Please read the following information before completing this form• Benefits are only payable for services and products provided ... accompany this claim• Claims must be lodged with Latrobe within two years of the date of serviceBoth sides of this form must be completed...
NATIONAL PRIVATE PATIENT HOSPITAL CLAIM FORM1. PATIENT / FUND MEMBERSHIP DETAILS (Please print and insert ticks ( ) in boxes) ... DECLARATION CONCERNING CLAIM (The accurate answers to these questions are an essential part of this claim)3. HOSPITAL ACCOMMODATION...
Information for extras providers. File registrations and lodge claims with Latrobe's Simplified Billing System for healthcare providers ... prior to submitting your first claim to ensure maximum benefits are paid. The following forms and documents are available to assist...
How do I claim on my extras cover?There are a number of ways to claim on Latrobe Health extras. HICAPS or Healthpoint: You can ... can claim extras benefits immediately with participating providers. Swipe your membership card and your account will be immediately...
How to Claim on ExtrasHow to claim on extras cover with Latrobe Health Services. Health insurance your way - claim online or ... the app or claim directly with Latrobe.Easy extras-claiming options There are several options for making a claim on your extras...