ED redirect

Currently Medicross and Carefirst are the contracted providers for this service.

• Practices can only claim an ED redirection subsidy for patients who have been redirected from Taranaki Base Hospital, utilisng the Emergency Q system.
• Patients eligible for New Zealand funded healthcare services.

Submit your referral via Primary Options using the initial condition coding: ED Redirect

When invoicing for the service please lodge an 'outcome and invoice' form and select the appropriate invoice.

The price listed below is GST inclusive. 

ED redirect GP/NP consultation:                                                   $115
This invoice funds the initial consultation for the redirected patient. No other charges can be billed to the patient

If the patient meets POAC criteria, please initiate a separate referral for any invoices claimed under that POAC pathway.

Please note ED redirect consults must be in the practice, they cannot be virtual

Once the patient is at the practice, the GP/NP will assess the patient and determine whether the condition meets any Primary Options Acute Care criteria or is considered normal GP business/non-acute.       

If the patient meets Primary Options Acute Care criteria, please claim the above invoice to cover the cost of their initial consultation and then initiate a separate claim and continue to claim as you normally would for a Primary Options Acute Care case.

Funding is available under this service for any radiological investigations/payments that are not funded by either ACC or POAC.In cases funded by ACC this only covers the co-payment.

Please use the TK number from your ED redirect claim to request the radiology and include the wording ED Redirect on the request to ensure eligibility.

Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of POAC funding.

It has been recommended that in addition to a good assessment and history, the full range of appropriate observations should be documented, especially where the diagnosis is undetermined. It is important to state the time of consultations and interactions with the patient.

There is no co-payment to be charged to the patient.

The service is funded by Te Whatu Ora.