Medicare Easyclaim

Services not accepted through Medicare Easyclaim

Items not accepted through Medicare Easyclaim.

  • in-hospital items
  • Australian Immunisation Register information
  • bulk bill claims more than 2 years from date of service
  • patient claims more than 2 years from date of service
  • time-duration-dependent items
  • notional charges, for example, a health professional has raised a total charge to cover a group of services
  • patient claims for pathology items, except Group 9 items
  • bulk bill pathology items that are self-deemed or Rule 3 exemptions
  • patient claims and bulk bill claims with non-standard referrals
  • items where the charge exceeds $9,999.99
  • GP multiple attendance items, for example, Medical Benefits Schedule (MBS) item 24, 35, etc
  • separate sites override, unless the item is listed under Restrictive override code in the 'General terms explained' list below
  • assisted reproductive technology services
  • claims requiring text

These items may be claimed through Medicare Online, by phone or at a Medicare service centre.

Call the eBusiness Service Centre to:

  • obtain help accessing your bulk bill processing and payment reports through Health Professional Online Services (HPOS)
  • change contact or practice details
  • organise an on-site visit by a Business Development Officer

For technical problems, call the financial institution that supplied the service.

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