Provider location details for health professionals in Medicare 012-42010020

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	Principal practice (more than 50 services in a 6 month period). principal practice identification is based on volume of claims in the last month, with the practice recording the highest claims activity set as the principal location
S	Secondary practice (more than 50 services in a 6 month period). secondary practices are set where more than one practice location for a health professional has more than 50 services in the previous 6 months
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 location type identifiers and when they should be used.

Note: see Provider number applications for medical practitioners and their requirements under the Health Insurance Act 1973 for more details on location types regarding section 19AB.

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. See Section 19(2) and 19(5) Directions for assessing steps. 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. A Service Officer 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 See Section 19(2) and 19(5) Directions for assessing steps. 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.
Locum	Locum Class Exemption	For medical practitioners who are covered by the Locum class exemption under locum provisions.
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.
Medicare 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

Question

Answer

I’m applying for a PRODA account, but I don’t have all the required identity documents

If the provider is unable to verify their identity online for their PRODA account they can complete the Manual identity verification for Provider Digital Access form (HW080).

I’m applying online through HPOS for my Medicare Provider number, but I get error messages

‘Unfortunately, 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, could you 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)

“Unfortunately, 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, could you 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.

‘Unfortunately, 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, could you please submit a manual paper application.’

Contact details

Medicare Provider Registration - Provider Eligibility

Medicare and Aged Care - Local Peer Support (LPS)

External websites