Account and receipt documents for Medicare claims processing 011-43010030
Expand allLetters
Services Australia has endorsed the letter or electronic message for use. It is the latest version. Do not use locally produced letters or electronic message.
Standard Letter Templates - Medicare public letters
Z0831 Medicare letter - documents enclosed
Service Officers can start the following letters from CDMS or DMC. See Digital Messaging Capability (DMC) to create and send letters.
- Z0828 - Medicare claim needs more information
- Z0829 - Your claim for Medicare Benefit - not paid/already paid/paid-partially
- Z2261 - Your statement of Medicare benefits
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 |
15/11/25 |
944747T |
2 |
$3085.00 |
|
123456789 0 |
32703H |
18/11/25 |
944747T |
2 |
0 |
|
123456789 1 |
32711H |
20/06/25 |
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: 14/04/2025 (Issued: 14/04/2025) 12 months |
14/04/2025, 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: 14/04/2025 (Issued: 01/04/2025) 12 months |
01/04/2025, as this was the date that the referring provider issued the referral |
VG4 form