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Use this form to claim assigned benefits for electronically transmitted claims.
Download and complete the Bulk bill voucher - electronically transmitted claims form.
These services can be claimed through HPOS Bulk Bill Webclaim capability.
This form is interactive. It has 2 copies, one for the health professional and one for the patient.
If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.
This information was printed 22 September 2023 from https://www.servicesaustralia.gov.au/db4e. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.