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Email is the best way to reach us - no hold times, and you'll typically have your queries answered within 48 hours.

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Request billing approval

Please note

You'll find most of the items we cover in our Fee Finder, along with what we expect to be charged for these.

For anything not usually covered by Vitality, please complete the form below.

Provider name

This refers to the practitioner, clinic or hospital you are contacting on behalf of

Email address

Contact name

Please provide the name of the person filling in the form

Patient's plan number

Patient's name

Claim number

Please select the billing query

Items that aren't usually covered by our policies and billing guidelines General anaesthesia for a procedure we wouldn't usually expect it for Consultation within 28 days of surgery Surgery with more than 1 consultant in attendance Surgery that is more complex Surgery that is more complex than usual, which you feel requires consideration regarding the tariff. This will only be considered in exceptional circumstances

Please confirm member consent

Yes, the member consents

Procedure codes

If supplying multiple procedure codes, please separate with a comma.

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Procedure/Treatment date

Supporting Documents

Please provide a copy of a clinic letter. This needs to explain why this item should be covered and explain any additional complications.

A maximum of 5 files can be uploaded
Acceptable file formats include PDF, JPG, JPEG, PNG, XLS, XLSX, DOC and DOCX
Files must be 5MB or less

Additional Information

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