Medicare online account help - Submit a claim

in this guide

Step 1: sign in
Step 2: confirm patient details
Step 3: confirm payment details
Step 4: add provider and item details
Step 5: add referral details
Step 6: review and submit
Step 7: sign out

You can claim all Medicare services that aren’t bulk billed.

With your claim you need to submit details of:

the services you’re claiming for
how much you paid.

You’ll find this information on your invoice or your receipt from your health professional.

You also need to send us a copy of your invoice and receipt with your claim. To do this, scan or take a photo of these documents and save them.

Upload your files as a PDF, JPG, GIF, PNG or BMP format less than 5MB in size.

Take extra care if you’re using a public computer to scan and upload your documents. After you complete your claim, delete your documents from the public computer.

We’ll need your bank account details to pay you your Medicare benefit. Find out how to update your bank account details.

The screenshots in this guide are from a computer. The screen layout will look different if you are using a mobile device.

Step 1: sign in

If you’re using the app, open it and enter your myGov PIN.

On your homepage, select Make a claim.

Make sure you have details of the service, cost and amount paid to continue your claim.

Select Start.

Read the important notice. You can then select either:

Accept if you accept the notice and want to submit your claim
Decline to return to the previous page.

Check if your invoice or receipt says Statement of claim and benefit payment.

If it does, your claim is already being automatically processed, and you don’t need to make a claim again. Select either:

Yes then Next, which stops you from submitting another unnecessary claim
No then Next to continue your claim.

Step 2: confirm patient details

If you have multiple people listed on your Medicare card, select Who received the services, and then Next.

Step 3: confirm payment details

Tell us if the services have been paid in full. Select either:

Yes if you’ve paid the services in full, then Next
No if you haven’t, then Next.

If you’ve paid the service in full, we’ll also ask if you have proof of payment.

Find out more about proof of payment.

Upload your documents with details of the services, cost and your payment. We accept PDF, JPG, GIF, PNG, or BMP files less than 5MB.

Select Upload a document, then locate the document in your files.

If you need to upload another document, select Upload another document.

When all documents are uploaded, select Next.

Step 4: add provider and item details

Tell us the doctor’s provider number.

You can find this on your invoice or receipt. It’s a combination of letters and numbers, up to 8 characters long.

Add the Provider number, then select Next.

You need to tell us about the treatment you’re claiming for. You can find the item number on your invoice or receipt. It’s a set of numbers and can be up to 5 numbers long.

If there are multiple items on your invoice or receipt, you’ll need to add these separately.

Enter the:

Item number
Date of service
Amount you paid for that item.

Then select Add item.

If you are claiming multiple items, select Add another item and enter the details.

If you need to remove an item, select Remove.

When you’ve added all items, select Next.

Step 5: add referral details

You may need to provide referral details. These are details of the health professional who referred you for the service. Add their Provider number and the Date of referral, then select Next.

You need to tell us what type of patient you were during the treatment. If you received treatment in hospital, the item numbers on your invoice or receipt will contain:

admitted patient
in-patient
H
*.

To tell us if the services were in hospital items, select either:

Yes
No.

Select the item numbers provided in hospital or in a day surgery from the list, then Next.

Step 6: review and submit

Review your claim details.

If the details are wrong, select Edit to make changes.

When the details are correct, select either:

Submit to declare the information and documents are correct and submit the claim
Cancel to stop the claim.

You’ll get a Claim ID when you submit your claim. Keep a copy of this number for future reference.

You’ll receive an update once your claim has been processed. You’ll usually get your benefit within 7 days.

When you’ve submitted your claim, you can select:

Download claim summary to view a PDF of the claim you just made
Make another claim
Recent Medicare claims to track the progress of your recently submitted claim
Home to return to your homepage.