Billing – minimum data requirements to enable claims processing
Bulk Billing

• Title (for Veterans only)
• First name
• Last name
• Date of birth
• Medicare number (Medicare Expiry and Ref #, If available)
• Referring doctor name (not required for GPs and most anaesthetic services)
• Referring doctor provider number
• Referral date

No-gap and known-gap billing

• First name
• Last name
• Date of birth
• Medicare number (Medicare Expiry and Ref #, If available)
• Health fund name
• Health fund membership number
• Referring doctor name (not required for GPs and most anaesthetic services)
• Referring doctor provider number
• Referral date

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