Commonwealth of Australia
Private Health Insurance Incentives Act 1998
Private Health Insurance Incentive
(Form and Content of Claim) Determination
(PHIIA 15-10(2)/1/1999)
I, Jeffrey Allan Harmer, Managing Director of the Health Insurance Commission, make the following Determination under subsection 15-10(2) of the Private Health Insurance Incentives Act 1998.
Dated this 23rd day of July 1999.
JA Harmer
Managing Director of Health Insurance Commission
Citation
1. This Determination may be cited as the Private Health Insurance Incentives (Form
and Content of Claim) Determination.
Commencement
2. This Determination is taken to have commenced on 1 January 1999.
Interpretation
3. In this Determination:
“Act” means the Private Health Insurance Incentives Act 1998.
Form of Notification
4. For the purposes of subsection 15-10(2) of the Act, the notice must be in the form
of either an electronic transmission or facsimile transmission.
Content of Claim
5. For the purposes of subsection 15-10(2) of the Act, a claim from a health fund must
contain the following details:
(a) fund’s minor customer identification;
(b) fund identification code;
(c) fund name;
(d) fund electronic date interchange address;
(e) month of claim;
(f) year of claim;
(g) number of policies claimed for the previous month;
(h) number of policies claimed for current month;
(i) total amount claimed for previous month;
(j) total amount claimed for current month; and
(k) number of registered policies.