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Claiming funded vaccine

Programme dates

  • The 2022 Influenza Immunisation Programme began on 1 April 2022.
  • The Influenza Immunisation Programme runs until 31 December 2022 for all groups.

NHI numbers

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:

  • Your payee number
  • Patient’s surname, first name and middle name
  • Patient’s gender and date of birth
  • Patient’s previous address
  • Any other name/s the patient has been known as

Electronic forms

Available via most Practice Management Systems.

    Manual forms

    For more information and to download the form visit:

    www.health.govt.nz/new-zealand-health-system/claims-provider-payments-and-entitlements/immunisation-subsidy

    More information about eligibility for funded influenza vaccination

    All children aged under 18 years who meet the influenza vaccination eligibility criteria can receive funded influenza vaccination regardless of their immigration and citizenship status, and providers can claim the immunisation benefit for administering the vaccine. 

    Adults aged 18 years or older who meet the influenza vaccination eligibility criteria must also be eligible to receive publicly funded health and disability services in New Zealand to receive funded influenza vaccination. Refer to the Health and Disability Services Eligibility Direction 2011 for eligibility criteria (available at www.health.govt.nz/new-zealand-health-system/eligibility-publicly-funded-health-services). 

    Women aged 18 years or older who are pregnant and not eligible to receive publicly funded health and disability services in New Zealand are recommended to receive influenza vaccination but are not eligible to receive funded vaccination, even if they are receiving funded primary maternity services under the Section 88 Primary Maternity Services Notice 200721 (available at www.health.govt.nz/publication/section-88-primary-maternity-services-notice-2007).

    Eligibility and clinical queries

    The Immunisation Advisory Centre (IMAC)

    The University of Auckland
    Phone: 0800 IMMUNE (0800 466 863)
    Email: 0800immune@auckland.ac.nz
     

    Manual claiming and payment queries

    Sector Operations Contact Centre

    Phone: 0800 855 066 – option 2

    Website: www.health.govt.nz/new-zealand-health-system/claims-provider-payments-and-entitlements/immunisation-subsidy