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How the scheme works
When a claim is lodged with us for an unpaid or partially paid medical account, we send the patient a Pay Doctor Via Claimant (PDVC) cheque. The patient has to forward the cheque to you for payment.
If you don’t get the cheque or you haven’t banked it after 90 days, we cancel it and pay you the Medicare schedule fee using Electronic Funds Transfer (EFT).
Eligible health professionals
General practitioners (GPs) don’t need to register for the scheme if they submit claims electronically for unpaid or partially paid patient accounts.
GPs can use Medicare Online, Medicare Easyclaim or Eclipse to submit their claims.
GPs who submit manual patient claims can register for the scheme. To register, complete the General Practitioner 90 Day Pay Doctor Cheque Scheme Application form.
Specialists, consultant physicians and pathologists
If you’re registered with Medicare as a specialist, consultant physician, or pathologist you must submit your claims electronically. This doesn’t apply to GPs with specialist recognition. GPs can manually submit patient claims.
For more information on electronic claiming read the Medicare Easyclaim page.
Allied health professionals, optometrists and dentists aren't eligible to participate in the scheme.
|Eligible health professionals||Lodge claims manually||Need to register for scheme|
|Specialist or consultant physician||Not eligible||No|
|Eligible health professionals||Lodge claims electronically||Automatically eligible for scheme|
|Specialist, consultant physician, pathologist||Yes||Yes|
For an unpaid or partially paid account, a patient or claimant must submit a request for a PDVC cheque. The cheque will be issued to you in lieu of payment.
To submit a claim on behalf of a patient, you must:
- clearly inform the patient of what will happen, and
- include written authority from the patient with
- the patient’s signature, and
- the date of the claim
An example of written authority could be:
I authorise the practitioner, who will render services, to submit my unpaid or partially paid account to Medicare. I understand that Medicare will assess my claim and issue a cheque to the practitioner for the Medicare benefit.
Patient signature ___________________
We recommend that your practice keeps evidence of the patient’s authority for audit purposes.
Bank account details
We use the same bank account you provided for the payment of bulk bill claims.
Each week we'll email you a statement. The statement will list the previous week’s EFT transactions made under the 90 day cheque scheme.
To register to receive payment by EFT or to update your bank account details, complete the provider registration for Electronic Funds Transfers payments form.
You can subscribe to receive emailed statements through Health Professionals Online Services mail box.
We aren't liable for any bank fees or charges when you present a cheque to your bank 90 days or more after the date of issue.