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 quickest and easiest way to claim your Medicare benefit is at your doctor's practice. Ask if they can do this for you. If your doctor doesn't offer electronic claiming, you can claim your Medicare benefit using:

To submit a Medicare claim online, you must:

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

What item numbers you can claim using your Medicare online account

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

You can only claim some consultations using your Medicare online account.

Item number Description

3

GP Consultation - Level A

23

GP Consultation - Level B

36

GP Consultation - Level C

53

Other Medical Practitioner Standard Consultation

54

Other Medical Practitioner Long Consultation

57

Other Medical Practitioner Prolonged Consultation

5020

GP Consultation - Level B (after hours)

5200

Other Medical Practitioner Brief Consultation (after hours)

5203

Other Medical Practitioner Standard Consultation (after hours)

5207

Other Medical Practitioner Long Consultation (after hours)

5208

Other Medical Practitioner Prolonged Consultation (after hours)

10951

Diabetes Education Service

10952

Audiology Health Service

10953

Exercise Physiology Service

10954

Dietetics Services

10956

Mental Health Service

10958

Occupational Therapy Health Service

10960

Physiotherapy Health Service

10962

Podiatry Health Service

10964

Chiropractic Service

10966

Osteopathy Health Service

10968

Psychology Health Service

10970

Speech Pathology Health Service

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

What you can't claim using your Medicare online account

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
  • more than 2 years ago
  • by a hospital or approved day facility inpatient

You don’t need to claim if you've been bulk billed for the item or your doctor’s surgery submitted it on your behalf.

Who you can make an online claim for

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

What you need before you start

You’ll need to upload 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. You can then:

  • upload a copy of your receipt when you submit your claim using your Medicare online account - use a PDF or JPG file, or
  • upload a photo of your receipt using the camera function on your smart phone when you submit your claim using the Express Plus Medicare mobile app

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. If you do, the upload won’t work.

How to get paid

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

Read more about how to:

It can take up to 5 business days for you to get payment.

What are the 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 – 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 made a mistake, call the Medicare general enquiries line. You can’t cancel or delete a claim yourself.

Page last updated: 8 March 2018