Billing Agent registration

Individuals or companies wishing to establish a billing agency need to register with us.

Billing Agents act on the patient's behalf to claim Medicare and private health insurance medical benefits. The patient does not need to be involved, unless there is an agreed out-of-pocket expense.

Billing Agents are entitled to collect the gap benefit from the private health insurer on behalf of the provider when the private health insurer and health professional have a gap cover scheme arrangement.

Billing Agents must be approved by us and can be a corporation, partnership, individual or body.

You need to provide the following information to us to apply as an Approved Billing Agent.

The Statutory Declaration and Deed Poll need to be printed and filled in by hand. If you use assistive technology because of a disability or impairment please contact us for further assistance.

Complete the relevant application form

Identify which type of applicant you are and complete the relevant application form. There are 4 types of applicants:

  • an Individual - individuals who wish to set up as an Approved Billing Agent
  • a Partnership - the legal relationship of persons carrying on business together with a view to profit, provided they are not members of an incorporated body. All partners must sign the application
  • a Corporation - a body of persons or an individual, with a legal existence distinct from that of the individual person or persons, and
  • a Body - any state and territory government authority or other public body

If applying as a corporation, please supply a copy of your certificate of incorporation.

Complete the Application to register as an Approved Billing Agent and ECLIPSE form (HW015).

Complete and sign the Statutory Declaration

Provide search results from Bankruptcy Register and Disqualified Directors Register.

If applying as an individual or partnership, please provide search results of the Bankruptcy Register and the Disqualified Directors Register for the individual or partners.

The Bankruptcy Register is maintained by the Australian Financial Security Authority.

The Disqualified Directors Register is maintained by the Australian Securities and Investments Commission.

Complete the statutory declaration .

Complete and sign 2 copies of the Deed Poll

Two copies are required as you retain one copy. We have deed poll instructions to assist you.

Complete a deed poll in favour of us .

Include the application fee

The initial application fee for an Approved Billing Agent is $1,000. You must attach a cheque for this amount, made payable to the Department of Human Services, with your application.

Checklist for registration of a Billing Agent application

Checklist for registration of a Billing Agent application

Checklist if you will be participating via ECLIPSE

Checklist if you will be participating via ECLIPSE

Any questions or concerns regarding online registration process please contact us at the eBusiness Service Centre.

Submit Simplified Billing form for approval

Send all completed documents with the initial application fee to Medicare eClaiming on the contact us page.

Once you are an Approved Billing Agent, an approved sample Simplified Billing Assignment and Claim form will be forwarded to you electronically by us.

If you make any changes to the Assignment and Claim form, you will need to resubmit the form to us for approval.

Further information

For more information, please contact the Billing Agent Coordinator.

Page last updated: 22 July 2016

This information was printed Tuesday 6 December 2016 from humanservices.gov.au/health-professionals/enablers/billing-agent-registration It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.