Medical providers

Medical providers

Information and resources

Claim requirements

Latrobe Health Services provides “Known Gap” cover under an MPPA. All Simplified Billing Claims are required, under legislation, to include evidence of Informed Financial Consent (IFC), even if you are not charging a “Gap” to our member. We understand that many practitioners choose to provide their own stationery rather than keeping a supply from each different Health Fund. If you choose to submit claims without the stationery we have provided please be mindful of our requirement regarding proof of IFC. If your claims come to us without this information, or without a declaration, we may return the claim to you for further clarification and or completion.

All practitioners submitting claims via Simplified Billing must be registered with Latrobe Health Services. Any new Provider Numbers issued by the Health Insurance Commission must be notified to Latrobe Health Services and registered accordingly. At any time you can alter details such as contact numbers and postal addresses by completing an Alteration Form.

Payment of claims

All payments will be made by direct credit to your nominated account. Remittance advices will be forwarded to the email address nominated on your Simplified Billing Provider Registration Form. If you require a change in banking details please download, complete and submit an Alteration Form for Simplified Billing Providers to Latrobe.

Amount of benefit you will receive

This is detailed on our medical Practitioners Guide To Simplified Billing. Latrobe Health Services does not have its own Schedule of Fees and Charges. Our payments are a percentage in addition to the Medicare Scheduled Fee and these percentages are based on the speciality of the practitioner. Because we provide a percentage based benefit we do not produce our own booklet of benefit amounts. To calculate the amount you will receive from LHS simply use the current Medicare Benefits Schedule and add the applicable percentage to the Scheduled Fee.

Privacy

At Latrobe, our commitment is to handle personal information in a way that is consistent with our Privacy Statement and our obligations under the Australian Privacy Principles. If you would like more information concerning our information handling practices, please contact our Privacy Officer.

 

Please contact us for further information or assistance.