Get Southern Cross Claim Form

Filling out the Southern Cross Claim Form online can streamline your health insurance claim process. This guide will provide you with step-by-step instructions to complete the form accurately and efficiently.

Follow the steps to complete your Southern Cross Claim Form online.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Enter your membership number in the designated field. This helps to ensure accurate processing of your claim.
3. Complete the member details section by providing your policyholder name and mailing address. Include your title, first name, surname, date of birth, and all phone numbers.
4. Specify your preferred refund options. If you wish to receive funds through direct deposit, provide your bank/branch number, account number, and suffix. If you prefer a cheque refund, indicate that you do not have bank account details on file.
5. Read and acknowledge the privacy act/declaration. This section explains how your personal information will be used. Ensure to check the declaration statements and provide your signature along with the date signed.
6. Fill out the medical claims section on the back of the form, if necessary. Provide patient details, including name, date of birth, date of injury, and any relevant medical information.
7. For surgical and CT/MRI claims, ensure you attach the original itemized accounts. Complete the related sections by providing details on the procedure, name of the provider, date of service, and total amount charged.
8. Review the completed form to ensure all information is accurate. Check that the policyholder has signed the declaration and that all necessary attachments are included.
9. Once everything is complete, you can save your changes, download the form, print it out, or share it as needed.

Start filling out your Southern Cross Claim Form online today to ensure your claims are processed smoothly.