humanservices.gov.au Submit a Medicare Claim Online Australia : Department of Human Services

Organization : Department of Human Services
Facility : Submit a Medicare claim online
Country : Australia
Website : https://www.humanservices.gov.au/individuals/enablers/submit-medicare-claim-online

Human Services Submit a Medicare Claim Online

You can submit a claim for some Medicare benefits using your Medicare online account or the Express Plus Medicare mobile app.

Related : Department of Human Services Medicare Card Australia : www.statusin.org/41916.html

You need to give us a copy of your receipt or account when submitting your Medicare claim online.

How to Submit a Claim?

The quickest and easiest way to claim your Medicare benefit is at your doctor’s practice. Ask if they can do this for you.
If your doctor doesn’t offer electronic claiming, you can claim your Medicare benefit using :
** your Medicare online account through myGov, or
** the Express Plus Medicare mobile app

To submit a Medicare claim online, you must :
** have a myGov account linked to Medicare
** have your Medicare card
** have up to date bank account details, and
** have the doctor’s receipt for the items you want to claim

What you Can Claim?

The item numbers you can claim using your Medicare online account
You can only claim some consultations using your Medicare online account, including :
** Item 3 – GP Consultation – Level A
** Item 23 – GP Consultation – Level B
** Item 36 – GP Consultation – Level C
** Item 53 – Other Medical Practitioner Standard Consultation
** Item 54 – Other Medical Practitioner Long Consultation

** Item 57 – Other Medical Practitioner Prolonged Consultation
** Item 5020 – GP Consultation – Level B (after hours)
** Item 5200 – Other Medical Practitioner Brief Consultation (after hours)

** Item 5203 – Other Medical Practitioner Standard Consultation (after hours)
** Item 5207 – Other Medical Practitioner Long Consultation (after hours)
** Item 5208 – Other Medical Practitioner Prolonged Consultation (after hours)

** Item 10951 – Diabetes Education Service
** Item 10952 – Audiology Health Service
** Item 10953 – Exercise Physiology Service
** Item 10954 – Dietetics Services
** Item 10956 – Mental Health Service
** Item 10958 – Occupational Therapy Health Service

** Item 10960 – Physiotherapy Health Service
** Item 10962 – Podiatry Health Service
** Item 10964 – Chiropractic Service
** Item 10966 – Osteopathy Health Service
** Item 10968 – Psychology Health Service
** Item 10970 – Speech Pathology Health Service

Item numbers are 1 to 5 digits. You can find these on your doctor’s account.

If you can’t submit your Medicare claim using your Medicare online account, you can submit it :
** using the Express Plus Medicare mobile app
** by completing a Medicare claim form and returning it in the post

What You Can’t Claim?

Although you may have a claim for an eligible item, you can’t claim online if :
** the item is for a service provided to someone who isn’t on your Medicare card
** the item is for a service provided more than 2 years ago
** the item is for a service provided by a hospital or approved day facility inpatient
** you’ve been bulk billed for the item or had the claim submitted at your doctor’s surgery on your behalf

How to Get Paid?

You need to register your bank account details with us to get your benefit. You can register or update these details using your Medicare online account or the Express Plus Medicare mobile app. It can take up to 5 business days for you to get payment.

Claiming Limits

The Express Plus Medicare mobile app has no claiming limits. If you claim using your Medicare online account, there are daily and monthly claiming limits.
You can claim up to :
** $75 per day, or
** $150 in total for 30 days per Medicare card and bank account – we call this the monthly limit

We calculate the monthly limit by restarting it every 30 days. This means your monthly limit will reset to $0 every 30 days.

If you exceed a claiming limit, you can submit your claim :
** using the Express Plus Medicare mobile app
** by completing a Medicare claim form and returning it by post

If you’ve submitted your claim and realise you have made a mistake, call the Medicare general enquiries line.