In early 2024, the National Disability Insurance Agency (NDIA) announced it may take more time to check claims before they’re paid.
With fraud detection top of mind for all National Disability Insurance Scheme stakeholders, the Agency’s decision means it may take longer for participants and providers to receive payments related to invoices and/or claims for reimbursement.
To help reduce fraud and non-compliant behaviour, the NDIA has confirmed that, while valid claims will be paid within two or three working days, some payments may take up to 10 working days to be processed, allowing time for the Agency to undertake more rigorous investigation of claims.
Once a claim is paid by the NDIA, it typically takes one or two days for the funds to appear in your bank account.
Duplicate claims are also under scrutiny. If a duplicate claim is submitted within 14 days of an initial claim being made, the NDIA will review it for fraud and non-compliant behaviour.
We’re aware of the impact payment delays have on participants and providers, and we’re here to help.
Usually, the Agency doesn’t tell us why a claim is being reviewed. However, if we require your assistance, we’ll let you know what we need, and we’ll work with you to source the information the NDIA requires.