Given the challenges resulting from the Coronavirus crisis, Latrobe Health Services has minimised all manual correspondence, including;
- Cheque payments – all payments will be made from Latrobe Health Services by direct credit
- Cheque refunds – must be paid to Latrobe Health Services by direct credit
- Assessment / remittance advices - are only being sent via email
- Manual paper claims – we encourage Eclipse transmission of all hospital claims where at all possible
Direct Credit Authorisation
Latrobe encourages all hospital provider payments to be through direct credit arrangements.
It is anticipated that cheque payments will be ceased in the near future.
Please download, complete and submit a Direct Credit Authorisation Form to Latrobe's Hospital Claim Department at hcenquiry@lhs.com.au.
Latrobe is a member of the Australian Health Service Alliance (AHSA) who manage hospital contracts on our behalf.
We are pleased to advise that Latrobe Health Services (LHS) has become a member of the Australian Health Service Alliance (AHSA).
Our organisations see benefits for all stakeholders in this new arrangement effective from 1 July 2023. Communication was sent to hospital CEO's on 28/04/2023
The transition of agreements from ARHG to AHSA was completed 1 July 2023.
Latrobe members will continue to have access to an extensive network of agreement hospitals.
We are committed to ensuring that there will be no impact to our members during this transition.
Latrobe will not be taking up the AHSA Medical Gap Scheme at this time. Any changes to Latrobe’s current gap arrangements will be communicated in the future, it is worth noting that we anticipate that any formal review of the current medical gap arrangements will not occur prior to mid-2024 .
Any queries regarding the transition arrangements to helen.bentley@ahsa.com.au or kmc@lhs.com.au
Hospital Provider Forms and Certificates:
National Private Patient Hospital Claim Form
Download, complete and submit this form with every hospital claim. It must be signed by the Latrobe member and authorised hospital person.
Psychiatric Certificate
Download, complete and submit this certificate with every psychiatric claim.
Rehabilitation Admission and Discharge Certificate
Download, complete, and submit this certificate with every rehabilitation admission and discharge claim.
Acute Care Certificate
Download, complete, and submit this certificate for all claims that have an episode in excess of 35 days and for every 30-day period thereafter.
Pre Existing Medical Certificate
Download, complete, and submit this certificate if the member has not served waiting periods before cover can be confirmed. It must be completed by the member's GP and specialist.
ARHG Critical Care Classification Criteria Guidelines and Critical Care Certificate
All critical care claims must be submitted in accordance with the guidelines above. As governed by the HPPA the Critical Care Certificate must be submitted with the hospital claim.
Exceptional Drug Funding (EDF) Request Form
In accordance with the HPPA any valid requests for Exceptional Drug Funding must be submitted using the EDF Request Form.
Participating Private Hospitals
Click the link to find and download the publication list of Latrobe's participating private hospitals.
Latrobe Supported Discharge Program (SDP).
SDP is designed to provide short-term assistance and support while patients recuperate from their recent illnesses. This enables the hospital to seek funding from Latrobe to arrange for these services to start once the patient gets home.
It is important to note that the SDP is not an automatic entitlement. Each case is considered on an individual basis, according to the information provided by the member, the referring health service provider, and the medical practitioner involved, and must replace in-hospital bed days. Assistance and support may be provided in a range of areas including:
- Home-based nursing care
- Home Care / Personal Care / General self-care / Child Care
- Household management
- Home-based Rehabilitation / Home based respite care
- Residential Convalescent care in a registered Supported Residential Service
- Service coordination and support
- Provision of specialised equipment (not including routine aids such as frames and crutches)
During the transition phase from ARHG to AHSA Latrobe will continue to provide our members with access to the Latrobe SDP. As the transition develops Latrobe will explore the opportunities that our AHSA membership can offer in this area.
All enquiries for Latrobe members requiring SDP should be directed to sdp@lhs.com.au
Hospital claim and HCP data enquiries
All hospital claims enquiries should be directed to Latrobe's Hospital Claim Department at hcenquiry@lhs.com.au
HCP data for separations on or before 30/06/2023 should be directed to hcp@lhs.com.au
HCP data should be sent directly to AHSA for separations from 1 July 2023. Further information about this process will be sent to your hospital HCP contacts.