Request for Medicare claims information form (MS031)

Use this form to request Medicare claims information for individuals and families.

Download and complete the Request for Medicare claims information form.

You should only use this form if you can’t access your Medicare claims information online using your Medicare online account. You can also use it to request Medicare claims information from more than 3 years ago.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

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 use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 17 November 2022