Get Specialist Eligib Ility Form (sef) - Bupa

The SPECIALIST ELIGIBILITY FORM (SEF) is essential for members of private health insurers seeking benefit payments for specific surgical procedures. This guide provides comprehensive instructions on how to fill out the SEF online, ensuring that you have all necessary details correctly entered.

Follow the steps to successfully complete your SEF.

1. Press the ‘Get Form’ button to access the form, and download it for editing.
2. Begin filling in the member's name and date of birth in the specified format (dd/mm/yyyy).
3. Indicate the name of the private health fund and the membership number.
4. Enter the medical practitioner's name and their provider number.
5. Specify the medical practitioner's specialty and email.
6. Input the hospital name and the proposed admission date (in dd/mm/yyyy format).
7. Provide the hospital admissions office email.
8. List the MBS codes applicable to the surgery or treatment you are seeking.
9. If applicable, enter the MCRP MBS codes and their approval date.
10. Describe the underlying medical conditions for which the surgery or treatment is necessary.
11. Detail the severity and duration of the symptoms affecting the person.
12. Explain how the proposed surgery or treatment will address the issue.
13. The medical practitioner must sign and date the form, certifying the accuracy of the information.
14. The patient should also provide their signature and the date, granting permission for the information to be shared with the insurance provider.
15. Submit the completed form to the hospital admissions department at least five working days before the surgery or treatment.
16. Finally, once filled out, save changes, download, print, or share the form as needed.

Start completing your Specialist Eligibility Form online today.