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