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Identify Medicare direct deposits on claimant's bank statements 011-43120030

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This page contains details of how to identify different types of Medicare direct deposits on claimant's bank statements.

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Patient claim lodgement reference numbers

Construction of lodgement reference numbers

Table 1: This table details how lodgement reference numbers are constructed for patient claims paid via EFT. For example, 00000001 AAAA.

Code/number

Description

First 3 numbers (such as 000)

The payment run number nominated by Medicare.

Last 5 numbers (such as 00001)

The payment sequence number allocated as part of the payment process.

4 digit code (such as AAAA)

The source office code of the processing area.

EFT benefit bank statement display

Claimant's bank statement display when EFT benefit paid

Table 2: This table displays an example of what may appear on a claimant's bank statement when Medicare pays an EFT benefit.

Date

Transaction name and reference number

Amount of benefit ($)

Date the deposit was made

DirectCR MCARE BENEFITS 00000001 AAAA

Note: the use of the term NATIONAL ADMIN as additional information on a claimant's bank account is due to the financial institution picking up this information from the Reserve Bank of Australia (RBA) transmission. NATIONAL ADMIN is used by Medicare when processing payment runs with the RBA.

36.30

Provider lodgement reference

Provider lodgement reference construction

Table 3: This table details how a provider lodgement reference is constructed. For example: MC BBM123 1234567A.

Code/number

Description

MC

A Medicare payment

Claim type code (that is, BBM)
  • BB, bulk bill claim
  • M, manual claim

123

The payment run number

1234567A

The payee provider number

90 day pay doctor EFT payments bank statement display

Note:

  • The detail below is used to determine if a Pay Doctor via Cheque (PDVC) cheque has been cancelled and an EFT deposit made under the 90 Day Pay Doctor Scheme
  • It is important that the complete reference number is used for reconciliation
  • 90 Day Cheque Cancellation Statements are printed fortnightly

Display of 90 day pay doctor EFT lodgement reference numbers

Table 4: This table details how 90 day pay doctor EFT lodgement reference numbers on bank statements are constructed. For example, MC12345678N010101.

Code/number

Description

MC

A Medicare payment.

Cheque number (such as  12345678)

Number of the original cheque that has since been cancelled.

State code (such as N)

The state the cheque was issued in.

Issue date (such as  010101)

The date the cheque was originally issued.

Digital claiming account reference

Example of digital claiming account reference

Table 5: This table displays an example of a digital claiming account reference. For example, MCA HSS######999999999 ######### - AAAA'.

Code/number

Description

HSS######ddmmyyyy

A reference that the provider's system attaches to the claim upon transmission.

Note: the breakdown gives information about the transmission (that is, the last 8 digits are the date).

######### AAAA

This is in relation to the payment.

Note: this reference is at the discretion of the provider and their software.