Bank account details for Online Claiming (HW052)
This form allows healthcare providers to provide their bank account details to Services Australia for receiving payments through online claiming systems.
When do you need this form?
You need this form if you are a healthcare provider who wants to receive electronic payments from Services Australia for Medicare, Department of Veterans' Affairs, or Australian Immunisation Register claims. This is required when setting up online claiming as a payee provider or when updating your banking details for existing online claiming services.
What you'll need
- Minor ID (location ID) for your practice
- Complete practice details including name, address and contact information
- Bank account details including BSB, account number and account holder name
- Provider numbers and full names of all providers to be linked to this account
- Corporate details if your practice is part of a corporate group
Where to send it
Return the completed and signed form by email to provider.forms@servicesaustralia.gov.au or by fax to 1300 505 866.
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