A. When claiming for reimbursement: Tranche 1
B. When claiming for reimbursement: Tranche 2
C. When claiming for reimbursement: Tranche 3
A. When filing claims for surgical procedure of breast cancer
C. When filing claims for chemotherapy of breast cancer
D. Hormonotherapy
D.1. When filing claims for Hormonotherapy: Tranche 1
D.2. When filing claims for Hormonotherapy: Tranche 2
E. Targeted Therapy
E.1. When filing claims for Targeted Therapy: Tranche 1
E.2. When filing claims for Targeted Therapy: Tranche 2
E.3. When filing claims for Targeted Therapy: Tranche 3
F. When filing claims for surveillance of breast cancer
G. Patient transfer
H. Sample Claim Form (CF) 2
I. Other Documents
A. When claiming for reimbursement: Tranche 1
B. When claiming for reimbursement: Tranche 2
When claiming for reimbursement: Post-surgery Stage I-II (low risk) - (Single tranche)
1. When claiming for Tranche , Post-surgery Stage II (high risk)- III
2. When claiming for Tranche 2, Stage II (high risk)-III
A. When claiming for reimbursement: Tranche 1
B. When claiming for reimbursement: Tranche 2
A. When claiming for reimbursement: Tranche 1
B. When claiming for reimbursement of succeeding tranche
C. When claiming reimbursement of the last tranche
A. When claiming for reimbursement: Tranche 1
When claiming for reimbursement: Rectum Cancer Stage I (clinical and pathologic stage) - (Single tranche)
1. When claiming for Tranche 1, Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III
2. When claiming for Tranche 2, Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III
3. When claiming for Tranche 3, Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III
1. When claiming for Tranche 1, Rectum cancer pre-treatment clinical stage II - III
2. When claiming for Tranche 2, Rectum cancer pre-treatment clinical stage II - III
3. When claiming for Tranche 3, Rectum cancer pre-treatment clinical stage II - III
A. When claiming for reimbursement: Tranche 1
B. When claiming for reimbursement: Tranche 2
A. When claiming for reimbursement: Tranche 1
B. When claiming for reimbursement: Tranche 2
A. When claiming for assessment, prescription, casting and measurement of the assistive device (1st Tranche)
B. When claiming for assistive device fitting and mobility training (2nd Tranche)
C. When claiming for rehabilitation services (3rd tranche)
A. When claiming for Initial Assessment from a Medical Specialist (1st Tranche)
B. When claiming for Initial Assessment from a Rehabilitation Therapist/Allied Health Professional (2nd Tranche, if applicable)
A. When claiming for Discharge Assessment from a Rehabilitation Therapist/Allied Health Professional (1st tranche, if applicable)
B. When claiming for Discharge Assessment from a Medical Specialist (2nd tranche)