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Account and receipt documents for Medicare claims processing 011-43010030



This page contains links to Services Australia website for proof of payment and advice on taking/scanning clear photos and documents. Contact details for the Medicare claims helpdesk, the Standard Letter Templates, example of an account showing a notional charge, example of an account showing differing referral dates, links to forms and the External fraud homepage.

Services Australia website

Contact details

Medicare claims helpdesk

MPS Assessing

Examples of an account/ invoice showing a notional charge

Table 1: this table provides an example of account/ invoice showing a notional charge. Note: where an account/ invoice or receipt has a notional charge, the notional charge is keyed on the first item line and all other items have zero keyed in the charge column.

Medicare number

Item

Date

Provider number

Payee code

Total charge

123456789 0

32700H

15/11/06

944747T

2

$3085.00

123456789 0

32703H

18/11/06

944747T

2

0

123456789 1

32711H

20/06/06

944747T

2

0

Example of accounts/ invoices showing different referral dates

Table 2: this table provides examples of how referral information may appear on provider accounts/ invoices and which date to select when processing claims.

Note: Health Professionals software may enter an alternative date that assists with calculating the referral validity period. The date the referral was issued (written) by the referring provider is the date that is to be used for Medicare purposes.

Example

Correct Date to Use

Referral Info:

Dr J Citizen

Referring Medical Centre

123 Citizen Road, CANBERRA ACT 2601

Provider Number: 944747T

Referred: 14/04/2023 (Issued: 14/04/2023 ) 12 months

14/04/2023, as this was the date that the referring provider issued the referral

Referral Info:

Dr J Citizen

Referring Medical Centre

123 Citizen Road, CANBERRA ACT 2601

Provider Number: 944747T

Referred: 14/04/2023 (Issued: 01/04/2023 ) 12 months

01/04/2023, as this was the date that the referring provider issued the referral

Forms

Do not share this attachment externally. See Freedom of Information - Information Publication Scheme.

\\INTERNAL.DEPT.LOCAL\Shared\NAT\SERDELEXCEL\WORKPRODIMP\Operation Blueprint Migration\RDT Release Icons\32w\icon-hidden-attachment.pngVG4 form

Medicare Claim form (MS014)

External fraud