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  1. Home /
  2. For health providers /
  3. Claims, provider payments and entitlements

Claims, provider payments and entitlements

We're here to support our healthcare providers. There are many claims, provider payments, subsidies, and entitlements you can apply for through us.
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  • Artificial eyes subsidy

    This subsidy is paid to service providers when a patient has had an eye removed.
  • Breast prosthesis subsidy

    These payments help to reduce the cost of purchasing breast prostheses and other related products.
  • Dental claim and enrolment forms

    We provide funding for some child and adolescent oral and dental health services.
  • General Medical Services claims

    GMS are subsidies paid to general practitioners under the Section 88 notice to help reduce patient fees for children and subsidy card holders.
  • Immunisation subsidy

    A subsidy for GPs who give vaccines to eligible patients and submit claims to Sector Operations.
  • In-between travel settlement

    Home and community support workers can be paid for travel between clients, known as 'in-between travel'.
  • National Enrolment Service

    Information on the National Enrolment Service, how it is being implemented, and what this means for PHOs and general practice.

  • National Health Index

    Find out about National Health Index (NHI) numbers, who is entitled to them and how to register a patient for one.
  • National Health Index entitlements

    Learn more about National Health Index entitlements
  • Needs assessment and service coordination forms

    This is the standard national form for Needs Assessment Service Coordination agencies to record eligibility and service coordination information.
  • Pharmaceutical co-payment

    Most people who are eligible for publicly-funded health and disability services will pay a maximum of $5 to pick up each subsidised medicine.
  • Pharmacy claims

    Pharmacy claims cover the medicine subsidy and dispensing costs associated with supplying prescribed pharmaceutical items to patients.
  • Primary health organisations payments

    PHOs are funded to support general practices to provide essential primary health care services to people enrolled with the PHO.
  • Salary subsidy service payment

    Salary subsidies for Wesley Wellington Mission, for doctors employed as medical officers for Wesley Haven and Wesley Ewart hospitals.
  • Sector operations resources

    Resources such as claim specifications and guidelines.
  • Services to improve access

    A key priority for Primary Health Care is to enable groups with the greatest need to access services to improve their health.

  • Special Authority

    Special Authority is an application process in which a prescriber requests government subsidy on a Community Pharmaceutical for a particular person.

Also in this section

  • For health providers
    • Claims, provider payments and entitlements
      • Artificial eyes subsidy
      • Breast prosthesis subsidy
      • Dental claim and enrolment forms
      • General Medical Services claims
      • Immunisation subsidy
      • In-between travel settlement
      • National Enrolment Service
      • National Health Index
      • National Health Index entitlements
      • Needs assessment and service coordination forms
      • Pharmaceutical co-payment
      • Pharmacy claims
      • Primary health organisations payments
      • Salary subsidy service payment
      • Sector operations resources
      • Services to improve access
      • Special Authority
    • Eligibility resources for service providers
    • Primary maternity care
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