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Caresquare QA Warnings and Claim Flags

Caresquare uses QA warning icons in the Invoice QA view to highlight potential issues that may need to be reviewed before an invoice is approved or submitted for claiming.

These alerts can relate to budget, approvals, provider or participant information, claim rules, NDIS registration, invoice details, and other compliance checks.

QA Warning

Icon

What it means

Overlapping Lines

Another invoice for the same participant and provider has line items with overlapping service dates.

No Budget Data

No budget or plan information is available for the participant.

Budget Issues

One or more line items have insufficient budget or do not match a budget category.

Requires Approval

The invoice requires participant approval before it can proceed.

Approval Requested

Approval has been requested and is currently pending.

Approval Rejected

The participant has rejected the invoice. A rejection reason may also be displayed.

Invoice is over 90 days old

The invoice or earliest service date is more than 90 days old. Please verify that it is still valid for claiming.

Check funding period

One or more service dates are from a previous funding period.

SIL/STA

Supporting documentation may be required because the invoice contains SIL or STA support items.

Possible duplicate

A similar invoice has been detected in Caresquare.

Provider limit exceeded

The invoice exceeds the provider's payment limit.

Flagged provider

The provider has been flagged. A flag reason or additional information may be displayed.

Claim errors found

One or more line items have failed an NDIS claim or business-rule validation.

Custom rule violated

The invoice has triggered an organisation-defined custom QA rule.

Provider compliance decision

The provider appears on the NDIS Commission compliance register. This may relate to a banning order or other compliance decision.

Flagged participant

The participant has been flagged. A flag reason may be displayed.

Reimbursement

The invoice has been identified as a reimbursement invoice.

Possible reimbursement

The invoice may be a reimbursement because the amount due is less than the invoice total.

Budget allocation violated

One or more provider budget allocation rules have been violated.

Spending limit exceeded

One or more provider spending limits have been exceeded.

Check GST

The provider's GST registration could not be confirmed. Verify before approving.

Check bank account details

Bank details on the invoice are missing, incomplete, or do not match the provider's recorded bank details.

Check balance

The amount due may differ from the invoice total. Verify the balance before proceeding.

Check early childhood

The invoice may relate to early childhood supports. Verify the support category and documentation.

First time provider for participant

This is the first invoice from this provider for the participant. Verify the service relationship.

NDIS Not Registered

The provider is not registered for the NDIS groups required by the invoice.

NDIS Expired

The provider's NDIS registration has expired for one or more groups required by the invoice.

NDIS Partial Reg.

The provider is not registered for all NDIS groups required by the invoice.

SIL Grace Period

The provider is not registered under the new SIL group 0138, but is currently within the grace period until 1 October 2026.



In Caresquare, warnings can appear at two levels: the invoice level and the individual line item (claim) level,

  • Invoice-level warnings apply to the entire invoice. These are general warnings that may not relate to any specific line item.

  • Claim-level warnings apply only to the specific line item they are attached to. They reflect issues found within that individual claim, independent of any other line items on the invoice.

For additional flags and a breakdown of where to find them and their category level, please see the table below. These are some examples and are not limited to the flags listed.

