The request must be submitted using your practice’s letterhead, and have all of the following:
- your provider details, this includes both the servicing provider and payee provider’s details
- the patient’s full name and Medicare card number used for the claim
- the adjustment details, specifying what needs to be changed in the claim
- the letter must be titled ‘Request for Patient Claim Adjustment’ and signed by the health professional submitting the adjustment request.
You need to mail your request for a patient claim adjustment to us.
You can also send your request by fax 03 9605 7983.
If you need a adjust a claim the same day your patient’s visited your practice, contact Medicare providers enquiries.
Read more about adjusting bulk billed claims.