Provider numbers for health professionals in Medicare and the Provider Directory System (PDS) 012-42010010
Provider types and associated categories in the PDS
Table 1: this table lists the provider types and associated categories in the PDS.
Provider type |
Includes |
Medical practitioners |
|
Public Hospitals |
|
Private Hospitals |
|
Status of registration
Table 2: this table shows health professionals selected according to their registration status.
Ahpra registration status |
PDS mapped status |
Comments |
General |
Current |
|
Specialist |
Current |
|
Provisional (no conditions) |
Intern |
Internship |
Provisional (conditions) |
Provisional |
Supervised practice |
Limited |
Limited |
Area of need, postgraduate training, teaching, public interest etc. |
Non-Practicing |
Non-Practicing |
|
Suspended |
Suspended |
|
Cancelled |
Cancelled |
|
Not-Registered |
Not-Registered |
HPOS messaging for Provider Registration applications
Table 3: this table lists the application types in scope for use with HPOS messaging.
Application types in scope for use with HPOS messaging |
Application for a Medicare provider number and, or prescriber number for allied health and non-medical health professionals form (HW093) |
Application for a Medicare provider number and/or PBS prescriber number for a midwife or nurse practitioner form (HW088) |
Application for a Medicare provider number and/or prescriber number for a medical practitioner form (HW019) (Including 19AB applications) |
Application for recognition as a specialist or consultant physician form (HW077) |
Application for all 3GA placements/ Other Medical Practitioners Extension Program (OMPEP) (Including 19AB applications) |
Application for remote area exemption for R-type diagnostic imaging services for a medical practitioner form (HW065) |
Notification of removal/reinstate non Ahpra registration |
Recognition as a General Practitioner for 19AB medical practitioners |
Table 4: this table lists the letters in scope for use with HPOS messaging
Letter code |
Letter title |
Z2551 |
Allied Health provider number letter |
Z2599 |
Non-medical health professionals provider number letter |
Z2710 |
Allied Health - non AHPRA remove reinstate registration |
Z2783 |
Dental Specialist - Recognition of Specialty |
Z2831 |
Representative public dental practitioner letter |
Z2305 |
Provider Registration - Reject |
Z2306 |
Provider Registration - we need more information |
Z2474 |
Your provider number has been closed |
Z2557 |
Allied Health & GPS Registering Additional Psychological Qualifications |
Z2688 |
Provider number missing business registration/bank details |
Z2193 |
PBS prescriber number |
Z2264 |
Recognition as a specialist and consultant physician is approved |
Z2266 |
Your application for recognition as a specialist and consultant physician is not approved |
Z2268 |
Revoking your specialist/consultant physician status |
Z2269 |
Confirming your specialist/consultant physician status |
Z2270 |
Your application for recognition as a specialist/consultant physician cannot be processed |
Z2528 |
Your placement has been approved/registered |
Z2535 |
Your placement has been extended |
Z2536 |
Removal from the Register of Approved Placements/OMP's program |
Z2569 |
Recognition as a General Practitioner/dual recognition |
Z2701 |
Medical practitioner’s provider number letter |
Z2716 |
19AB Exemption declined letter |
Z2754 |
Approval and removal of additional accreditation/program item access |
Z2772 |
Nuclear Medicine/Positron Emission Tomography credentialling |
Z2908 |
General Practitioner Respiratory Clinic (GPRC) Medicare provider number approved |
OMPEP |
Other Medical Practitioners Extension Program (OMPEP) Approval Letter (for Program Officer use only) |
Provider location claiming activity indicators
Table 1: this table explains the indicators used after an automated fortnightly system update has calculated the claiming activity for each open practice location.
Indicator |
Description |
P |
Principle practice (more than 50 services in a 6 month period) Principal practice identification is based on the volume of claims in the last month. The practice that records the highest claim activity is set as the principal location. |
L |
Low activity practice (less than 50 services in a 6 month period) |
O |
Ordering only (pathology, radiology, or using prescriber number) |
I |
Inactive practice |
Location type identifiers
Table 2: this table describes the location type identifiers and when they should be used.
Note: for more details on location types regarding section 19AB see Provider number applications for medical practitioners and their requirements under the Health Insurance Act 1973.
