National Private Patient Hospital Claim Form

The National Private Patient Hospital Claim form was designed to ensure all key stakeholders, including Commonwealth and State/Territory Departments of Health, and all Australian private hospitals, day facilities and public hospitals, and key associations and agencies, that this form is the standard national form to be completed for the payment of benefits for all admitted patient claims for all privately insured patients in private and public hospitals in Australia.

The PDF version of this form can be downloaded here. Private Healthcare Australia recommends that you supply this PDF form to your local printer.




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