Registering Providers with Medicare - Online Provider Agreement Form - HW027, HW029 and HW052

Registering Providers with Medicare - Online Provider Agreement Form - HW027, HW029 and HW052

Medicare/Bulk Bill and DVA claims will not be processed online if the Online Provider Agreement Form ( HW-027) has not been completed.  This allows for one provider number. 

It is Important that the adress used on this form matches the address Services Australia holds for the provider number.

If the provider has multiple provider numbers, these need to be added to the Online Claiming Banking Details Form ( HW- 052)

Please forward completed forms to the Services Austrailia email on the bottom of the form .

HW027

To complete the HW027 form:
1. Provider details
2. Provider Number 
3.  RA number - LEAVE BLANK 
12.  Minor ID: As advised when you signed up, starts with CUT
13 - 17 Complete your contact details
18-22 - leave blank
23.  Your Bank Details
24. Tick only Medicare/Bulk Bill and DVA
25-26 Tick: NO
28:  Sign and date.

HW052

To complete the HW052 form:
1.  Minor ID: As advised when you signed up, starts with CUT
2.  Tick No - Go To 4
3.  Leave blank 
4.  Practice or Doctors name
5.  Address that one of the provider numbers is registered to
6. Post address for correspondence
7.  Telephone number
8-12:  Leave blank
13.  Bank details and date effective from
14.  Leave blank
15.  Tick only Medicare/Bulk Bill and DVA
17.  Add the relevant provider numbers and get doctor to sign each one.

HW029

Download from : Medicare Link for HW029
To complete the HW029 form:
1. Complete 1-7 as requested
8. Tick: Medicare Online
    Minor ID: As advised when you signed up, starts with CUT
    Medicare Easyclaims - leave blank 
    Australian Immunisation Register - leave blank 
9. Tick - No
10. Add Bank Accout Details
11. Tick - No
12. Tick - Yes
Then proceed to fill in all other PN's
38. Print and sign
 Email form to address on the form 
    







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