NDIS Bulk File Claim Type Compliance

Grounding Summary

Agency-managed participant claims are submitted to the NDIA via a Bulk File Upload Request — an Excel spreadsheet with a mandatory "Claim Type" field. This field must carry one of five specific values depending on the activity being claimed: blank (face-to-face), NF2F (non-face-to-face), REPW (report writing), TRAN (transport), or CANC (short-notice cancellation). EYC's iinsight system was misconfigured in ways that allowed coordinators to omit or incorrectly set this field, resulting in bulk file rejections costing "many hours and thousands of dollars" in manual corrections every week.

Detail

The Bulk File Upload Mechanism

Agency-managed participants have their claims submitted via an Excel spreadsheet called the "Bulk File Upload Request." Each row in the spreadsheet represents a single billable activity and includes a "Claim Type" field that the NDIA uses to classify the service type. If this field is wrong or missing, the NDIA rejects the row and the provider must manually correct and resubmit.

The Five Claim Types and Their Mapping

Claim Type Activity Item Code Rate
(blank) Face-to-face meeting duration 07_002_0106_8_3 $100.14
NF2F Non-face-to-face support provision 07_002_0106_8_3 $100.14
REPW NDIA report writing 07_002_0106_8_3 $100.14
TRAN Travel time (labour — minutes driving to/from client) 07_002_0106_8_3 $100.14
TRAN Non-labour travel costs (km at $1.00, parking, tolls) 07_799_0106_6_3 or 01_799_0106_1_1 $1.00/unit
CANC Short-notice cancellation (under notice threshold) 07_002_0106_8_3 $100.14

Note: TRAN covers all transport-related claims — both labour time and non-labour costs. The item code distinguishes the two, not the claim type.

The Cost of Non-Compliance

The source explicitly states that EYC's misconfigured iinsight setup cost "many hours and thousands of dollars in corrections every week." The fault is attributed to the system architecture — not the coordinators. The billing system allowed claim type errors to occur rather than enforcing correct values at point of entry.

The NF2F Distinction

Non-face-to-face activities (phone calls, emails, plan monitoring) use the same item code as face-to-face meetings (07_002_0106_8_3) at the same rate ($100.14), but require the NF2F claim type. Without this distinction, the NDIA cannot accurately categorise how support hours were delivered. An omitted or incorrect claim type will cause the Bulk File row to fail.

REPW — Report Writing

NDIA-required reports (e.g. Progress Reports, Plan Reviews) are billed under 07_002_0106_8_3 at $100.14/hr using claim type REPW. This distinguishes reporting time from direct service delivery in the NDIA's data collection.

Legislative Connections

Document Reference Relevance
NDIS Pricing Arrangements and Price Limits 2025-26 V1.1 Agency Management rules Bulk File Upload requirements, claim type taxonomy
NDIS Pricing Arrangements and Price Limits 2025-26 V1.1 p.74 Level 2 SC face-to-face, NF2F, REPW, TRAN, CANC activity mappings

Confidence

High. The claim type taxonomy (blank, NF2F, REPW, TRAN, CANC) is drawn directly from RS-10 and corroborated by the NDIS Pricing Arrangements. The cost figures ($100.14 for most activities) are verified against PAPL 2025-26 V1.1.

Open Questions

  • Is the Bulk File Upload mechanism described in RS-10 the same for all registration groups (R106, R132) or does R132 use a different submission pathway?

Bulk File Upload, Claim Type, NF2F, REPW, TRAN, CANC, Agency Management, NDIS Claiming, Non-Face-to-Face, Report Writing, Provider Travel, Support Coordination, Short Notice Cancellation, iinsight, NDIA

Entity Tags

  • Provider: EYC (Essentially Your Choice)
  • System: NDIS Bulk File Upload, iinsight
  • Role: Support Coordinator

Change History

Date Change
2026-05-02 v1.0 — Source article created from RS-10 Phase B NbLM query. T2 theme.