When PRODA returns reconciliation files, it may include amended claim items — updated versions of previously submitted claims. Eziplan now handles these amendments automatically, ensuring your claim records and statements remain accurate.

What is a PRODA Amendment?

An amendment occurs when a previously submitted claim is updated by the funding body and returned in a reconciliation file. Amended items share the same claim ID as the original, which previously caused matching issues in Eziplan. This has now been resolved.

How Eziplan Handles Amendments

Eziplan manages two distinct amendment scenarios:

Scenario 1: Amendment for a claim already included in a statement

If the original claim has already been included in a finalised statement, Eziplan will match the amendment to the existing record and add in an Amendment Line ready for the next available statement. 

Scenario 2: Amendment for a claim not yet included in a statement

If the original claim has not yet been included in a statement, Eziplan will match the amendment to the existing record and add in an Amendment Line ready for the next available statement. 

What You Need to Do

No action is required. Amendment handling is automatic. If you believe an amendment has not been processed correctly, please contact the Ezihealth support help desk.