Warning/s Flags

Category

Where to Find

Check bank account details

Invoice-level warning

Invoice QA Warning

Check dates

Invoice-level warning

Invoice QA Warning

Check early childhood

Invoice-level warning

Invoice QA Warning

Check funding period

Invoice-level warning

Invoice QA Warning

Check GST

Invoice-level warning

Invoice QA Warning

Check item code

Invoice-level warning

Invoice QA Warning

Check Provider

Invoice-level warning

Invoice QA Warning

Check SIL/STA

Invoice-level warning

Invoice QA Warning

Check total

Invoice-level warning

Invoice QA Warning

Claim errors found

Invoice-level warning

Invoice QA Warning

Custom rule violation

Invoice-level warning

Invoice QA Warning

First time provider for participant

Invoice-level warning

Invoice QA Warning

Flagged participant

Invoice-level warning

Invoice QA Warning

Flagged provider

Invoice-level warning

Invoice QA Warning

Missing invoice number

Invoice-level warning

Invoice QA Warning

Missing participant

Invoice-level warning

Invoice QA Warning

Missing Xero contact

Invoice-level warning

Invoice QA Warning

Multiple participants found

Invoice-level warning

Invoice QA Warning

Multiple providers found

Invoice-level warning

Invoice QA Warning

Possible duplicate

Invoice-level warning

Invoice QA Warning

Provider limit exceeded

Invoice-level warning

Invoice QA Warning

Warning/s Flags

Category

Where to Find

Approval Requested This invoice is pending approval.

Invoice-level warning

Invoice Banner (when you open the Invoice)

Check funding period One or more service dates are from a prior funding period

Invoice-level warning

Invoice Banner (when you open the Invoice)

Hold Reason

Invoice-level warning

Invoice Banner (when you open the Invoice)

No Budget

Invoice-level warning

Invoice Banner (when you open the Invoice)

Participant is flagged with reason: [flag_reason]

Invoice-level warning

Invoice Banner (when you open the Invoice)

POSSIBLE DUPLICATE A similar invoice has been detected in the system

Invoice-level warning

Invoice Banner (when you open the Invoice)

Provider is on [participant_name]'s approval exclusion list.

Invoice-level warning

Invoice Banner (when you open the Invoice)

Rejection Reason [rejection_reason]

Invoice-level warning

Invoice Banner (when you open the Invoice)

Requires Approval This invoice requires approval

Invoice-level warning

Invoice Banner (when you open the Invoice)

Rule Violation(s) [message]

Invoice-level warning

Invoice Banner (when you open the Invoice)

SIL/STA Supporting documentation may be required.

Invoice-level warning

Invoice Banner (when you open the Invoice)

You flagged this provider for (reason)

Invoice-level warning

Invoice Banner (when you open the Invoice)

Warning/s Flags

Category

Where to Find

ALLOCATION rule exceeded - There is no remaining budget for this provider

Individual line item (claim) level warning

Claims Flags

Cannot claim line item that is less than 0

Individual line item (claim) level warning

Claims Flags

Claim has already been attempted for line item

Individual line item (claim) level warning

Claims Flags

Insufficient budget for line item

Individual line item (claim) level warning

Claims Flags

Invalid ABN - checksum validation failed

Individual line item (claim) level warning

Claims Flags

Invalid service item number: {service_item_number}

Individual line item (claim) level warning

Claims Flags

Invalid unit price or quantity for line item

Individual line item (claim) level warning

Claims Flags

LIMIT rule exceeded between participant and provider

Individual line item (claim) level warning

Claims Flags

Line item does not fall within budget dates

Individual line item (claim) level warning

Claims Flags

Line item does not fall within budget dates

Individual line item (claim) level warning

Claims Flags

Line item does not fall within plan dates

Individual line item (claim) level warning

Claims Flags

Line item does not fall within service booking dates

Individual line item (claim) level warning

Claims Flags

Line item exceeds service booking remaining amount

Individual line item (claim) level warning

Claims Flags

Line item is missing GST code

Individual line item (claim) level warning

Claims Flags

Missing participant number for invoice

Individual line item (claim) level warning

Claims Flags

No budget found for participant

Individual line item (claim) level warning

Claims Flags

No item catalogue match found for service item with service region {service_region_id}

Individual line item (claim) level warning

Claims Flags

No service booking found for participant

Individual line item (claim) level warning

Claims Flags

No support category match found for service item

Individual line item (claim) level warning

Claims Flags

Service date from is greater than service date to for line

Individual line item (claim) level warning

Claims Flags

Service date from is in the future for line item

Individual line item (claim) level warning

Claims Flags

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