Healthcare Federal · HW027

Online Claiming Provider Agreement (HW027)

This form allows healthcare providers to apply for online claiming services with Services Australia and the Department of Veterans' Affairs.

When do you need this form?

Healthcare providers and organisations need this form when they want to set up electronic claiming for Medicare and DVA services instead of submitting paper claims. This applies to doctors, allied health professionals, and healthcare organisations who want to streamline their billing processes by claiming online.

What you'll need

  • Medicare provider number or vaccination provider number
  • PKI Registration Authority (RA) number or PRODA Registration Authority (RA) number
  • Bank account details (separate HW052 form required if not already registered)
  • Details of approved software for online claiming

Where to send it

Submit the completed form to Services Australia through their online portal or as directed by Services Australia. You may need to contact 1800 700 199 for specific submission instructions.

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