New Zealand Gazette – 2011 – No. 79

Page 1859

✨ Healthcare Claims Regulations

8 JUNE 2011 NEW ZEALAND GAZETTE, No. 79 1859

(d) the claim is permitted under this notice; and

(e) the assessor involved in providing the hearing aid service is an approved assessor at the time the hearing aid service is provided.

Defined in this notice: approved assessor, audiology provider, authorisation, claim, eligible person, hearing aid services

CD2 No claim if claim is covered by another arrangement

An audiology provider may not claim under this notice if the audiology provider, or anyone who works for the audiology provider (whether as an employee or otherwise) is entitled to have the claim satisfied (whether directly or indirectly) under any other arrangement with the Ministry of Health, the ACC, the ACC and the Ministry of Health jointly, or Veteran’s Affairs New Zealand.

Defined in this notice: ACC, audiology provider, claim

CD3 When claims for hearing aid subsidy must be for actual cost of hearing aid

(1) This clause applies if—

(a) an audiology provider receives a hearing aid from a manufacturer for an amount that is less than the hearing aid subsidy; and

(b) the audiology provider claims the hearing aid subsidy under this notice for providing the hearing aid.

(2) If this clause applies, then, without limiting clause CB13, the audiology provider may claim only the actual cost of the hearing aid and not the hearing aid subsidy.

(3) For the purposes of subclause (2), actual cost, in relation to a hearing aid, includes, but is not limited to, discounts for bulk purchases of the hearing aid.

Defined in this notice: audiology provider, claim, hearing aid, hearing aid subsidy, manufacturer

CD4 Claim to be properly completed

(1) An audiology provider must ensure that every claim that the audiology provider makes is properly completed in accordance with the requirements specified by the Ministry of Health or the services manager.

(2) An audiology provider must ensure that the eligible person’s NHI number is supplied with each claim.

Defined in this notice: audiology provider, claim, eligible person, NHI number, services manager

CD5 Timing of claims

(1) An audiology provider may make a claim only on completion of the hearing aid service for which the claim is made.

Gazette.govt.nz — NZ Gazette 2011, No 79

The General Assembly Library (on the right) was completed in 1899 and survived the 1907 fire. Now the oldest remaining original Parliament building, still used as the Parliamentary Library.

✨ LLM interpretation of page content

🏥 CD1 Basis for claiming under this notice (continued from previous page)

Domain🏥 Health & Social Welfare
KeywordsAudiology provider, Payment claim, Hearing aid service, Eligible person

🏥 CD2 No claim if claim is covered by another arrangement

Domain🏥 Health & Social Welfare
KeywordsAudiology provider, Claim exclusion, Ministry of Health, ACC, Veteran’s Affairs

🏥 CD3 When claims for hearing aid subsidy must be for actual cost of hearing aid

Domain🏥 Health & Social Welfare
KeywordsHearing aid subsidy, Actual cost, Discounts, Bulk purchases

🏥 CD4 Claim to be properly completed

Domain🏥 Health & Social Welfare
KeywordsClaim completion, NHI number, Ministry of Health, Services manager

🏥 CD5 Timing of claims

Domain🏥 Health & Social Welfare
KeywordsClaim timing, Hearing aid service completion

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