Medicare Claim Form - Coviu Admin

Fees and Medicare Claim
Please note:

·        Fees do not apply to clients in South Western Sydney, Central Eastern Sydney or Nepean Blue Mountains (PHN funded service)

·        Information is collected in accordance with the privacy policy on our website, including deidentified information being provided to PHNs for PHN funded services

·        Certain services may be bulk billed (including the interview of a person other than the patient – 92458, 92459 or 92460)
Do you agree to pay the fees and have us submit your claim to Medicare? *

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Fees and Medicare Claim