Request for Medicare claims information form (MS031)

Use this form to request Medicare claims information for individuals and families from more than 3 years ago.

This form should only be used to request Medicare claims information from more than 3 years ago.

Access your Medicare claims information for at least the last 3 years through myGov.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

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Page last updated: 27 August 2017