Southern cross claim form 2025

1. Click ‘Get Form’ to open the southern cross claim form in the editor.
2. Begin by filling in your policyholder details, including your first name, surname, date of birth, and contact information. Ensure accuracy as this will help update your records.
3. Next, provide your bank account details for payment. Fill in the bank/branch number, account number, and suffix if you have paid for your treatment.
4. For surgical claims, enter the patient’s name and date of birth. Specify the name of the surgery/procedure and include any prior approval numbers if applicable.
5. Indicate whether you want us to pay your provider directly by selecting 'Yes' or 'No' for each relevant provider listed.
6. Complete the privacy act/declaration section by signing and dating the form to confirm that all information is accurate.
7. Finally, attach any required receipts or invoices before submitting your completed form back to Southern Cross Health Society.

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