Electronically Transmitted claims (assignment of benefit) Voucher form (DB4E)

Customers can download and complete the Electronically Transmitted claims (assignment of benefit) Voucher.

 

Page last updated: 5 February 2016

This information was printed Sunday 25 September 2016 from humanservices.gov.au/health-professionals/forms/db4e 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.