Use this form to apply for late lodgement of a Simplified Billing claim for assigned Medicare benefits if you are a health professional, billing agent or private health insurer.
You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.
Download and complete the Application for late lodgement of a Simplified Billing claim for assigned Medicare benefits form.
This information was printed 29 November 2024 from https://www.servicesaustralia.gov.au/hw026. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.