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Claim management - Medicare Compensation Recovery 011-15040010




Bulk Payment Agreements (BPA)

This information is for internal use only and may not be given to customers/providers or released externally.

Under section 34 of the Health and Other Services (Compensation) Act 1995, the Chief Executive Medicare (CEM) may, on behalf of the Commonwealth, enter into a BPA.

Some previous BPAs have now expired, and those claims must be processed as per normal compensation claim procedures.

Compensation claims that may be covered under a BPA must be registered and escalated as per the Process page.

Current BPAs

BPAs under review

Expired BPAs

Current BPAs


Table 1

Bulk payer

Initial BPA start date

Current BPA

$/claim

Comments

Anglican Diocese of Bunbury

1 August 2013

1 January 2023 - 31 December 2026

$175

Anglicare

1 January 2016

1 January 2024 - 31 December 2026

$200

Renewed

  • Sydney Anglican Home Mission (SAHMS)
  • Anglican Community Services, or
  • Synod of the Anglican Church Diocese of Sydney

Asbestos Injuries Compensation Fund (AICF)

1 August 2016

28 Jun 2023 - 30 June 2026

$1,560

  • Amaca
  • Amaba, or
  • AB60

Continued coverage from previous Agreement.

Riverina Diocesan Trust

15 July 2020

15 August 2023 - 31 July 2026

$200

Also known as 'Anglican Diocese of the Riverina'.

Previous Agreement expired on 30 June 2023.

Seventh-day Adventist Church (Australian Union Conf.) Limited

27 August 2020

31 August 2023 - 31 August 2026

$200

Continued coverage from previous Agreement.

Seventh-day Adventist Church (North NSW Conf.) Limited

16 September 2020

7 September 2023 - 31 August 2026

$200

Previous Agreement expired on 31 July 2023.

Seventh-day Adventist Church (South NSW Conf.) Limited

7 November 2020

30 August 2023 - 31 August 2026

$200

Continued coverage from previous Agreement.

Seventh-day Adventist Church (Nth Australian Conf.) Limited

25 August 2020

29 August 2023 - 31 August 2026

$200

Continued coverage from previous Agreement.

Seventh-day Adventist Church (South QLD Conf.) Limited

3 September 2020

31 August 2023 - 31 August 2026

$200

Continued coverage from previous Agreement.

Seventh-day Adventist Church (TAS Conf.) Limited

2 September 2020

31 August 2023 - 31 August 2026

$200

Continued coverage from previous Agreement.

Seventh-day Adventist Church (VIC Conf.) Limited

7 October 2020

31 August 2023 - 31 August 2026

$200

Continued coverage from previous Agreement.

Seventh-day Adventist Church (SA Conf.) Limited

1 March 2017

1 January 2024 - 31 December 2026

$200

Renewed

Continued coverage from previous Agreement.

Seventh-day Adventist Church (WA Conf.) Limited

1 March 2017

1 January 2024 - 31 December 2026

$200

Renewed

Continued coverage from previous Agreement.

Ethicon - Pelvic Mesh

3 February 2025

$1,203.61

Boston - Pelvic Mesh

3 February 2025

$1,382.91

Department of Home Affairs & Department of Finance

18 December 2025

$163.46


BPAs under review


Program Management is currently aware of or in negotiations with listed bulk payers, and claims must be processed through MCRS and escalated via Work Load Management, as mentioned above.

Table 2

Bulk payer

Comments

Qantas Class Action Claim


Expired BPAs


Table 3

Bulk payer

Initial BPA start date

BPA end date

$/claim

Comments

The Cosmetic Institute

21 August 2025

$577.47

Closed class action

Monash IVF

20 December 2024

$193.62

Closed class action

Seventh-day Adventist Church (Greater Sydney Conf.) Limited

22 March 2017

27 April 2023 - 30 April 2026

$200

Continued coverage from previous Agreement.

Corporation of the Synod of the Diocese of Brisbane

26 June 2017

31 May 2023 - 30 April 2026

$200

Also known as:

  • Anglican Diocese of Brisbane, or
  • Anglican Church Southern Queensland (ACSQ)

Previous Agreement expired on 23 April 2023.

Anglican Diocese of Perth

10 June 2013

20 December 2022 - 28 February 2026

$175

Uniting Church in Australia Property Trust (Q.)

19 September 2017

1 January 2023 - 31 December 2025

$192

Johnson & Johnson Medical Pty Limited and DePuy International Limited

1 December 2014

1 January 2023 - 31 December 2025

$1935

Also known as 'DePuy - Knees' only. Note: there are no BPAs for hips


BPA FAQs for Service Officers

Table 4

Item

Description

1

The notifiable person appears in the above lists, however the claimant's solicitor insists that it is not covered by a BPA. Should the case be registered in MCRS?

