Claiming funded vaccine

 

The patient’s correct NHI number is essential to process the claim - an incorrect NHI number (often adding the letter ‘o’ rather than a zero ‘0’) is the most common reason for rejected claims.

If you do not know your patient’s NHI number, phone Sector Services on 0800 855 151. You will need:

  1. Your payee number
  2. Patient’s surname, first name and middle name
  3. Patient’s gender and date of birth
  4. Patient’s previous address
  5. Any other name/s the patient has been known as

Electronic forms

Available via most Practice Management Systems.

Manual forms

Download the form at: 

www.health.govt.nz/system/files/documents/pages/immunisation-benefitclaim-details-form.pdf

Please note manual claims require District Health Board written approval. The written approval must accompany manual claims when sent to Sector Services.

Please select correct coding box.

Funded vaccines eligible for payment need to be submitted within eight months from the date the patient received the influenza vaccine. Funded vaccines eligible for payment must be administered within the subsidised period. 
Note: The second influenza vaccine dose for eligible children aged under 9 years must have been given within one month after the end of the subsidised period to be able to be claimed and only when prior approval has been given by your DHB.

Patient eligibility and clinical queries contact
Immunisation Advisory Centre (IMAC)
The University of Auckland
Phone: 0800 IMMUNE (0800 466 863)
Email: 0800immune@auckland.ac.nz

For manual claiming and Payment Queries
Call sector services contact centre on 0800 458 448