This section contains pages on the various claims, provider payments and entitlements processed by Sector Operations.
Claims, provider payments and entitlements
In this section
- Resources such as claim specifications and guidelines. Read more
- Sector Operations creates new agreements on behalf of the funders and the Ministry of Health. Learn how agreements are created, revised and renewed. Read more
- Information for suppliers of artificial eyes on claiming the artificial eyes subsidy. Read more
- Information on claiming the Breast Prosthesis Service Payment to reduce the cost of purchasing breast prostheses and other related products. Read more
- Resources to help with claiming the Carer Support subsidy, including a brochure on how to claim Carer Support, and the claim form. Read more
- The contact lens subsidy is available to optometrists and dispensing opticians who fit or supply patients who, for medical reasons, cannot wear glasses. Read more
- Dialysis for eligible patients within New Zealand while on holiday is available free of charge. Read more
- Forms to claim for adolescent oral health services, special dental services for children and adolescents, and emergency dental care for low income adults. Read more
- Information on claiming General Medical Subsidies, which are paid to general practitioners to help reduce patient fees for children and subsidy card holders. Read more
- Information for health providers applying for the High Use Health Card on behalf of patients. Read more
- Information about the In-Between travel Settlement, which allows home support workers to be paid for time spent travelling between clients Read more
- Information for general practices on claiming the immunisation subsidy when they administer vaccines to eligible patients. Read more
- Information for laboratories on claiming the laboratory payment for patients who have been referred for tests. Read more
- Authorised doctors and midwives can claim for maternity services they provide to New Zealanders. Read more
- Information on payment for general practitioners who have assessed someone for treatment under the Mental Health Compulsory Assessment & Treatment Act. Read more
- Information for health practitioners on National Health Index (NHI) numbers. Read more
- Find out how to claim for the cost of travel and accommodation, if you have to travel to see a specialist and are eligible for national travel assistance. Read more
- Access the NASC 1004 Notification form, for recording eligibility and service coordination information. Read more
- The Nicotine Replacement Therapy programme is funded to reduce tobacco consumption and to improve the health and lifestyle of New Zealanders. Read more
- The notifiable diseases service payment is received by a doctor when notifying a health protection support officer regarding certain diseases. Read more
- Information for patients on the patient refund service payment available when a specialist has opted not to claim on the patient’s behalf. Read more
- Information for general practitioners on using the practice nurse subsidy to help them employ a registered nurse. Read more
- Information for primary health organisations (PHOs) on claiming and reporting specifications. Read more
- Sector Operations provides a variety of payment-related services for health providers. This page includes information on provider and facility registration and maintenance. Read more
- Pharmacy claims cover the medicine subsidy and dispensing costs associated with supplying prescribed pharmaceutical items to patients. Read more
- Information for the administrators of residential facilities on payments for the Residential Care Subsidy, Residential Support Subsidy, and Top-up Subsidy. Read more
- Salary subsidies are paid to the Wesley Wellington Mission, for doctors employed in the capacity of medical officers for their Wesley Haven and Wesley Ewart hospitals. Read more
- Special Authority is an application process in which a prescriber requests government subsidy on a Community Pharmaceutical for a particular person. Read more
- Information for general practices on the Special Sessional Scheme service payment, a subsidy for running health promotion and awareness programmes. Read more
- The Stump Socks Service Payment is available when claiming artificial aids. Read more
- Information on claiming the Wigs and Hairpieces Service Payment for people who have lost their hair because of a medical condition or treatment. Read more