When an NDIS claim is held for manual review, the correct response is to wait and monitor its status in the myplace provider portal rather than resubmit it — a held claim is not a rejection, and resubmitting can create a duplicate. Within a bulk submission, only the specific claim under review is held; every other claim in that batch is still processed and paid on normal terms.
What does “held for review” actually mean?
The NDIA sometimes checks a claim’s accuracy before releasing payment. This is a normal part of the claims process, not an indication something is wrong — it means the claim hasn’t yet been approved or rejected, it’s paused pending a check. A held claim can still resolve to a payment once the review completes.
How is a held claim different from a rejected claim?
| Held for review | Rejected | |
| Status | Temporary — pending outcome | Final (for bulk-process rejections) |
| Correct action | Wait and monitor | Correct the error and resubmit, or create a new claim |
| Effect on the rest of a bulk batch | No effect — other claims proceed and are paid | N/A — applies to the specific claim only |
| Risk of resubmitting | Can create a duplicate claim | N/A — resubmission is the required fix |
How long does a claim held for review typically take?
Claims requiring an accuracy check can take up to around 10 business days, compared with the standard 2–3 business days for a claim that passes validation immediately. If a held claim shows no status change after 7 working days, raising a payment enquiry through the my NDIS provider portal is the appropriate next step — not resubmission.
What should providers do while waiting on a held claim?
- Check the portal status periodically rather than assuming the outcome.
- Don’t resubmit — this is the single most common mistake, and it risks creating a duplicate claim that then needs its own resolution.
- Keep supporting documentation ready — service agreements, session records, and delivery evidence — in case the review requires it.
- Track held claims separately from rejected claims in your own systems , so staff aren’t treating a routine hold as an error requiring rework.
