Debt recovery for Medicare programmes 107-21042124
Expand allThis document outlines information on the types of Medicare program debts and the recovery processes.
For Medicare Debt Management Officers (DMO) only
Patient debts (MBS)
Patient debts come to Medicare Recovery by:
- voluntary acknowledgement direct from the customer
- a Report Management Distribution System (RMDS) report from the Medicare Mainframe
- a Debt Advice Notice (DAN) from the relevant program area
Provider bulk bill debts
Bulk billing is when a Medicare card holder assigns their MBS benefits to the health professional. The health professional claims the Medicare benefit directly on behalf of the patient for medical or allied health services.
Private Health Fund debts
Simplified billing debts arise from incorrect claims submitted through the Simplified billing (SB) claim channel. Private Health Insurers make claims on behalf of the patient. Debts may be identified by the:
- Health Insurer
- Medical Practitioner, or
- Services Australia
Medicare Compensation debt recovery
Some compensation payments are subject to reimbursement to Medicare. See the Process page for details.
Program specific debts
Medicare recovers debt on behalf of the Department of Health and Aged Care. Where a debt occurs, Medicare Recovery pursue repayment of these debts.
The Resources page contains links to external websites.
Contents
Compensation debt recovery for Medicare
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