What is a gap payment?
A gap payment is the difference between what you claimed and what Services Australia paid. This can occur when a service line is partially paid or not paid at all. Visualcare surfaces these gaps during the reconciliation process so you don’t have to identify them manually.Gap payment workflow
1
Upload the reconciliation file
Open the submitted claim in Visualcare and upload the reconciliation file from Services Australia.
2
Review the Gap Analysis screen
If gaps or non-payments are identified, a Gap Analysis screen appears. This lists each service line that has a gap, showing the claimed amount, the paid amount, and the difference.Export to CSV if you need a copy for your records or to share with your finance team. Click Confirm to proceed.
3
Note the updated claim status
Claims with gap components update to Partially Paid status. This distinguishes them from fully paid claims in your claim list.
4
Generate invoices
When you generate invoices for a partially paid claim, Visualcare creates up to three separate invoices:
Use the Invoice Type filter to view each type separately.
5
Review statements
Statements for the period show a breakdown of all three components: Government component, Client contribution, and Gap component.
6
Assign a payer to the gap invoice
Click on the GAP invoice to select who will be billed for the gap amount.
- Use the drop-down to select from contacts already in your accounting software
- Or enter a payer using the free text field if the contact doesn’t exist yet
Running into issues?
See SAH claiming troubleshooting for common errors and fixes.Related articles
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