Adjust a bulk bill claim

If the processed claim is under 2 years old, you can change any of the following:

• a Medicare Benefits Schedule (MBS) item
• a paid or omitted bulk bill incentive item
• a patient episode initiation (PEI) item.

You can call the Medicare provider enquiries line to delete a claim you submit on the same day.

When we process an adjustment for bulk billing, we’ll send you a bulk bill adjustment statement.

Adjusting manual claims

To change an item number, previously paid bulk bill incentive or patient episode initiation (PEI) item for a manual claim:

1. Complete the Application for bulk bill claim adjustment form (DB018).
2. Ask your patient or third party to sign any changes to your patient’s information. This is because you’re changing the original agreement.
3. Submit the form to us along with the new assignment of benefit form.

Adjusting electronic claims

To change an item number, paid bulk bill incentive or patient episode initiation (PEI) item for an electronic claim, follow the steps to submit a claim with:

• Medicare Easyclaim
• Medicare Bulk Bill Webclaim
• Medicare Online.

You’ll need to re-enter the same patient and claim details as the original claim and update either the:

• omitted bulk bill incentive
• PEI item
• MBS item number.