Additional requirements for specific professions
All medical practitioners
- Name and provider number of the medical practitioner who performed the service (if different from the provider claiming for the service)
- Indication if the procedure was provided for an 'admitted patient' or was performed 'in rooms'
- MBS item number and description of each service (AMA item numbers cannot be accepted)
Medical specialists
- Name of referring medical practitioner and either their provider number or practice details (except in trauma/emergency)
Pharmacists
For invoices not submitted through HICAPS Digital, we require the following details before we can pay your invoice:
- Date dispensed
- PBS item number, where available
- Item description, for non-PBS items
- Quantity of medication dispensed
- Medication strength, where applicable
- Amount charged per item
- Dispensary computer generated tax invoice/tax receipt
- For hospital patients, whether the medication is for outpatient or discharge
If you provide a tax invoice statement (instead of a full tax invoice) this must include the script number and item number.
Surgeries
- For any surgical procedures provided in a public or private hospital operating theatre, the principal surgeon is required to provide the hospital operation report generated at the time of the surgical procedure with their invoice.
- Location of service.
- Side, site or structure of procedure.
- When injuries are associated with a compound (open) wound, the medical practitioner must state on their invoice 'Open' or 'Compound' next to the procedure item number.
- Consultations provided in the aftercare period following surgery must indicate 'not normal aftercare' and provide an explanation as defined by the MBS.
Assistant surgeons
- Identification of the principal surgeon
- Identification of the 'assist' as defined by the MBS
Legal professionals
Please see our Invoicing guidelines for legal costs