for a provider to query the submission status for claims for the specified patient.

Returns results limited to the organisation that submitted the claims.

The API returns the submission status of claims:

  • for a given patient
  • submitted by the organisation sending the query.

claims/summary/status

Allows for a provider to query the submission status for either all the receipted or failed claims by specifying the submission status.

Returns results limited to the organisation that submitted the claims.

claims/summary/{claimnumber}

Allows for a provider to query the submission status for a claim by specifying a claim number.

Returns results limited to the organisation that submitted the claims.

claims/summary/claimid

Allows for a provider to query the details of a submitted claim by specifying the 40 character claim ID. Returns results limited to the organisation that submitted the claims.

The details include all the fields that were submitted within the claim.

claims/status (POST) Allows for a provider to query the cover status of multiple claims that are registered with ACC.
claims/status (GET) Allows for a provider to query the cover status of a single claim that is registered with ACC. 

claims/status/filter

Allows for a provider to query the cover status of multiple claims that are registered with ACC for a patient by specifying the patients NHI and DOB.

Results will be limited to claims registered with ACC in the past 5 years.

API

Query Invoices

vendors/submissions

Allows for a vendor to check the submission status (receipted or failed) of the invoices for the specified vendor ID.

vendors/invoices/batch

Allows for a vendor to query the status of invoices for a specified vendor ID.

vendors/invoice/{scheduleId}

Allows for a vendor to check the status of an invoice that was received by ACC.

The scheduleId identifier can be obtained by using the vendors/invoices/batch query.

API

Query Payments

vendors/payments

Allows for a vendor to check the payment remittance numbers for the specified vendor ID.

payments/summary/{paymentReference}

Allows for a vendor to check the payment summary for a payment remittance under a specified vendor ID.

A payment remittance may contain multiple invoices.

payments/details/{paymentReference}

Allows for a vendor to check the payment details for a payment remittance under a specified vendor ID.

A payment remittance may contain multiple invoices.

IDE

Documents from ACC

 

The Information Document Exchange (IDE) option of receiving documents from ACC is a “nearly ready to consume” offering already established with multiple external customers. 

IDE

Documents to ACC

 

A two-way drop box that enables safe, secure and easy sharing of data by registered organisations. IDE is supported through a cloud-based data exchange platform (managed by EightWire), known as DX or Conductor.  It is endorsed by the Social Wellness Agency (SWA) enabling safe, secure and easy sharing of data. ACC uses IDE to exchange data with more than 10 organisations across 30 use cases.

SendInvoice

SendInvoice

 

SendInvoice is a simple tool for securely sending electronic invoice schedules to ACC, so that ACC can pay for claims it has accepted.

It’s a desktop application that runs on Windows PCs, using modern, supported technology.

SendInvoice consumes spreadsheets (in a csv format) and submits that data through to ACC as an invoice.

SFT

Secure File Transfer

 

SFT enables safe, secure and easy sharing of data. SFT is enabled through an ACC supported tool, Axway; in particular, its Managed File Transfer (MFT) product which enables secure, near real time high-volume automated file transfers between systems, sites, lines of business and external partners, using user-driven communications, folder- and portal-based file sharing.  

SFT supports communication using industry standards and protocols such as FTP/S & SFTP, HTTP/S, REST APIs via web browsers, secure shell (ssh) and standard FTP clients amongst others.

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