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. You can fill it out on your device, or print it and complete it by hand.

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 contact us. We can help you access, complete and submit them.

Page last updated: 20 February 2020