Claims, Missing scripts

 

[Revised Apr 05]

 

Scripts can be 'missing' in two senses;

 

1. Scripts missing from both exception report and the claim

The Options menu in the Claims module allows 'Under s'net' and 'Private' scripts to be excluded from the Exception report if the user wishes. This avoids clutter from these correctly excluded scripts, but can lead the user to think these scripts are missing if they do not know this option is selected.

Script Owings always appear on the exception report.

- When they are unticked, they will appear on the next claim if claimable.

- If under s'net cutoff or Private they will correctly remove from the exception report when 'Script Owing' is unticked, and not appear on the next claim.

 

2. Script forms physically missing

If in the middle of the claim there is one script for which the script form is missing, there are some known, and probably some as yet unknown, causes.

Situations that are known to have occurred are;

- Script Owings not flagged as such , and so are claimed while the script form is away for signing when the claim is sent in, hence 'missing'.

- Drugs Owing not flagged in 'RxOne' as 'owing', and so claimed while the script form is on a separate clip awaiting the arrival of the owing drugs, hence 'missing'.

- Return to prescriber. If a script lacks signature or requires some kind of correction, and is sent back to the prescriber, it should be marked as 'Script Owing'. Even though it was not Script Owing but the original was received, until the corrected copy is received back from the prescriber this is in effect a 'Script Owing'.

- Lost script Where the physical prescription form has blown off a bench, or similar.  This is presumably rare, but must happen.

 

Related topic

Claim, Accuracy and reliability

How to claim