Get Healthcare Identifiers Service - Application To Link Or ... - Medicare - Medicareaustralia Gov

Filling out the Healthcare Identifiers Service application is a crucial step for healthcare organizations wishing to link or unlink contracted service providers. This guide provides clear, step-by-step instructions to help users complete this form online efficiently.

Follow the steps to complete the application form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the applicant's details. This includes the responsible officer's registration number if known, full name, date of birth, and contact information. Ensure to use black or blue pen and print in block letters.
3. Next, provide the healthcare organization details. Fill in the Healthcare Provider Identifier - Organisation registration number, organization name, and business address, including the postcode.
4. Now, switch to the contracted service provider organization details. Input the organization registration number, name, and business address.
5. Specify whether you wish to link or unlink a contracted service provider organization by selecting one option. Ensure to tick only one box.
6. If linking, indicate whether you want to link the contracted service provider to both the seed organization and all network organizations. Select the appropriate option.
7. In the declaration section, affirm that the information provided is complete and correct. Sign and date the form as required.
8. Finally, review the form to ensure all questions are answered, and all sections are filled correctly. Confirm your information to submit the form online.
9. Once completed, save changes if necessary, and proceed to download, print, or share the form as needed.

Complete your application online today and ensure your healthcare identifiers are correctly linked or unlinked.