✨ Health Services Claims and Payments
8 JUNE 2011 NEW ZEALAND GAZETTE, No. 79 1861
(b) if requested by the Ministry of Health or the services manager—
(i) must be forwarded by fax or some other electronic means to the services manager within 1 working day or as agreed by the Ministry of Health; and
(ii) the original must be made available for inspection.Defined in this notice: approved assessor, audiology provider, claim, NHI number, services manager, working day
CD8 Payment of claims
(1) Subject to clause CD10(2), the services manager will pay a claim on or before the 22nd day of the month (or, if that day is not a working day, the next working day) following the acceptance of a valid claim.
(2) Payment will be made by way of direct credit.
(3) If a claim has to be returned to an audiology provider for correction of claiming details and a corrected claim has been submitted by the audiology provider, the corrected claim will be paid based on the date of receipt of the corrected claim.
(4) No claim for a hearing aid service will be paid if the claim is received more than 6 months after the hearing aid service has been completed.
(5) Subclause (4) applies unless, in its sole discretion, the Ministry of Health considers there were circumstances beyond the control of the audiology provider that prevented the claim being submitted any earlier.
Defined in this notice: audiology provider, claim, hearing aid services, services manager, working day
CD9 Set-off
(1) If the Ministry of Health determines that an audiology provider has been overpaid or that an audiology provider was not entitled to a payment, or any part of a payment, the Ministry of Health may recover that amount as a debt due and owing or deduct any overpayment from any subsequent payment payable to that audiology provider.
(2) Before making any deduction, the Ministry of Health will advise the audiology provider of the proposed deduction and give the audiology provider—
(a) the reason for the deduction; and
(b) 10 working days to request that the Ministry of Health reconsider the deduction.Defined in this notice: audiology provider, working day
CD10 Withholding of payments
(1) This clause applies if, in the opinion of the Ministry of Health based on reasonable grounds—
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NZ Gazette 2011, No 79
✨ LLM interpretation of page content
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Electronic claiming for hearing aid services
(continued from previous page)
🏥 Health & Social WelfareAudiology, Electronic claims, Payment terms, Claim processing, NHI number