Bulk bill voucher - electronically transmitted claims form (DB4E)

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.

Page last updated: 21 September 2023.
QC 21606