Remember, you must give correct claimant details to avoid claim errors

24 June 2019

When you submit a Medicare claim for a patient, make sure you list the correct claimant.

News item

Do you know a patient isn’t always the claimant?

It’s important to make sure the right person gets the Medicare benefit and there are no delays.

A patient is the person who received your medical service.

A claimant is the person who pays for the medical service. The claimant doesn’t have to be the patient or on the patient’s Medicare card.

For example, if you provide a medical service to a child, they are the patient. The parent or guardian is the claimant as they pay for your service.

To prevent any delays, make sure you provide the correct claimant details when submitting a claim.

Next steps

Need help to fix a error? Call our provider phone line on 13 21 50.

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Page last updated: 21 October 2019