2023 Claiming funded vaccine

Influenza Immunisation Programme 2023 dates

• The 2023 Influenza Immunisation Programme begins on 1 April 2023.
  
• The Programme runs until 31 December 2023 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.

Immunisation subsidy - including Manual forms

www.tewhatuora.govt.nz/our-health-system/claims-provider-payments-and-entitlements/immunisation-subsidy

How to submit immunisation claims to Sector Operations
www.tewhatuora.govt.nz/our-health-system/claims-provider-payments-and-entitlements/immunisation-subsidy/how-to-submit-immunisation-claims-to-sector-operations/#submit-your-claim-manuall

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.tewhatuora.govt.nz/our-health-system/claims-provider-payments-and-entitlements/immunisation-subsidy