Get Au Ms014 2023-2025

The AU MS014 form is utilized for submitting Medicare claims for medical and dental services, whether for yourself or on behalf of someone else. This guide will provide you with clear, step-by-step instructions to help you complete the form efficiently online.

Follow the steps to fill out your AU MS014 form online:

1. Press the ‘Get Form’ button to obtain the AU MS014 claim form and open it in your selected digital editor.
2. Enter the patient’s Medicare card number in the designated field. Ensure the details are accurate to avoid processing delays.
3. Select the appropriate option for who is claiming: yourself as the patient, an individual on behalf of a patient, or a business/third party. Follow the prompts based on your selection.
4. If claiming on behalf of an individual, fill in the individual claimant’s Medicare card number and their personal details such as name and date of birth.
5. Provide your contact details, including a daytime phone number and postal address. Make sure these are up to date.
6. Check the box to indicate if you want this as your permanent postal address for everyone on your Medicare card.
7. Complete the claimant's declaration, affirming that you meet all requirements and that the information provided is accurate. Remember to sign the declaration.
8. If claiming through a business or third party, provide the business name, contact details, and postal address.
9. Indicate where you want your payment made by entering the bank account details necessary for Electronic Funds Transfer, making sure there are no restrictions on the account.
10. Review all entered information for accuracy, and save changes. You can then download, print, or share your completed form as required.

Complete your documents easily online today!