Medicare online account help - Submit a claim

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

 

You can claim all non-bulk billed Medicare services using your Medicare online account. 

As part of your claim you need to submit details of:

  • the services you are claiming for, and
  • how much you paid

You can find this information on the account and receipt you get from your health professional.  

You need to submit copies of your account and receipt with your claim. To do this, scan or photograph these documents and save them. You can upload up to 10 files to a maximum of 5MB for all files uploaded. We can only accept documents in the following formats:

  • PDF
  • BMP
  • GIF
  • PNG
  • JPG

If you are using a publicly accessed computer to scan and upload your documents you should take extra care. We recommend that you delete the document from the computer after you’ve completed your claim.

Step 1: get started

Sign in to your Medicare online account through myGov. Review the information on the Medicare online account access page.

If needed, update the information and select Apply Updates.

If the information is correct, select PROCEED TO ONLINE ACCOUNT.

From your homepage or the menu, select Lodge a Medicare Claim.

Make sure you have your supporting documents saved to your computer. This may include copies of accounts and receipts from your doctor or health professional.

Additionally, you’ll need your up to date bank account details to include in the claim. For help doing this, see our update your bank account details online guide.

Select Make a Claim to continue, or select Cancel to return to your homepage.

Step 2: provide patient details

If there are multiple people listed on your Medicare card, select the patient who received the service.

Select Next.

Step 3: provide payment details

Select Yes if you or someone else has paid the account in full. Select No if you haven’t paid the account in full.

Select Next.

Upload your account and receipt.

To do this, select Attach document and locate the relevant file that you’ve saved to your computer.

Select add file to attach the document.

If you need to attach more than one document, select Attach another document.

Once you’ve added all accounts and receipts, select Next.

Step 4: enter provider and item details

Enter the provider number of the doctor or health professional who treated the patient.

The provider number is a combination of letters and numbers up to 8 characters long. You can find it on the account from your health professional.

After you’ve entered the provider number, select Next.

Enter the medical service details in the corresponding fields.

If you’re claiming more than one service select Add item and enter the details of additional services. You can claim up to 5 services for the same provider and the same patient.

Once you’ve entered all items, select Next.

Select Remove item to correct any errors.

We’ll ask if you were an ‘admitted patient’ or ‘in-patient’ for any of the items. Answer Yes or No. If Yes, check the box corresponding to the relevant item or items.

Select Next to review and submit your claim.

Step 5: review and submit

A summary of the details you’re about to submit will display. If any of the details are incorrect, select the Edit button to change the details.

If all the information is correct, read the declaration. If you agree with the declaration select Submit.

Your Medicare Claim ID will display to confirm your claim is successful. You can:

  • view or print a PDF version of your submitted Medicare claim
  • Lodge another claim, or
  • select Back to home to return to the main menu

Step 6: sign out

From your homepage you can complete other transactions or select Return to myGov to go to myGov.

For your privacy and security, sign out when you’ve finished using your myGov account.

View other online account guides and video demonstrations about using your online account.

Page last updated: 6 August 2018