You will require this approval if you intend to operate as a billing agent to claim benefits from Medicare or private health funds on behalf of your patients.
Billing agents must be approved by Medicare and can be a fund, a hospital, an individual or an organisation.
Becoming a billing agent increases the convenience for your patients as they are not required to make subsequent claims to Medicare. In the event that Medicare, or private health fund, does not cover the total cost of services the patient may be required to pay the difference.
Please consult the Contact Officer for more information.
A licence defines the need to obtain recognition / certification and registration to undertake a certain business activity.
You may apply as a:
- Partnership (all partners must sign the application);
- Corporation; or
- State or Territory government authority or other public body.
If you are applying as a corporation, you will need to include a copy of the Certificate of Incorporation. You must submit evidence of the establishment of a trust account or compartmentalised trust account to receive payments on behalf of others. You must also submit search results from the Bankruptcy Register and the Disqualified Directors Register.
Please consult the Contact Officer for more information regarding eligibility requirements.
Department of Human Services
Health Insurance Act 1973 (Australian Government)
Health Insurance Regulations 1975 (Australian Government)
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