✨ Health Services Payment Procedures
23 MARCH 2005 NEW ZEALAND GAZETTE, No. 55
1375
PART F: PAYMENTS
F1. Payments
F1.1
The Ministry will make payments to the Provider or the Eligible Person in accordance with the terms of this Notice where the Provider or the Eligible Person has complied with the terms and conditions of this Notice, including the requirements, rules and procedures relating to claiming and payments as set out Parts D and E.
F1.2
The amount of any payment under this Notice will not exceed the Eligible Person’s Entitlement Balance as at the Purchase Date. If the cost of the Services exceeds the Entitlement Balance, the Provider must recover the additional cost from the Eligible Person.
F2. Payments to Providers
F2.1
HealthPAC will pay the Provider on or before the 20th Working Day after the Claim Receipt Date.
F2.2
HealthPAC will send a Buyer Created Tax Invoice (“BCTI”) to the Provider once payment has been made.
F3. Payments to Eligible Persons
F3.1
HealthPAC will pay the Eligible Person on or before the 20th Working Day after the Claim Receipt Date.
F3.2
HealthPAC will send a BCTI to the Eligible Person once payment has been made.
F4. Form of Payment
F4.1
The Ministry will pay the Provider or the Eligible Person, as the case may be, by lodging funds into the bank account advised to HealthPAC by the Provider or Eligible Person.
F5. Overpayment
F5.1
If the Ministry overpays a Provider or an Eligible Person for provision or purchase of the Services, as soon as that Provider or Eligible Person becomes aware of such overpayment he or she must immediately notify HealthPAC in writing of that overpayment.
F5.2
The Provider or Eligible Person must repay any overpayment to HealthPAC within 10 Working Days of:
(a) that Provider or Eligible Person notifying HealthPAC of the overpayment under clause F5.1; or
(b) HealthPAC notifying the Provider or Eligible Person of any overpayment that the Ministry becomes aware of, unless that Provider or Eligible Person can clearly demonstrate that it was not an overpayment.
F5.3
If the Provider or Eligible Person does not repay the overpayment in accordance with this clause F5, the Ministry may exercise its right of set off under clause F6.
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2005, No 55
Gazette.govt.nz —
NZ Gazette 2005, No 55
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Service Specification for Health Services
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🏥 Health & Social WelfareHealth Services, Claims Process, Eligible Persons, Provider Requirements, Payment Procedures