Taranaki and Tairāwhiti primary mental health extended GP consultations – claiming in indici

From 1 January 2022, indici claims for primary mental health extended GP consultations will be a one step process and practices will not be required to ‘outcome’ cases.

Any claims lodged before 31 December will still need to be outcomed.

The service will be visible as a funded service in the Service Eligibility section of your patient palette.

The claim submission form is one screen only and submitting this page completes the process.

You will not be required to add any clinical notes.

This is the first step, with the aim to progressively develop this type of claiming for as many other services as possible. 

We look forward to your feedback and hope you find this improved process more user friendly. 

Eligibility criteria

The eligibility criteria is automated wherever possible to streamline the claiming process for practices.

As a result, there may be occasions (due to eligibility rules) where the option to claim for a service may not appear for a specific patient.

The patient may not be eligible due to:

• not being aged 12 years or over
• not being enrolled with your practice
• not having their domicile DHB recorded in their enrolment form.

Adding the patient’s domicile DHB to their enrolment page

The patient needs to be e-SAM validated in order for the DHB field to be populated.

We recommend you run a ‘validate patient address report’ to see which patients in your practice do not currently have e-SAM validation. Running this report will avoid this eligibility issue in the future.

On a case by case basis you can go to the patient’s enrolment page and validate the e-SAM for that patient.