Pivotal Health > 91910

91910

Medicare Telehealth Bulk Billing Consent 91910

Your GP requires your consent to bulk bill your telehealth consultation with Medicare. Please complete the below form.

Name
DD slash MM slash YYYY

Details of the Telehealth Consultation

Item Number to be Claimed – 91910 Benefit Payable to GP – $118.00 *If the patient is on a Commonwealth Health Care Card, Pension or under 16 years of age a bulk billing incentive item number will be added.
DD slash MM slash YYYY
Please select the GP that consulted with you today
If you (the patient) agree to the assignment of the Medicare Benefit (above) directly to the Health Professional (bulk Bill), select the I agree button below(Required)
Call Now

Book Now