Transcription of CLAIM FORM
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CLAIM FORM
HOW TO CL AIM1. Complete this form Ensuring you have: Provided your membership number Signed the Attach supporting documents Extras claims (see below for info on these requirements) Itemised receipt(s) Additional form or letter (if required). Hospital claims (inpatient services)First, CLAIM Hospital or Medical (Specialist) bills from Medicare (via a two-way CLAIM form ). Then: Do attach your Medicare Statement of Benefit Don t attach your cheque, Statement of CLAIM & Benefit Payment or Medicare Claims RECEIPTSP lease ensure all receipts include the provider s: Official letterhead or stamp Name Address the service was provided Phone number Provider number (if available) and/or provider s registration number with professional associations Signature (or their representative s).
YOU APPY! Claim on the go using our member app. Download it today, then simply take a photo of your receipt and submit. It’s that easy and there is no need to fill out a claim form when using the app. Visit teachershealth.com.au/app or call 1300 728 188 for more information.
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