Submit a Medicare claim online

You can submit a claim for some Medicare benefits using your Medicare online account or the Express Plus Medicare mobile app.

You need to give us a copy of your receipt or account when submitting your Medicare claim online.

How to submit a claim

The easiest way to submit a Medicare claim is at your doctor's. If your doctor doesn't offer electronic claiming, you can submit a claim for some services using your:

To submit a Medicare claim online, you must:

Submit a Medicare claim using online account.

Learn how to submit a Medicare claim with supporting documents using your online account.

Item numbers you can claim online

You can only claim some consultations using your Medicare online account. You can claim these item numbers online:

  • Item 3 – GP Consultation - Level A
  • Item 23 – GP Consultation - Level B
  • Item 36 – GP Consultation - Level C
  • Item 53 – Other Medical Practitioner Standard Consultation
  • Item 54 – Other Medical Practitioner Long Consultation
  • Item 57 – Other Medical Practitioner Prolonged Consultation
  • Item 5020 – GP Consultation - Level B (after hours)
  • Item 5200 – Other Medical Practitioner Brief Consultation (after hours)
  • Item 5203 – Other Medical Practitioner Standard Consultation (after hours)
  • Item 5207 – Other Medical Practitioner Long Consultation (after hours)
  • Item 5208 – Other Medical Practitioner Prolonged Consultation (after hours)
  • Item 10951 – Diabetes Education Service
  • Item 10952 – Audiology Health Service
  • Item 10953 – Exercise Physiology Service
  • Item 10954 – Dietetics Services
  • Item 10956 – Mental Health Service
  • Item 10958 – Occupational Therapy Health Service
  • Item 10960 – Physiotherapy Health Service
  • Item 10962 – Podiatry Health Service
  • Item 10964 – Chiropractic Service
  • Item 10966 – Osteopathy Health Service
  • Item 10968 – Psychology Health Service
  • Item 10970 – Speech Pathology Health Service

Item numbers are 1 to 5 digits. You can find these on your doctor’s account.

If you can't submit your Medicare claim using your Medicare online account, you can submit it:

What you can't claim online

Although you may have a claim for an eligible item, you can't claim online if:

  • the item is for a service provided to someone who isn't on your Medicare card
  • the item is for a service provided more than 2 years ago
  • the item is for a service provided by a hospital or approved day facility inpatient
  • you've been bulk billed for the item or had the claim submitted at your doctor's surgery on your behalf

Who you can make an online claim for

You can submit claims for anyone listed on your Medicare card.

Before you start

You’ll need to attach the receipt from your doctor to support your claim. If you don’t provide a receipt, we can’t accept your claim. Before you submit your claim, make sure you:

  • have a copy of the receipt with you
  • upload a copy of your receipt or account at the time you submit your claim online - use a PDF or JPG file

Make sure you don’t upload more than 10 files for each claim and the total size of all files uploaded is smaller than 5 MB.

Getting paid

You need to have your bank account details registered with us to get your benefit. You can register or update your bank account details using your Medicare online account or the Express Plus Medicare mobile app.

Read more about the ways to register your bank account details with Medicare.

Payment can take up to 5 business days.

Claiming limits

The Express Plus Medicare mobile app has no claiming limits.

If you claim using your Medicare online account, there are daily and monthly claiming limits. You can claim up to:

  • $75 per day, or
  • $150 in total for 30 days per Medicare card and bank account – we call this the monthly limit

We calculate the monthly limit by restarting it every 30 days. This means your monthly limit will reset to $0 every 30 days.

If you exceed a claiming limit, you can submit your claim:

If you've submitted your claim and realise you have made a mistake, call the Medicare general enquiries line.

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Page last updated: 6 July 2017