Adjust a bulk bill claim

You can adjust a previously paid bulk bill claim if the date of service is within 2 years.

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 (BBI) item
  • a patient episode initiation (PEI) item.

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

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

Adjusting claims

To change an item number, previously paid BBI or PEI item for a claim:

  1. Complete the Application for bulk bill claim adjustment form (DB018).
  2. Send the form to us with a new assignment of benefit form signed by the patient.

To add an omitted BBI or PEI to a previously paid claim:

  1. Complete the Application for bulk bill claim adjustment form (DB018).
  2. Send the form and supporting documents to us. A new assignment of benefit form isn’t needed.
Page last updated: 26 November 2025.
QC 74213