Bulk Billing - Medicare & DVA: Quick Guide

Bulk billing is one of the most commonly used claiming methods in Australian healthcare. MediRecords makes bulk billing simple by allowing practices to generate bulk bill invoices directly within the system, ensuring claims are prepared accurately and submitted efficiently.

When bulk billing, the practice charges only the amount covered under the Medicare Benefits Scheme (MBS), and rebates are paid directly to the practice. This reduces administration, supports compliance, and ensures patients are not left out of pocket.

This article explains what bulk billing means, how to create bulk bill invoices from different areas of MediRecords, how claims are submitted, and what to do if a claim needs to be cancelled.

📌 Important: Your billing configuration determines whether invoices, payments, adjustments, and refunds can be created or edited in any practice, or only in the one you’re logged into. With Centralised Billing enabled, you can bill across practices (be sure to select the correct one), while disabling Centralised Billing locks billing to the current practice to reduce errors. For more information on Centralised Billing, please see this article.

 

Contents

1. What is Bulk Billing?
2. How Bulk Bill Claims Are Submitted
3. Where You Can Create a Bulk Bill Claim
4. Creating a Bulk Bill Claim
5. Cancelling a Bulk Bill Claim
6. Cancelling a Claim in MediRecords
7. Assignment of Benefit (AOB)
8. Related Reading

 

To be bulk billed:

• The patient must have a valid Medicare or DVA card
• The service must be eligible under the relevant schedule

 

 

 

How Bulk Bill Claims Are Submitted

• Bulk bill invoices are first saved to the Unclaimed Amounts screen.
• Claims are submitted only after a successful OPV.
• If automatic submission is enabled, claims are sent overnight.
• If automatic submission is disabled, claims must be submitted manually from the Claiming screen.

This ensures all required checks are completed before submission.

 

 

Creating a Bulk Bill Claim

1. Open the billing screen from your chosen location.
2. Create a new invoice.
   
    
3. Complete the patient verification check (OPV).
   
    
4. Confirm the provider details.
   
    
5. Attach a referral if required.
   
    
6. Set Bill To as Medicare or DVA.
   
    
7. Select the correct schedule.
   

    

8. Enter the item number(s).
   

    

9. Select Print Medicare Statement if requested.
   

    

10. Click Claim.
    
     

    The invoice is saved to the Unclaimed screen and can be viewed in the patient record and Claiming screen.

Cancelling a Bulk Bill Claim

 

 

 

Cancelling a Claim in MediRecords

Once Medicare has confirmed cancellation:

1. To cancel a Medicare claim, select Accounts, then Claiming, then In Progress, check the claim checkbox, click More, and select Cancel Medicare Claim.
   
    
2. And click Yes to confirm. (The invoices return to the Unclaimed Amounts screen.)
   

 

 

 

Assignment of Benefit (AOB)

From 1 July 2026, Medicare Assignment of Benefit (AoB) requirements are changing for Bulk Bill and Inpatient Medical Claims (IMC). These changes introduce new requirements for capturing, recording and retaining patient consent before claims can be submitted. 

MediRecords has updated the invoicing workflow to support these requirements, including options for capturing consent in person or electronically and preventing claim submission until consent has been recorded.

For a full overview of the changes and any required actions, see Assignment of Benefit Changes - July 2026.