Submit a manual Medicare and DVA claim

Submit a manual claim for payment for patient claims if you’re unable to submit a Medicare or Department of Veterans’ Affairs (DVA) claim online.

Submit a manual Medicare claim

For patient claims ask your patient to download and complete the Medicare Claim form. Your patient can use this form to claim benefits by mail or in person at a service centre.

Private health insurers or approved billing agents can use the Simplified Billing manual claims batch header form to submit a manual Simplified Billing claim.

Submit a manual DVA claim

You can submit a manual DVA claim by mail.

Use the Application for Department of Veterans’ Affairs claim adjustment form when applying for a Department of Veterans’ Affairs (DVA) claim adjustment for assigned DVA benefits where the original date of service is less than 2 years old.

It’s important you send all the required documents with your manual claim otherwise there’ll be delays in payment.

Read more about DVA mail claims on the Department of Veterans' Affairs website.

Page last updated: 1 July 2026.
QC 72012