Terms and Conditions

Provider Payments Service Provider Agreement

General Terms to apply to all Service Providers submitting any applicable National Disability Insurance Scheme (NDIS) Invoices to Registered Plan Management Agencies and agree that their payments to be facilitated for an early payment by Provider Payments Pty Ltd (Provider Payments).

  1. Background:
  • Provider Payments engaged by the NDIS Registered Plan Management Provider (Plan Manager) as an authorized agent to manage, handle and facilitate the same-day payment process for NDIS Invoices through the Planability/Payability Platform.
  • Provider Payments commits to making early payment of approved NDIS Invoices to the Service Providers, immediately upon receiving approval and payment verification for all line items on the NDIS Invoice from the plan manager and NDIA which will be shown on Planability/Payability platform.
  1. Agreement:

The parties involved have agreed to the following terms:

  • The Service Provider will submit invoices for the Services provided to beneficiaries of the NDIS Services (Participants) to both the Plan Manager and the Provider Payments.
  • The Service Provider commits to submitting NDIS Invoices accurately and promptly. These invoices will be addressed to the relevant Plan Manager, and copies will be simultaneously sent to both the Plan Manager and the Provider Payments.
  • The Planability/Payability Platform provides monitoring and reporting capabilities for the funds allocated to NDIS Participants’ plans. It handles the approval of NDIS Invoices, facilitates Service payments, and manages the recovery of NDIS Invoices from the National Disability Insurance Agency (NDIA). Provider Payments, an affiliated entity of the Planability/Payability Platform’s operator, acts as its payment agent.
  • The Service Provider will submit accurate NDIS Invoices in the appropriate format accepted by the Plan Manager. In the event of an incorrect format, the Service Provider will promptly correct and resubmit the invoices.
  • Provider Payments will enter the invoice details into the Planability/Payability Platform.
  • The Plan Manager will submit the NDIS Invoice, in an accurate and timely manner, to the National Disability Insurance Agency (NDIA), as per the agreed operating procedures of NDIS Services. This will generate a payment reference number (PRN)for each line item approved for payment.
  • The Planability/Payability platform will provide a PRN to Provider Payments as part of their approval of the NDIS Invoice.
  • Provider Payments will initiate payment to the Service Provider immediately upon receiving approved payment verification from the NDIA for all line items on the NDIS Invoice.
  • Immediate payment is contingent upon the Plan Manager promptly submitting the NDIS Invoice to NDIA upon receiving electronic notification from the Planability/Payability platform.
  • Provider Payments will not be obligated to make payment to the Service Provider and will not assume any responsibility until it receives successful payment verification from the NDIA and the Plan Manager for all line items on the NDIS Invoice.
  • In circumstances where Plan Manager or NDIA rejects a NDIS Invoice, it will be the Plan Manager’s responsibility to inform the Service Provider. The Plan Manager will be able to view the rejection notification advice on the Planability/Payability Platform.
  • Provider Payments will not be held liable or assume responsibility for the payment of rejected invoices, and payment resolution will be sought between the Service Provider and the Plan Manager directly.
  • Provider Payments will pay the Invoice Amount to the Service Provider after deducting the Payment Processing Fee from each NDIS Invoice as consideration for early payment processing.
  • The Payment Processing Fee consists of an “Establishment Fee” of $1.00 and a “Receivables Finance Fee” of 1% of the value of each paid NDIS Invoice to the Service Provider.
  • Each paid NDIS Invoice will generate a separate entitlement and payment processing fee for Provider Payments.
  • The Service Provider must carry out all necessary actions, including without limitation the execution of all such documents, as reasonably required by Provider Payments to carry out the transaction outlined in this Agreement.
  • The Service Provider is responsible for ensuring the following:
    1. All transactions processed through Provider Payments involve Services that are eligible for funding under the NDIS Act and have been provided in compliance with applicable laws and NDIS Guidelines.
    2. The details of every transaction submitted and processed through Provider Payments are accurate and complete.
    3. The Service Provider will strictly comply with all relevant privacy, consumer, and other laws and regulations concerning the provision, utilization, and disclosure of Transaction Data, as well as the usage of Provider Payments.
  1. Termination
  • Provider Payments may terminate this Agreement in the following circumstances:
    1. Immediately if the Service Provider breaches any term of this Agreement.
    2. By providing a written notice of 30 days.
  • The Service Provider may terminate this Agreement in the following circumstances:
  1. Immediately if Provider Payments breaches any term of this Agreement.
  2. By providing a written notice of 30 days.
  1. Confidential Information

Confidential Information shared between the parties shall be used by the recipient solely for fulfilling its obligations under this Agreement. Neither party shall disclose the Confidential Information to any third party without prior written consent from the disclosing party, except in the following cases:

  • already in the recipient’s possession and lawfully received from sources other than a party without be subject to separate confidentiality obligations;
  • publicly available or becomes so in the future without restriction;
  • information that is required to be disclosed under compulsion of law, provided that notice is given to the other party in order that it may challenge such disclosure; or
  • disclosed confidentially by a party on a need-to-know basis to employees, contractors, third party service providers and/or professional legal or accounting advisers; or
  • Disclosure is required by law, provided that notice is given to the other party to enable them to challenge such disclosure;
  • Disclosure is made on a need-to-know basis to employees, contractors, third-party service providers, or professional legal or accounting advisers, subject to confidentiality obligations;
  • Information reasonably required by the NDIS to assess and process payment for submitted invoices, including the Service Provider’s name, Australian Business Number, relevant identification number, address, contact information, and bank account details (such as account name, account number, and BSB number);
  • The Provider Payments will ensure that will not aggregate Transaction Data to any other service provider; and
  • The Service Provider agrees that Provider Payments may use and disclose the information in de-identified form for research, advice, and development of information products, including data analysis.
  1. Governing law

This agreement is governed by and construed in accordance with the laws of New South Wales and the parties submit to the non-exclusive jurisdiction of its courts. The parties agree to accept service of any documents at the addresses as stated in the preamble to this Agreement.

  1. Amendment

Provider Payments reserves the right to modify this Agreement by publishing an updated version on the Provider Payments Website, sending an email notification to the Service Provider, or providing other forms of notification. By continuing to use Provider Payments after any amendments to the Agreement, the Service Provider agrees to comply with and be bound by such changes.

If the Service Provider disagrees with any changes made to the Agreement, the Service Provider must terminate the Agreement by informing the relevant Plan Manager and discontinuing the use of Provider Payments.

  1. Definitions

“Agreement” means the agreement between the Service Provider and Provider Payments including the Service Provider’s enrolment in Payability Platform and the policies and these terms and conditions;

“Applicable Laws” means all legislation and subordinate legislation in force from time to time in Australia (including common law and equity as applicable from time to time) and relevant to the provision of the particular Services to Participants in relation to the NDIS, the NDIS Act and the NDIS rules;

“Establishment Fee” means a specific fee charged for the initial setup or establishment of a particular service or account.

“Invoice” means a request for payment in respect of Services provided by the Service Provider to the NDIS Participant;

“Invoice Amount” means an amount paid in respect of the provision of Services to a Participant;

“NDIA” means the government organization that implements and manages the NDIS.

“NDIS” has the meaning given to the term “National Disability Insurance Scheme” in the NDIS Act;

“NDIS Act” means the National Disability Insurance Scheme Act 2013 (Cth);

“NDIS Scheme Guidelines” means any guidelines, policies or directives issued by the NDIS, the Agency Guidelines;

“Participant” means a person who is a participant in the NDIS launch;

“Payment Processing Fee” means the payment to be paid to the Provider Payments In consideration for accessing Payability platform;

“Planability/Playability Platform” means a software platform that provides monitoring and reporting capabilities for the funds allocated to NDIS Participants’ plans. It handles the approval of NDIS Invoices, facilitates Service payments, and manages the recovery of NDIS Invoices from the National Disability Insurance Agency (NDIA), which includes, without limitation all interfaces, all releases, updates and amendments to the software provided for the purposes of providing, initiating and processing transactions, and receiving in accordance with this agreement;

“Provider Payments” means Provider Payments Pty Ltd ACN 098 657 197 of Level 2, 50 Bridge Street, Sydney NSW 2000.  It is an affiliated entity of the Planability/Payability Platform’s operator and acts as the payment agent and oversee the same-day payment process for the NDIS Invoices as authorised by the Plan Managers.

“Provider Payments Website” means the Provider Payments website located at www.providerpayments.com.au

“Receivables Finance Fee” means fee charged for the financing or funding of receivables, which are unpaid invoices or amounts owed to a business;

“Registered Plan Management Provider” means a registered provider of supports by NDIS who is approved in relation to managing the funding for supports to NDIS Participants under plans as mentioned in paragraph 70(1)(a) of the NDIS Act,

“Services” means the goods and/or services provided by the Provider to a Participant;

“Transaction” means the submission of NDIS Invoices in respect of the provisions of Services by the Service Provider to NDIS Participants by means of Provider Payments;

“Transaction Data” means, in relation to a transaction, any information in relation to an Individual and/or information about the nature of the treatment, services or goods provided by the Provider to an Individual in respect of which an Invoice has been submitted.