Prosthetist/Orthotist

As a prosthetist and orthotist (P&O), you play an important role in helping our clients to regain their mobility after their transport accident.

We can pay the reasonable costs of your patient’s P&O services once they have been approved in writing.

Consultations, fittings, repair and maintenance are covered. We can also pay the reasonable cost of basic orthotic equipment under $1,000 without prior approval.

If your patient's accident was prior to 14th February 2018 they may need to meet the medical excess before you can invoice the TAC for treatment.

Here’s how to work with our clients, manage billing and payments and find out what we can and cannot pay for.

Register as a provider

You can provide orthoptic services if you are a Prosthetist and Orthotist P&O who has completed a Bachelor of Prosthetics and Orthotics and is eligible for full membership of the Australian Orthotic Prosthetic Association.

Standard orthotic equipment may be provided by an appropriately qualified physiotherapist, podiatrist, chiropractor, osteopath or occupational therapist.

If you would like to provide P&O services to our clients, please register using our Online Registration Form.

Before the appointment

Does your patient have a TAC claim?

  • Yes – you can treat the patient immediately. You will need their claim number.
  • Not sure – call us on 1300 654 329 to check.

If you use LanternPay, you can also check your patient’s claim status online.

Does the medical excess apply?

If your patient's accident occurred prior to 14th February 2018 they may need to meet the medical excess before you can invoice us for their treatment. Call us on 1300 654 329 to check your patient’s medical excess status.

Treating our clients

We can pay the reasonable costs of your patient’s P&O services once they have been approved in writing. Consultations, fittings, repair and maintenance are covered. We can also pay the reasonable cost of orthotic equipment under $1,000 without prior approval.

See: Guidelines – Prosthetist/Orthotist for a complete list of what we can and cannot pay for.

If your patient has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between the patient's treating team and our TAC coordinator. If your patient already has an individualised funding package, P&O services may be included as part of that.

Equipment and orthoses

We can pay for provision of basic equipment under $1,000. This does not include your P&O consultation costs.

Our approval is required for equipment above $1,000 and specialised equipment. Use the Equipment Prescription Form to submit written requests.

Guidelines

Reporting, forms and templates

You do not need to send reports to us unless we ask you to, but you should ensure you are recording your patient’s baseline outcome measures.

You may need to complete the following:

Use this form to request orthotic devices when over $1,000. You will need to provide details of the orthotic devices you need, and the associated clinical services to improve the function and mobility of your patient.

Billing and payments

Fee schedules

We can pay for services in line with our fee schedules:

How to invoice us

Invoices can be submitted online via LanternPay, or mailed to us at:

Transport Accident Commission (TAC)
GPO Box 2751
Melbourne Vic 3001

For full details on invoicing and payments, see: How to invoice us.

Does the medical excess apply?

Accidents that occurred before 14 February 2018 may be subject to the medical excess. Call us on 1300 654 329 to check your patient’s medical excess status. If the excess is applicable, and hasn’t yet been reached, you will need to request payment from your patient. You may be able to bill your patient’s private health insurance for the treatment.

Billing and payments

Fee schedules

We can pay for services in line with our fee schedules:

How to invoice us

Invoices can be submitted online via LanternPay, or mailed to us at:

Transport Accident Commission (TAC)
GPO Box 2751
Melbourne Vic 3001

For full details on invoicing and payments, see: How to invoice us.

Does the medical excess apply?

Accidents that occurred before 14 February 2018 may be subject to the medical excess. Call us on 1300 654 329 to check your patient’s medical excess status. If the excess is applicable, and hasn’t yet been reached, you will need to request payment from your patient. You may be able to bill your patient’s private health insurance for the treatment.

Other resources

FAQs

Can I treat your client and bill you afterwards – or do I first have to be a registered TAC provider?

As a registered allied health provider, you don’t need to register with us before treating our clients. However we prefer that you complete our simple Online Registration Form before you invoice us. Make sure you record your patient’s TAC claim number or confirm that they have an accepted TAC claim - you can call us on 1300 654 329 to check.

How long will it take to get paid?

If you submit your invoice using LanternPay, you will be paid the next business day. If you submit your invoice by post, payments are made weekly.

My fees are higher than those listed in your fee schedule. What does this mean for my patient?

As we can only pay according to our fee schedules, you will need to invoice your patient for any difference. Your patient may have private health insurance they can utilise. Alternatively, you can elect to treat your patient at the cost of our fee schedules.

Talk to us

To ask questions, get help or provide feedback, call us on 1300 654 329 or use our online contact form.