Location type |
Identifier name |
Use |
ATSIHS |
Aboriginal and Torres Strait Islander Health Service |
The ATSIHS location identifier must be selected when the Service Officer has determined the location is under an Indigenous section 19(2) or 19(5) Direction. For assessing steps see Section 19(2) and 19(5) Directions. Note: if a health professional has not indicated a location is an Aboriginal and Torres Strait Islander Health Service or Aboriginal Medical Service but a Service Officer can confirm the location is under an Indigenous section 19(2) or 19(5) Direction, the location must be flagged. |
GP S/CL |
GP super clinic |
This flag should not be used. |
19AB - A/hours |
Section 19AB |
This flag is no longer used, however when in operation, some records were flagged and therefore this may be seen in the selected flag list. Service Officers should delete this flag if they come across it in general processing. |
5 Yr Ind |
5 Year Overseas Trained Doctors (OTD) Scheme Indicator |
The 5 Yr Ind location identifier must be selected on the stem when a 5 Year Overseas Trained Doctors (OTD) Scheme non-location specific exemption has been granted. |
S/Flu |
Swine Flu |
This flag is no longer used, however when in operation, some records were flagged and therefore may be seen in the selected flag list. |
Academic |
Academic Class Exemption |
The Academic location identifier must be selected when an Academic Class Exemption has been granted to a specific location. |
AMDS |
Approved Medical Deputising Service Class Exemption |
The AMDS location identifier must be selected when an approved AMDS 3GA placement is processed and an Approved Medical Deputising Service Class Exemption has been granted to a specific location. |
APED |
Approved Private Emergency Department Class Exemption |
The APED location identifier must be selected when an approved APED 3GA placement is processed and an Approved Private Emergency Department Program Class Exemption has been granted to a specific location. |
RVTS |
Remote Vocational Training Scheme Class Exemption |
The RVTS location identifier must be selected when an approved RVTS 3GA placement is processed and a Remote Vocational Training Scheme Class Exemption has been granted to a specific location. |
Temp Resident A/H |
Temporary Resident After Hours Class Exemption |
The Temp Resident A/H location identifier must be selected when a Temporary Resident After Hours Class Exemption has been granted to a specific location. |
Specialist A/H |
Specialist After Hours Class Exemption |
The Specialist A/H location identifier must be selected when a Specialist After Hours Class Exemption has been granted to a specific location. |
NT |
Northern Territory Class Exemption |
The NT location identifier must be selected when a Northern Territory Class Exemption has been granted to a specific location. |
Specialist/Trainee |
Specialist and Specialist Trainee Class Exemption |
The Specialist/Trainee location identifier must be selected when a Specialist and Specialist Trainee Class Exemption has been granted to a specific location. |
AMS |
Aboriginal Medical Services |
The AMS location identifier must be selected when the Service Officer has determined the location is under a section 19(2) or 19(5) Direction For assessing steps see Section 19(2) and 19(5) Directions. Note: if a health professional has not indicated a location is an Aboriginal and Torres Strait Islander Health Service or Aboriginal Medical Service but a Service Officer can confirm the location under a section 19(2) or 19(5) Direction, the location must be flagged. |
DWS |
District of Workforce Shortage Class Exemption |
The DWS location identifier must be selected when a District of Workforce Shortage Class Exemption has been granted to a specific location. |
DPA |
Distribution Priority Area Class Exemption |
The DPA location identifier must be selected when a Distribution Priority Area Class Exemption has been granted to a specific location. |
3GA DPA |
3GA Distribution Priority Area Class Exemption |
The 3GA DPA location identifier must be selected when approved general practice 3GA placement is processed and a 3GA Distribution Priority Area Class Exemption has been granted to a specific location. |
3GA DWS |
3GA District of Workforce Shortage Class Exemption |
The 3GA DWS location identifier must be selected when an approved specified specialist 3GA placement is processed and a 3GA District of Workforce Shortage Class Exemption has been granted to a specific location. |
AGPT - General |
Australian General Practice Training Program - General Pathway Class Exemption |
This flag is no longer used, however when in operation, some records were flagged and therefore may be seen in the selected flag list. |
AGPT - Rural |
Australian General Practice Training Program - Rural Pathway Class Exemption |
This flag is no longer used, however when in operation, some records were flagged and therefore may be seen in the selected flag list. |
Assist - Perm |
Assist at Private Operations - Permanent Resident Class Exemption |
The Assist - Perm location identifier must be selected when an Assist at Private Operations - Permanent Resident Class Exemption has been granted to a specific location. |
SAPP |
Special Approved Placement Program Class Exemption |
The SAPP location identifier must be selected when an approved SAPP 3GA placement is processed and a Special Approved Placement Program Class Exemption has been granted to a specific location. |
QCRDP |
Queensland Country Relieving Doctors Program Class Exemption |
The QCRDP location identifier must be selected when an approved QCRDP 3GA placement is processed and a Queensland Country Relieving Doctors Program Class Exemption has been granted to a specific location. |
RLRP |
Rural Locum Relief Program Class Exemption |
The RLRP location identifier must be selected when an approved RLRP 3GA placement is processed and a Rural Locum Relief Program Class Exemption has been granted to a specific location. |
ATSI HCS |
Aboriginal Torres Strait Island Primary Health Care Services Class Exemption |
The ATSI HCS location identifier must be selected when an Aboriginal Torres Strait Island Primary Health Care Services Class Exemption has been granted to a specific location. |
UCC |
Medicare Urgent Care Clinic |
The UCC location identifier must be selected when a 19(2) exemption has been granted to a specific location for the purposes of it being a Medicare Urgent Care Clinic, as directed by the minster. |
GPRC |
General Practitioner Respiratory Clinic |
The GPRC location identifier must be selected when a 19(2) exemption has been granted to a specific location for the purposes of it being a General Practitioner Respiratory Clinic. |
Staff Scripting
Enquiry |
Answer |
I'm applying online through HPOS for my Medicare Provider number, but I get error messages |
There is currently a known system limitation for address localities that exceed 24 characters (including spaces). It's under investigation and will be fixed. In the meantime please submit a manual paper application |
I put in my address, but I get an error message. ‘Locality limit exceeded (no more than 24 characters exceeded)’ |
There is currently a known system limitation for address localities that exceed 24 characters (including spaces). It's under investigation and will be fixed. In the meantime please submit a manual paper application |
I try to shorten my address, then I get another error message. ‘The locality you have entered does not match the post code. Please check the details you have supplied and correct any errors. You may need to contact us on 132 150.’ |
There is currently a known system limitation for address localities that exceed 24 characters (including spaces). It's under investigation and will be fixed. In the meantime please submit a manual paper application. |
Service Australia website
Health Professional Online Services (HPOS)
Provider and prescriber numbers
Health Professional Education Resources - Provider Eligibility
External website
Australian Health Practitioner Regulation Agency (Ahpra)
Health Workforce Locator Department of Health and Aged Care
Forms and letters
Forms
Application for an initial Medicare provider number for a medical practitioner form (HW019)
Letters
The letters available through this link are endorsed for use by Services Australia and are the latest version. Staff should not be using locally produced letters or electronic messages.
Factsheet
Do not share this attachment externally. See Freedom of information - Information Publication Scheme.
Provider number history (archived)