Medicare benefits for health professionals

Claiming information

Having a provider number doesn’t mean you’ll get Medicare benefits for all the services you provide.

Some Medicare provider numbers can only be used to refer or request services for your patients.

Claims need to clearly show:

  • the address and provider number of the place of practice
  • that the service qualifies for Medicare benefits
  • that the person who provided the service is a registered medical practitioner at the place of practice.

You should only claim:

  • while working in a private capacity, and
  • if you’re not getting other government funding for your services.
This information was printed Monday 20 May 2019 from It may not include all of the relevant information on this topic. Please consider any relevant site notices at when using this material.

Page last updated: 22 February 2019