Understanding Payee Providers

If you or your practice/organisation will be billing under multiple provider numbers, Medicare has laid out guidelines for the Banking Form/s that you need to accomplish. You may opt to select a Payee Provider, and the claims for all the providers and/or provider numbers could go to the one Payee Provider’s bank account. Below are some sample scenarios to help you understand it better.
For Individual Providers ONLY

Individual Providers

SCENARIO
You are an individual provider...		INSTRUCTIONS
A....with only one provider number.

  • HW027 Form required. Ensure to specify the provider number you intend to use with your eClaims software.

  • HW052 banking form is not required.
B....with multiple provider numbers.

  • HW027 Form required. You only need to complete this form once. Simply select one of the provider numbers you intend to use with your eClaims software.

  • HW029 Form is required. Complete this form and ensure to list all your provider numbers that you intend to use with your eClaims software.
For Practices/Medical Centres/Organisations with Multiple Health Practitioners

Practice (Multiple Providers)

SCENARIO
You are a practice/medical centre/organisation that bills for multiple providers, and...		INSTRUCTIONS
A.All providers have one provider number each, registered to the same address, and everyone's claims should go to their own individual bank accounts.

  • Have each provider complete their own HW027 Form.

  • A HW052 Form is not required.
B.All providers have one provider number each, and everyone's claims should go to one bank account.
C.Some or all providers have multiple provider numbers each, and everyone's claims should go to their own individual bank accounts.

  • Each doctor should complete a HW027 Form and ensure to select a provider number that you intend to use in eClaims.

  • For each bank account required to be registered, complete the HW052 Form as necessary. If a provider has multiple provider numbers, ensure to list the various provider numbers in Section 11.
D.Some or all providers have multiple provider numbers each, and everyone's claims should go to one bank account.
The above guidelines only apply to filling out the HW027 Provider Agreement Form and HW052 Banking Form. If you need to know more about other Medicare Forms to complete, visit our Medicare Forms page. You may also use this tool (click here) to determine which paperwork to fill out.