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Get AU 4703 2013

Ary Acknowledgement Postcode Under the Health Insurance Act 1973, health professionals who incorrectly claim payments under the Medicare program may be required to pay an administrative penalty in addition to repaying the incorrectly claimed amount. The penalty amount may be reduced when a health professional voluntarily acknowledges incorrectly claimed amounts. You must use this form if you wish to advise the Australian Government Department of Human Services (Human Services) about amounts in.

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