Claims for dental benefits
15 Claims for dental benefits
Claims for unassigned dental benefits
A claim for a dental benefit (other than a dental benefit assigned under section 12) must be made in accordance with the approved form and:
lodged with the Chief Executive Medicare; or
sent, in such circumstances (if any), and subject to such conditions (if any), as are specified in the Dental Benefits Rules, to the Chief Executive Medicare in such manner as he or she determines.
Claims for assigned dental benefits
A claim for a dental benefit assigned under section 12 must be made in accordance with the approved form and:
lodged with the Chief Executive Medicare; or
sent, in such circumstances (if any), and subject to such conditions (if any), as are specified in the Dental Benefits Rules, to the Chief Executive Medicare in such manner as he or she determines;
within the period of 1 year, or such longer period as is allowed under subsection 16(2), after the rendering of the dental service to which the dental benefit relates.
A claim referred to in subsection (2) must not be paid unless the claimant satisfies the Chief Executive Medicare that, after signing the relevant agreement under subsection 12(2), the assignor retained in his or her possession a copy of the agreement.
A determination under paragraph (2)(b) may provide for a claim for a dental benefit to be sent by electronic transmission.
Subsection (4) does not limit paragraph (2)(b).
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