Register

I would like to register for Mediteam's Billing Service

Please enter your personal details below:

Title

DOB

Full Name

AHPRA Number

Registered Specialty

Preferred name

Registered Address

Address

City

State

Postcode

Is your postal address the same?

Yes

No

Postal Address

Address

City

State

Postcode

Mobile Number

Email

Your ABN Registration

Practice Details

If you work within a medical practice, the following section is required only if your team are the point of contact for medical billing enquiries.

Practice Name

Practice authorised contact person

Contact Phone

Contact Email

Your Medical Billing Preferences

To assist with the processing of your medical billings, kindly complete the following information.

Option 1: Do you wish to use Mediteam's software for the lodgement of medical billing?

Yes

No

Option 2: If you have your own practice software, can Mediteam obtain remote access?

Yes

No

Hospital Locations for Inpatient Services

Please provide your registered provider number for each hospital location in which you intend to provide private inpatient services.

You can add more locations by clicking on the + symbol on the right.

Registered provider numbers

Name of Hospital	Provider Number	Registered with Health Funds

Direct Credit Payment Details

This information is required to assist Mediteam with the completion of any Medicare and Health Fund Registration forms that may be required.

Occasionally, Mediteam may receive Health Fund Cheques or patient payments on your behalf. Any such payments will be deposited to your nominated bank account promptly.

Name that your bank account is held in

BSB Number

Bank Account Number

I agree that by completing this registration form and utilising Mediteam services that:

All information provided within the registration form is correct

Correctly Registered

It is the responsibility of the doctor to ensure their provider details are correctly registered with Medicare and are eligible to claim for services provided

Correct item number

It is the doctors responsibility to provide the correct item numbers in accordance with Medicare MBS item descriptions and requirements

Authorisation for 3rd parties

You authorise Mediteam to contact third parties in relation to the processing of invoices and follow up payments and rejected claims including but not limited to Health Funds, Medicare and DVA

Information

I understand Mediteam will use this information only for the processing and management of your billing

Thank you for completing, will be in contact with you soon.

Mediteam is committed to collecting only the information relevant to the processing of your medical billing and complies with the Privacy Act 1988(Cth) and in line with Australian Privacy Principles (APPS), in its collection storage and use of the information you provide.

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Medical Billing

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Registration

The registration process is quick and secure via our online form. This will enable Mediteam to prepare all necessary Medicare and Health Fund Registrations on your behalf.

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AUSTRALIA’S LEADING MEDICAL SUPPORT SERVICES

Call Us (08) 6373 0118

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Quicklinks

Main Office

PHONE

(08) 6373 0118

FAX

(08) 6183 1932

EMAIL

[email protected]

POSTAL ADDRESS

Suite 6, 1 Salvado Road
Subiaco WA 6008

Operating Hours (AWST)

Monday8:00am - 5:00pm
Tuesday8:00am - 5:00pm
Wednesday8:00am - 5:00pm
Thursay8:00am - 5:00pm
Friday8:00am - 5:00pm
SaturdayClosed
SundayClosed

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Register

I would like to register for Mediteam's Billing Service

Practice Details

Your Medical Billing Preferences

Hospital Locations for Inpatient Services

Direct Credit Payment Details

Thank you for completing, will be in contact with you soon.

View our services

Start Your Registration

AUSTRALIA’S LEADING MEDICAL SUPPORT SERVICES

Quicklinks

Main Office

PHONE

FAX

EMAIL

POSTAL ADDRESS

Operating Hours (AWST)

Start Your
Registration