Claiming bulk bill incentive items

Information about basic eligibility for claiming bulk bill incentive (BBI) payments.

Medical practitioner eligibility for claiming BBI items

All medical practitioners, vocationally registered or not, can claim BBI items on eligible unreferred services.

Specialists and consultant physicians are also eligible if they:

  • hold both medical practitioner and specialist Medicare recognition for their qualifications
  • provide services to patients in their capacity as medical practitioners.

Medical practitioners can only claim BBI items if they’ve met the conditions in the item descriptor.

If a health professional provides a bulk billed service, they can claim additional MBS items if:

  • the service is an unreferred service
  • the service is for a person under 16 or the holder of or listed on a Commonwealth concession card (concessional beneficiary)
  • the person isn’t an admitted patient in a hospital
  • both the service and associated additional item are bulk billed.

You also need to meet following criteria to claim a MyMedicare BBI:

  • be linked to the practice on the Organisation Register
  • be working at a MyMedicare eligible practice
  • your patient needs to be enrolled in the MyMedicare program at the general practice.

Read more about:

If a Medicare benefit isn’t payable for a service, it’s also not payable for the associated BBI item.

This table explains terms used on this page.

TermExplanation
Unreferred serviceWhen a medical practitioner, or someone acting on their behalf, provides a medical, diagnostic imaging or pathology service that wasn’t referred by a person with referring rights.
Commonwealth concession card holder (concessional beneficiary)

A person who holds or is listed on one of the following cards issued by Centrelink or the Department of Veterans’ Affairs (DVA):

  • Pensioner Concession Card
  • Health Care Card
  • Commonwealth Seniors Health Card.

DVA Gold or White Cards aren’t recognised Commonwealth concession cards. DVA Gold or White card holders must hold a concession card listed above to be treated under Medicare arrangements.

Bulk bill incentive items

These tables list BBI items for unreferred services.

General Medical

With attendance services:

  • Level B, C, D, E (face-to-face)
  • Level B (telehealth (video) and phone).

Read more about BBI items for general medical services on MBS online.

Item numberPractice location
75870Metropolitan areas
75871Regional centres
75872Metropolitan areas, but service is provided after hours in non-metropolitan areas
75873Large or medium rural towns
75874Small rural towns
75875Remote communities
75876Very remote communities

General Medical

With attendance services:

  • Levels C, D (telehealth (video) and phone) and E (video only) and the patient is enrolled in MyMedicare.

Read more about BBI items for general medical services on MBS online.

Item numberPractice location
75880Metropolitan areas
75881Regional centres
75882Large or medium rural towns
75883Small rural towns
75884Remote communities
75885Very remote communities

Diagnostic Imaging

Read more about BBI items for diagnostic imaging services on MBS online.

Item numberPractice location
64990Metropolitan areas
64991Regional centres
64992Large or medium rural towns
64993Small rural towns
64994Remote communities
64995Very remote communities

Pathology

Read more about BBI items for pathology services on MBS online.

Item numberPractice location
74990Metropolitan areas
74991Regional centres
75861Large or medium rural towns
75862Small rural towns
75863Remote communities
75864Very remote communities

General Medical

All other eligible services not covered above.

Read more about BBI items for general medical services on MBS online.

Item numberPractice location
10990Metropolitan areas
10991Regional centres
10992Metropolitan areas, but service is provided after hours in non-metropolitan areas
75855Large or medium rural towns
75856Small rural towns
75857Remote communities
75858Very remote communities

Read more about the Health Workforce Locator on Department of Health and Aged Care’s website.

Bulk bill incentive items aren’t payable with COVID-19 vaccine suitability assessment services.

Find out more about bulk bill incentive items for unreferred services on MBS online.

Checking a patient’s concessional eligibility

A patient is eligible for a concession if they hold or is listed on a valid Commonwealth concession card at the date of service.

You can check if a patient’s eligible for a concession in real time either:

We base a patient’s concessional eligibility on the information that we know at the time you check.

You can also check if a patient’s eligible for a concession by:

  • viewing the patient’s concession card
  • confirming the patient is the person named on the concession card
  • making sure the concession card is valid and current.
Page last updated: 12 January 2024.
QC 33011