New Zealand Gazette – 2007 – No. 41

Page 1055

✨ Maternity Service Claims Guidelines



13 APRIL 2007 NEW ZEALAND GAZETTE, No. 41 1055

(c) the primary maternity service has been provided in accordance with all
the applicable requirements of this notice; and

(d) the claim is permitted under this notice.

Defined in this notice: authorisation, claim, maternity provider, person who is eligible for
primary maternity services, primary maternity services

CC2 No claim if claim is covered by another arrangement

(1) A maternity provider may not claim under this notice if—

(a) the maternity provider, or a practitioner who works for the maternity
provider, is entitled to have the claim satisfied (whether directly or
indirectly) under any other arrangement with the Ministry of Health or
a DHB; or

(b) the primary maternity services that relate to the claim have been
provided by a practitioner in their capacity as an employee of a DHB.

(2) For the purposes of audit, a practitioner employed by a DHB must keep a
record of the hours of employment (including on-call hours) with the DHB.

Defined in this notice: audit, claim, DHB, maternity provider, practitioner, primary maternity
services

CC3 Claim to be properly completed

(1) A maternity provider must ensure that every claim that the maternity provider
makes is properly completed.

(2) A maternity provider must ensure that the NHI numbers and EDD are
supplied with each claim.

Defined in this notice: claim, EDD, maternity provider, NHI

CC4 Timing of claims

(1) A maternity provider may make a claim only on completion of the primary
maternity service (including the completion of a module) for which the claim is
made.

(2) A maternity provider must ensure that HealthPAC receives the maternity
provider’s claim for a primary maternity service, other than registrations,
within 6 months of the service being completed.

(3) HealthPAC will return an improperly completed claim to the maternity provider
concerned within 5 working days, but only if the maternity provider can be
identified.

Defined in this notice: claim, HealthPAC, maternity provider, module, primary maternity
services, registration, working day



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Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 2007, No 41


Gazette.govt.nz — PDF NZ Gazette 2007, No 41




✨ LLM interpretation of page content

🏥 Basis for Claiming Under Maternity Service Notice (continued from previous page)

🏥 Health & Social Welfare
Claims, Maternity Provider, Primary Maternity Service, Authorisation, Eligibility