✨ Hearing Aid Service Claims
1860 NEW ZEALAND GAZETTE, No. 79 8 JUNE 2011
(2) An audiology provider must ensure that the services manager receives the audiology provider’s claim for a hearing aid service within 6 months of the service being completed.
(3) The services manager will return an improperly completed claim to the audiology provider concerned within 5 working days, but only if the audiology provider can be identified.
Defined in this notice: audiology provider, claim, hearing aid services, services manager, working day
CD6 Manual claims
(1) An audiology provider may make a manual claim by submitting either—
(a) a claim on a form approved by the Ministry of Health and available from the services manager; or
(b) the claim form printed from a practice management system that is in the same format and contains identical information as the claim forms approved by the Ministry of Health.
(2) An audiology provider who makes a manual claim must certify that the claim is accurate and complies with the requirements of this notice.
Defined in this notice: audiology provider, claim, claim form, services manager
CD7 Electronic claiming
(1) An audiology provider may claim electronically by submitting an electronic claim file to the services manager.
(2) An audiology provider who intends to claim electronically must comply with the standards for network interoperability and security set by the Health Information Standards Organisation and use a platform supported by the services manager.
(3) The electronic claim file must—
(a) include the date of the claim, the amount of the claim, and the eligible person’s NHI number; and
(b) be in a format approved by the Ministry of Health or the services manager.
(4) An audiology provider who submits an electronic claim file must retain and make available on audit—
(a) a copy of the claim file in a format that allows the claim to be available to the auditors of the Ministry of Health; and
(b) evidence that the audiology provider and approved assessor have certified that the hearing aid services have been provided in accordance with the requirements of this notice.
(5) The information referred to in subclause (4)—
(a) must be readily accessible for audit; and
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NZ Gazette 2011, No 79
✨ LLM interpretation of page content
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Timing of claims for hearing aid services
(continued from previous page)
🏥 Health & Social WelfareAudiology, Claims, Hearing aid services, Timing, Completion
🏥 Manual claims for hearing aid services
🏥 Health & Social WelfareAudiology, Manual claims, Claim forms, Certification
🏥 Electronic claiming for hearing aid services
🏥 Health & Social WelfareAudiology, Electronic claims, Network interoperability, Security, NHI number