Bulk billing for nurse practitioners and midwives

Nurse practitioners or midwives who provide an approved service can choose to bill the patient directly or bulk bill us.

Bulk billing Medicare

If you are an eligible nurse practitioner or midwife you can access some items under the Medicare Benefits Schedule and limited items under the Pharmaceutical Benefits Scheme.

Under the Medicare Benefits Schedule nurse practitioner service items include: 82200, 82205, 82210, 82215, 82220, 82221, 82222, 82224, and 82225.

Under the Medicare Benefits Schedule midwifery service items include: 82100, 82105, 82110, 82115, 82120, 82125, 82130, 82135, 82140, 82150, 82151, and 82152.

Submitting a claim

To submit a claim nurse practitioners and midwives use the Other Practitioner Voucher form (DB2-OT). There is an instruction sheet if you need assistance.

When you complete the Medicare copy of the form the practitioner and patient copies will pre-fill. You cannot save a copy of the form to your computer but you can print a copy if you need to.

If you have completed the form the patient signs the Medicare copy only, and you provide them with a signed copy.

You must also complete the Bulk Bill claim form and have it witnessed and dated. This form is used with the Assignment of benefit form to claim the total benefit payable.

Post the Medicare copy of the Other Practitioner Voucher form (DB2-OT) and Assignment of benefit form to:

Department of Human Services
GPO Box 9822
 in your capital city

A maximum of 50 Assignment of benefit forms can be attached to each Bulk Bill claim form. These forms must be lodged from the same practice or servicing location.

You can order a printed copy of the forms. When you place your order we will ask for your provider number.

Payment of a benefit

When we have processed your claim we will pay the benefit by Electronic Funds Transfer (EFT) into the bank account you nominated when you registered with us.

eLearning modules

We have created a series of eLearning modules to assist you with the bulk billing process. The modules take about 15-20 minutes to complete and are easy to use. The modules cover the following topics:

  • Introduction to Medicare
  • Introduction to the MBS
  • Billing and claiming
  • Referrals and requests

Contact us

If you need further assistance contact Health Professional Online Services.

Page last updated: 5 February 2016

This information was printed Thursday 29 September 2016 from humanservices.gov.au/health-professionals/services/medicare/bulk-billing-nurse-practitioners-and-midwives 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.