For Healthcare Providers | Latrobe Health Services Information for extras providers. File registrations and lodge claims ... Practitioners Guide to Simplified Billing Just Ask Brochure Batch Header Form Simplified Billing Claim Form You will need Acrobat...
the declaration on the Medical Practitioners’ claim form/ batch header OR b) your patient (our member) signs the declaration on ... directly to us using the Medical Practitioners’ claim form/ batch header You sign a declaration contained in this form stating that...
ABN 94 137 187 010Phone: 1300 362 144SIMPLIFIED BILLING BATCH HEADERFOR USE WHEN FULLY DETAILED ACCOUNTS ARE ATTACHED* Please
For Medical Providers Learn more about Latrobe Health Services Known Gap cover, Eclipse online medical claiming, ... registration process below) Please refer to the below forms: Batch Header Form Simplified Billing Claim Form Eclipse - Medical online...