Proposed model — not yet available
NDIS Claims Integrity
A proposed participant-centred assurance layer connecting authorised support, delivery evidence, participant confirmation and payment review.
Step 1
Authorised support
The support a participant is approved to receive is the reference point for every claim.
Step 2
Delivery evidence
Providers record what was delivered, when and by whom, against that authorised support.
Step 3
Participant confirmation
The participant, or their nominee, can confirm the support was received.
Step 4
Payment review
Claims that look unsupported, duplicated or unusual are flagged for human review before payment — never rejected automatically.
This is a proposed model for discussion. It is not built, has not been piloted, and is not endorsed by or connected to the NDIA or any NDIS system. Any future version would need agreement from the relevant authorities, privacy review and participant consent.
Discuss the proposed model
We welcome conversations with plan managers, providers and policy teams about how evidence-led controls could work.