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Hearing Services Program claim for payment form

Providers must have a digital or physical claim for payment form for every claim, and the form can also be used submitting manual claims.

This form is mandatory for every claim. Keep a copy of the completed claim form on the client’s record.

Hearing Services Program claim for payment form (effective from 1 July 2025)

Providers must use this updated form from 1 July 2025, however you can use this form sooner.

Hearing Services Program claim for payment form

Hearing Services Program claim for payment form – example

About this resource

Publication date:
Publication type:
Form
Language:
English
Part of a collection:
Hearing Services Program provider resource collection
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