✨ Oral Health Services Specifications
4268 NEW ZEALAND GAZETTE No. 151
payment will be accepted after 18 months from the date the Services to the Patient to which the claim relates, are provided.
E2.4
Payment for Services specified in this Notice will be made by direct credit to your nominated bank account, within 20 Working Days from the receipt of a valid claim by our Payment Agent.
E2.5 A claim for payment may not be approved for payment if:
a. we have reason to believe that the information you have submitted for or in support of your claim is erroneous; or
b. we have reason to believe that the Services you have provided are not in accordance with the service specifications contained in Schedule F of this Notice; or
c. you have not obtained the necessary prior approval under clause G3.2 to provide the Services,.
We agree to advise you in writing of the reasons for any non-approval of payment.
E2.6
You agree to sign and verify all claims for payment made by you and you agree to certify that:
a. the Services for which payment is claimed, have been provided in accordance with the provisions of this Notice, and
b. all information supporting the claim is true and correct in every respect.
E2.7
If you fail to comply with clause E2.6 or the reporting requirements set out in Schedule F and elsewhere in this Notice we may at our discretion, withhold 10% of any payments owing to you until such requirements are met.
E2.8
You cannot claim payment under any other contract, or Notice, for the Services you provide under this Notice. You cannot claim payment under this Notice for the services you provide under any other contract or notice.
E3
NO CHARGES TO PATIENTS FOR SERVICES
E3.1
The prices set out in Schedule G represent the full payment to be received by you for providing the relevant Services and you agree not to charge the Patient for any of the Services provided under this Notice.
E4
AUDITS GENERALLY
E4.1 You agree to provide us and our authorised agents with access to:
a. all records related to the provision of the Services;
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2003, No 151
Gazette.govt.nz —
NZ Gazette 2003, No 151
✨ LLM interpretation of page content
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Provider Quality Specifications for Oral Health Services
(continued from previous page)
🏥 Health & Social WelfarePayment claims, Compliance, Reporting requirements, Dental services, Payment agent