Application to register as an Approved Billing Agent and ECLIPSE form (HW015)

Use this form to register as an Approved Billing Agent, and to participate in Electronic Claim Lodgment and Information Processing Service Environment (ECLIPSE).

You must submit this form with all of the required documents as outlined in the billing agent registration process.

ECLIPSE is the Electronic Claim Lodgment and Information Processing Service Environment.

 
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Page last updated: 27 August 2017