- ACC billing flows in a chain: treatment → billable items → ACC invoices → an invoice schedule you submit.
- Verify the claim, provider and service details before invoicing — most errors trace back to wrong source data.
- Track each schedule as pending, accepted, processed or returned, and correct the source before resubmitting.
ACC billing has more moving parts than a patient invoice, but it’s a clear chain once you can see it. Get the source data right and the submission usually just works; most failures come from a detail that was wrong before you ever hit Submit.
How ACC billing flows
Four stages, each feeding the next:
- 1Treatment activity
The care you deliver against an injury creates billable items.
- 2Billable items
Each item is a single ACC-eligible charge, tied to the injury’s claim.
- 3ACC invoices
Billable items become ACC invoices for the claim.
- 4Invoice schedule
One or more invoices are grouped into an invoice schedule — the batch you submit to ACC.
Before you invoice — what to check
Most rejected submissions come from incorrect source data, so verify these before you raise the invoice:
- 1Patient & injury
The right patient, and the specific injury you’re billing for.
- 2Claim & injury detail
ACC45 claim number, date of injury (DOI), and the diagnosis or READ code.
- 3Provider details
Treating practitioner, provider number, and the vendor / payee the work bills under.
- 4Service detail
Service code, treatment date, quantity and price.
Build an invoice schedule
Group eligible invoices into a schedule and get it clean before submitting:
- 1Create the schedule
Start a new invoice schedule for submission.
- 2Add eligible invoices
Add the ACC invoices that belong in this batch.
- 3Resolve validation issues
ManaNotes flags problems before submission — work through each one until the schedule is clean.
- 4Confirm the totals
Check the schedule totals match what you expect, then submit to ACC.
Track a submission
After you submit, the schedule moves through a series of states. Check back to see where it’s up to:
- 1Pending
Submitted and awaiting a response from ACC.
- 2Accepted
ACC has accepted the schedule for processing.
- 3Processed
ACC has processed the schedule — payment follows.
- 4Returned with an error
ACC rejected something. The schedule comes back with an error to resolve.
Common issues & how to fix them
Check the treating practitioner’s provider number and that they’re linked to the right ACC provider account. Correct it on the source, then rebuild the invoice.
The vendor / payee the work bills under isn’t authorised for this claim or service. Verify the vendor details against your ACC setup.
Submissions can’t go through without an active ACC digital certificate. Reinstall or renew it in your clinic’s ACC settings — see <a href="#setup-clinic" data-link="setup-clinic">Set up your clinic</a>.
Re-check the ACC45 claim number, DOI and diagnosis / READ code against the claim. A single wrong field returns the whole submission.
Confirm the service code matches the treatment delivered and the claim’s funding. Fix it on the billable item before reinvoicing.
Before resubmitting, check the schedule wasn’t already accepted — resubmitting an accepted schedule creates a duplicate. Investigate the source rather than firing it off again.