Medicare Online Paperwork

To connect your business/organisation with Medicare Australia for Online Claiming, a few Medicare forms need to be completed.

Step 1: Print each form out

1. Registered Medicare Australia Communities of Interest (CoI) Site Certificate Form
2. Acceptable Referee Identification Form
3. Online Claiming Practice Details Form
4. Online Claiming Provider Agreement Form
5. Online Claiming Banking Form
6. Copy and paste letter on company letterhead: Duly Authorised Letter of Authority Template

Step 2: Receive your unique Minor ID/Location ID

Your Minor ID/Location ID is issued to you by ACSS and is required to complete your Medicare Online Paperwork. You will receive you Minor ID/Location ID in an email, if you do not have a Minor ID/Location ID for some reason, please contact our Admin Team.

Step 3: Follow these instructions when completing the above forms

• Registered Medicare Australia Communities of Interest (CoI) Site Certificate Form
  The Duly Authorised Officer (DAO) is the contact person for this Medicare Online Application.
  The DAO can be the business owner, manager or an individual health provider (with a provider number) eg. Doctor
  
  If the DAO is not a health provider with a provider number (i.e. doesn't have a provider number issued under their name), the DAO will need to provide 100 points of certified ID which must be 2 of the following:

If the DAO can't provide 2 of the above stated forms of ID, the DAO must provide a Statutory Declaration explaining why the DAO is unable to provide the 100 points ID.

All photocopies must be certified by an Acceptable Referee outlined in the Acceptable Referee Identification Form and must be the same person certifying all the other documents.

You can leave Section 12 of the Registered Medicare Australia Communities of Interest (CoI) Site Certificate Form blank.

You also need to supply a Letter of Authority on Company Letterhead stating that the nominated DAO can complete the paperwork on behalf of the Director/Owner of the Company. The letter must be certified by the Director/Owner and the nominated Duly Authorised officer. (They can be the same person.) A template can be downloaded here.

• Acceptable Referee Identification Form
  Aswell as completing the Acceptable Referee Identification Form please attach ONE of the following:
  
  • Certified Copy of Company Documents as follows:
    • Certificate of Registration of a company issued by the ‘Australia Securities and Investments Commission’
    • Strata Certificate of registration
    • Sale of purchase of a business notice
    • Liquidation Notice
    • A Bank statement in the Business Name that is less than one year old. Note: Can black out all transaction amounts
    • Lease agreement of a business property
    • Rates notice of a business property
    • Certificate of a change of name issued by the ‘Australia Securities and Investments Commission’
    • A document issued by the Australian Taxation Office bearing the company name and Tax File Number
    • Trust: Certified copy of the First and the Last Pages of the Trust Deed.

If you need to get multiple people to certify your documents, an Acceptable Referee Identification Form must be completed for each certifier.

• Online Claiming Practice Details Form
  This must be completed by the contact person for future Medicare enquiries.
   
• Online Claiming Provider Agreement Form
  All Provider Numbers must be registered with Medicare Online before they can start to submit claims online. Print one copy per provider number you need to register.
   
• Online Claiming Banking Form
  If you would like Medicare to pay the money into multiple bank accounts, you need to complete one form per bank account and list the related Provider Numbers.

Step 4: Lodging your Medicare Online Application

Send your Medicare Online Paperwork to ACSS by one of the following methods:

When ACSS has received your Medicare Online Paperwork, we will forward it to Medicare on your behalf.

Step 5: Advise ACSS that you have lodged your Medicare Online Application

When you have lodged your Medicare Online Application to Medicare, please contact Camille on 02 9632 0026 and ACSS will follow up your Application with Medicare and keep you updated.

Need Further Assistance with your Medicare Online Application?

Please do not hesitate to contact Camille on 02 9632 0026 or Medicare on 1800 700 199, press 1.