Simplified Billing or ECLIPSE adjustment claim form (HW023)

Medical practices, providers, private health insurers and billing agents should use this form when an adjustment is required to a previously processed claim which needs to be amended with new or altered information.

 

Page last updated: 14 September 2016

This information was printed Wednesday 28 September 2016 from humanservices.gov.au/health-professionals/forms/hw023 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.