✨ Health Service Business Rules




4236

NEW ZEALAND GAZETTE

No. 151

SCHEDULE E: BUSINESS RULES

E1 REPORTING OF INFORMATION

E1.1 You agree to comply with the information requirements outlined in the service specifications contained in Schedule F of this Notice.

E1.2 You agree that all information which you are required to provide under this Notice will:

a. be submitted on the appropriate forms provided by us or our Payment Agent for the purpose or on any forms approved by us, including computer forms; and

b. be sent to our Payment Agent, at the location we advise to you from time to time, within the reporting times identified in the service specifications contained in Schedule F of this Notice. If you use computer forms, then you agree to send a duplicate copy to our Payment Agent.

E1.3 The fees paid to you under this Notice include these information supply costs.

E2 CLAIMS FOR PAYMENT

E2.1 If you are not currently claiming for General Dental Benefits then before you can commence claiming for payment under this Notice you will complete an application form provided by us or our Payment Agent giving the necessary details to allow for payment. All the details in this clause E2.1 will be provided by you. These details are:

a. your legal name and the name of a contact person in your organisation (if different from your legal name);

b. your physical address and your contact details, including postal address and phone numbers;

c. your bank account number and GST registration number; and

d. the name of the lead Dentist in your organisation (if different from your legal name) and his/her DCNZ registration number and year of graduation.

If you are currently claiming for General Dental Benefits you are deemed to have already met these requirements and will not be required to provide this information.

E2.2 You may only claim payment for the provision of Services to a Patient.

E2.3 All claims for payment should be made within three months from the date the Services to the Patient to which the claim relates, are completed. No claims for



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Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 2003, No 151


Gazette.govt.nz PDF NZ Gazette 2003, No 151





✨ LLM interpretation of page content

πŸ₯ Provider Quality Specifications for Services (continued from previous page)

πŸ₯ Health & Social Welfare
Reporting requirements, Payment claims, Information submission, Dental services, Compliance