HEALTH PLAN CLAIMS PROCESSING 

Primary Health Reimbursements:
Primary claims that have been submitted through the portal are being processed within approx. 5 working days. These claims are triaged, meaning some may be processed quicker, and some may take longer depending on the contents.
Claims submitted via the post or email are considerably more manual to process. This queue will take longer for the team to work through and assess.

The Healthplan portal is designed to submit your claims as you receive them, we encourage you to not submit all your claims at once. We would much rather get your money back to you throughout the year and avoid a seasonal backlog.

Surgical Claims:
· As stated in your policy, we require at least 10 working days to assess a Surgical claim.
· Surgical prior approvals are prioritized based on urgency and the date of the procedure.
· Queries are addressed within approximately 5 working days of receipt.
· Prior approvals are valid for 60 days.

Surgical Payments:
· As with most Insurers, we aim to pay invoices received on the 20th of the month following receipt of invoice.
· If you receive correspondence regarding an outstanding invoice, please forward it to our team at healthplan@policeassn.org.nz
· For calls related to invoices, please direct them to our office at 0800 500 122.