Register the claim in MCRS. If the notifiable person appears in either list of bulk payers (or comments), escalate all information to the Program Management team via Work Load Manager for further investigation.

2

How much is payable to the Australian Government under a BPA?

The amount payable for each settlement under a BPA is specified in each agreement and will vary between cohorts and agreements.

3

What happens if a notice of charge has been issued for a claim where the notifiable person appears in the above lists?

Escalate all information to the Program Management team via Work Load Manager for further investigation.

4

Why do some BPAs not have an end date?

Some BPAs will not have an end date as the work required to identify eligible class action members for compensation and the time frames taken to negotiate a compensation payment can take an extended period of time. The Program Management team will monitor these payments, and the BPA will cease to have effect when the CEM confirms the terms of the BPA have been met.

5

What occurs if the notifiable person is on the expired BPA list, but the date of settlement falls within the time frame the BPA was active?

Register the case with a provisional WIN in MCRS. If the notifiable person appears in either list of bulk payers (or comments), escalate all information the Program Management team via Work Load Manager for further investigation.


Contact details

Medicare Compensation Recovery

Forms

Medicare Compensation Recovery Notice of Judgment or Settlement form (MO022)

Medicare Compensation Recovery Notice of past benefits request form (MO026)

Medicare Compensation Recovery Notice of reimbursement arrangement form (MO027)

General processing abbreviations and acronyms

Table 5: this table contains standard abbreviations and acronyms used in Medicare Compensation Recovery.

Abbreviation

Description

AP

Advance Payment

ART

Administrative Review Tribunal

ASI

All services included (when referring to a deemed notice)

ATP

Authorised Third Party

BPA

Bulk Payment Agreement

C/-

Care of

CCMS

Compensation Case Management System

CDMS

Consumer Directory Maintenance System

CHQ

Cheque

DEC

Declaration

DOB

Date of Birth

DOC

Document

DOI

Date of injury or illness

DOJS

Date of judgment or settlement

DRP

Debt Recovery Parramatta

EFT

Electronic Funds Transfer

EXT

Extension

FOI

Freedom of Information

HOSC ACT

Health and Other Services (Compensation) Act 1995

IP

Injured person

MCR

Medicare Compensation Recovery

MCRS

Medicare Compensation Recovery System

NFA

No further action

NOC

Notice of charge

NOI

Nature of injury or illness

NOJS

Notice of judgment or settlement

NOPB

Notice of past benefits

NOPB-AP

Notice of past benefits - Advance Payment

NORA

Notice of reimbursement arrangement

NP

Notifiable person/party

NTC

Notice to claimant

OB

Operational Blueprint

PF

Phone call from

PM

Program Management

PSM

Program Support Manager

PT

Phone call to

QA

Quality Assurance

QC

Quality Checking

QCL

Quality Call Listening

RECD

Received

REF

Reference

ROI

Release of Information

RTS

Return to sender

SAP

Systems, Applications & Products (Financial Accounting)

SBC

Statement by claimant

SD

Service Delivery

SO

Service Officer

SOL

Solicitor

SSO5

Service Support Officer APS5

STAT DEC

Statutory Declaration

TAC

Transport Accident Commission

TL

Team Leader

TPA

Third party authority

WIN

Work identification number

X-REF

Cross referenced


Sensitive indicators

Table 6: this table contains information on how to mark a claim as sensitive and choose the appropriate indicator that applies to the customer’s current circumstances. Sensitive indicators can be activated when registering or updating a claim, or through Restricted Claim Actions.

Sensitive indicator

Keyword

Comments

Deceased

DECSD

Processed by Program Management: For deceased estates where no executor or administrator can be located. Clam must be escalated when indicator added.

Terminal illness/injury

TEMINJ

Information received indicates that a customer has <2years life expectancy

Bulk Payment Agreement (BPA)

BPYA

Processed by Program Management. Claim must be escalated when indicator added.

Interpreter required

INTERP

For customers who require a telephone interpreter

Hearing or visually impaired

IMPAIR

Web and alternative accessibility assistance for customers

Remote location

REMLOC

For customers residing in remote locations

High profile

HGHPRO

Processed by Program Management: Claims that are a high profile, including ministerial complaints. Claim must be escalated when indicator added.

Staff

STFCLM

Processed by Program Management: Service Delivery staff with compensation claims. Indicator must be added immediately when documents received and escalated to Program Management.

Restricted Service

RSTRCT

Customers with restricted services enforced via CIRT process

Priority 1

PIR001

Priority 1 indicator (WLM use ONLY)

Priority 2

PIR002

Priority 2 indicator (WLM use ONLY)

Priority 3

PIR003

Priority 3 indicator (WLM use ONLY)