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Registration

You can complete the registration process on-line on our secure page which uses SSL, the industry standard for the transmission of sensitive information, or you may prefer to download the registration form to the right of this page, and fill it in then fax, email or post it to us.

DETAILS

Title: *

Surname: *

First Name: *

Gender: *

Male

Female

Date Of Birth: *

YYYY

Address: *

Mobile: *

Phone:

Fax:

Email:

Qualifications: *

Specialty(ies): *

ABN:

PRODA Number:

AHPRA Number:

How did you hear about Australian Medical Billing Service: *

PROVIDER DETAILS

Please indicate below (Yes/No) if the provider number listed is already registered for billing with the health funds.

Provider No

Location Address

Yes/No

BANKING DETAILS

(All Health Fund payments will be deposited directly into your bank account)

Bank Name: *

Branch: *

Account Name: *

BSB: *

Account Number: *

Do you need us to complete your Health Fund Registration? *

Yes

If you are already registered what is your BUPA Practice ID Number:

Do you currently have a No Gap Agreement with any Health funds? *

Yes

Not Sure

LETTER HEAD DETAILS

(Will appear on your invoices and letters to patients)

Name: *

Company Name:

Validate:

Enquiries?

If you have any queries as to whether Australian Medical Billing Service can assist you please get in touch.

For more information on Australian Medical Billing Service and how we can help you, please contact us.

Fees

We have a volume based schedule of fees:

5% + GST for billing processed 0-$100,000
4% + GST for billing processed $100-500,000
3% + GST for billing processed over $500,000

This includes health fund registration, obtaining IFC, arranging Pre-Payment of Known Gap or full amount, data entry, following up any rejected claims and resubmitting, following up any outstanding payments and monthly reporting.

There is a minimum fee of $12.50 per invoice.

REGISTER NOW

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Contact

PO Box 7404
EAST BRISBANE, QLD 4169
P: 1300 002 839
P: 07 3075 9022
Fax: 07 3319 7366
E: info@ausmbs.com.au