Medicare Easyclaim enquiry form (HW059)

Use this form where a claimant has not received their Medicare benefit that was claimed via Medicare Easyclaim at that practice.

Download and complete the Medicare Easyclaim enquiry form.

This form is to be completed by health professionals.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 4 February 2020