Get Provider Claim Form - Iman Australian Health Plans

Filling out the Provider Claim Form for IMAN Australian Health Plans can seem daunting, but with clear instructions, the process can be straightforward. This guide provides step-by-step assistance to ensure you accurately complete your claim online.

Follow the steps to conveniently fill out your Provider Claim Form.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by completing your policy details. Enter your policy number, family name, first name, and current postal address. This address is where any correspondence regarding your claim will be sent.
3. Continue by providing your daytime phone number, and then specify the details of your claim. Indicate whether you are claiming medical services or everyday extras, and fill in the relevant information such as dates of service, provider's name, and whether the account has been paid in full.
4. If claiming for medical services, confirm if the claim is related to compensation or an accident. If applicable, for everyday extras, indicate if you have a Medicare card and, if so, provide the card number.
5. Next, provide the patient name, interim or reciprocal information, and the start and expiry dates for any relevant cards.
6. Decide how you would like IMAN to pay your claim by selecting from the provided options: crediting your SafeClaim account, sending a cheque to your name, or sending a cheque to your partner's name.
7. Answer the questions regarding your health premium and whether you are registered for GST. Proceed accordingly based on your answers.
8. Carefully read the important information section before signing the form. Your signature indicates that all provided information is truthful and that you authorize IMAN to process your claim.
9. Compile your claims checklist, ensuring all receipts are attached, valid, and meet the outlined criteria.
10. Finally, complete your form and submit it through mail, email, or fax according to the provided instructions.

Start completing your Provider Claim Form online today for a seamless claims process.