Services, payments and programs
Allied Health High Cost Claim Indemnity Scheme (AH HCCS)
Under this scheme the government funds 50% of the amount of claims that exceed the AH HCCS threshold, up to the limit of an allied health professional’s indemnity.
Exceptional Claims Indemnity Schemes
Under these schemes the government funds 100% of claims that exceed the limit of an indemnity insurance contracts for allied health and medical professionals.
High Cost Claim Indemnity Scheme (HCCS)
Under this scheme the government funds 50% of the amount of claims that exceed the HCCS threshold, up to the limit of a medical practitioner’s indemnity.
Incurred But Not Reported Indemnity Scheme (IBNR)
This scheme helps participating Medical Defence Organisations (MDOs) where they are not able to cover their IBNR liabilities.
DVA education for health professionals
Help with Department of Veterans’ Affairs (DVA) billing and claiming.
Health professionals starting with Medicare
What you need to do to get set up with Medicare and more.
Incentive Programs education for health professionals
Learn about Incentive Programs to help you and your staff do business with us.
Independent review of health providers’ access to Medicare card numbers
The Australian Government commissioned a review in response to claims Medicare card details were sold on the internet. The review has closed and we are now implementing the recommendations.
If you use PBS Online, you need to upgrade to web services
From 13 March 2022 you’ll need web services ready software and PRODA to access PBS Online.
Important information if you use Medicare Online and ECLIPSE
From 13 March 2022, you’ll need web services compatible software and a PRODA organisation account to access Medicare Online and ECLIPSE.
Changes to Medical Benefits Schedule (MBS) surgical items
From 1 July, there’ll be changes to MBS items for general, orthopaedic, and cardiac surgery services.
Additional services for insurers and financial services providers
In the business section you will be able find out about the other services we offer, and find information that is relevant to you as a financial or insurance service provider.