Veteran Claim

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Get Started

Select Patient Record

Click on patient in the calendar view to open the patient's record.

Click on the down arrow to view options

Click Lodge DVA Claim

This will lodge a DVA Claim

You will need the veteran number to lodge the claim

Click Document Icon to display Voucher

This will display the D1216S Treatment Service Voucher to print or download

Understanding claim responses

When you submit a DVA claim through Billumbra, Services Australia generates a unique Claim ID and returns a status:

Response field	What it means
`status`	Indicates transmission result (e.g., `SUCCESS`)
`claimId`	Unique identifier assigned to your claim

Claim ID format

Services Australia generates Claim IDs in this format:

Prefix (1 character):
- A-Z = Out-of-hospital & in-hospital non-Pathology services (e.g., A1234@)
- # = In-hospital Pathology services (e.g., #9876@)
Numerics (4 digits)
Suffix (1 character): Always @

Multiple payee providers submitting claims for the same location on the same date may share the same Claim ID. For example, Provider A: A0001@, Provider B: A0001@.

Troubleshooting DVA claims

Transaction ID already exists

Error code	Issue	How to fix
`9777`	Transaction ID has already been received	This claim is a duplicate. If you need to resubmit, generate a new unique Transaction ID. No further processing will occur for the duplicate.

Daily claim limit exceeded

Error code	Issue	How to fix
`3004`	More than 2,500 claims submitted in one day	Wait until the next day to submit additional claims from the same Payee Provider and Location ID.

This limit applies to the combination of Payee Provider and Location ID. Different providers at the same location each have their own 2,500 claim daily limit.

Important claiming information

Distance travelled (KM claims)

DVA pays travel costs when you treat a veteran at their home or residence, away from your normal practice:

Include a special service line immediately after the attendance/service item
Set itemNumber to KM
Leave chargeAmount blank
Populate distanceKilometres with the full distance travelled (return trip)

Example: Home visit for consultation, travelled 15km return:

Line 1: Consultation item (e.g., item 1)
Line 2: KM item with distance = 15

For more details on travel claiming rules, refer to the DVA provider website.

DVA fee schedules

Billumbra automatically uses current DVA fee schedules. Updates and corrections are regularly applied from DVA software vendor files.

Billumbra permits submission of items not listed on public DVA schedules. DVA regularly approves payment for unlisted services.

Patient details corrected (Reason Code 249)

If a service is endorsed with Reason Code 249:

The veteran's file number you quoted was incorrect
DVA has processed the claim using the correct file number
Update your records immediately to avoid future rejections

Mixing referral and request services

When lodging specialist claims, you can include services requiring both referrals and diagnostic imaging requests in the same claim:

Include referral details at the Medical Event level
Add relevant service-level details for each item
Note: Pathology requests must be submitted separately

Veteran Claim

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