Provider claims

As a provider you can claim payments for treating eligible Veteran card holders.

Provider claiming

We accept provider claims for services or treatments provided to eligible Veteran Card holders as listed in the latest fee schedules. You can find more information for providers on our Notes for providers page.

Some services may require prior financial authorisation, please see Veteran Cards, prior approval and referrals page for further information on eligibility.

Please note there is a strict 2-year time limit on all claims.

Claims are processed by the Veterans’ Affairs Processing Team at Services Australia on behalf of DVA. Claims must be submitted through the list of claiming options below:

How you can claim

There are 3 ways to claim:

• DVA Webclaim: This is a free service available via Health Professional Online Services (HPOS) through Provider Digital Access (PRODA) and is recommended for medical, dental, optical, ophthalmology and allied health providers.
• Practice Management Software: This is a software management tool that can be purchased. There are a number of vendors that provide this software. It is recommended for providers with a larger volume of DVA claims. To find further information regarding practice management software compatible with DVA claims, see: Software for Medicare Online, ECLIPSE and the AIR - Health professionals - Services Australia.
• Medicare Online claiming: DVA contracted Community Nursing providers can submit online claims using Medicare compliant software only, with the list of compliant software and vendors available on the Services Australia website - Software developers for Medicare Online. Not all software is compatible for use in claiming community nursing services.
• Mail: This is only an option if you cannot use DVA Webclaim, Medicare Online claiming or a Practice Management Software, however processing times are considerably longer. If you require assistance with manual claiming or any other claiming queries, please contact PROVIDER.SUPPORT@dva.gov.au.

Please note, the following vouchers listed below are no longer in use;

• Allied health time-based voucher (D0695)
• Claim for treatment services voucher (D1217)
• Dental report and voucher (D0919)
• Health practitioner service voucher (D1221)
• Optometric, optometry and optical service voucher (D1223)
• Pathology service vouchers (D1218)
• Treatment service voucher (D1216)
• Treatment service voucher, for use by general practitioners only (D1216G)
• Treatment service voucher, for use by specialists and consultant physicians only (D1216S)

Please refer to Provider health care claim forms and vouchers for further information.

DVA Webclaim

DVA Webclaim is a free online service that lets you submit claims and get paid quickly after you treat an eligible Veteran Card holder. DVA Webclaim is hosted by Services Australia via HPOS through PRODA.

When you use DVA Webclaim you can:

• Submit a claim without a client's signature
• Receive payment within 2 business days
• Access up to 2 years of your DVA claims history
• Cancel or amend claims on the same day
• Securely message Services Australia with questions about your claim
• Go paperless.

Please note claims must be submitted within 2 years of the service being delivered.

Hospital or DVA Contracted community nursing services

DVA Webclaim cannot be used to claim hospital or community nursing services.

Hospital claims can be made via Services Australia using Eclipse.

DVA contracted Community Nursing providers can submit claims via Medicare Online claiming or manual claiming – please refer to Claiming for community nursing services for further details.

Claims sent via mail

You will need a manual claiming form before you can submit a manual claim. Manual claiming forms differ between provider / treatment types. Please contact PROVIDER.SUPPORT@dva.gov.au if you require a manual claiming form.

Where to mail your claims:

To submit a manual claim you will need to post the relevant claim form along with any relevant supporting documentation.

All manual claim submissions are to be addressed to Services Australia, Veterans’ Affairs Processing at the address details below.

Community Nursing

All states and territories:

Services Australia, Veterans' Affairs Processing 
GPO Box 964 
Adelaide SA 5001

Allied Health

All states and territories:

Services Australia, Veterans' Affairs Processing 
GPO Box 964 
Adelaide SA 5001

Medical and specialists

Victoria, Queensland, Tasmania:

Services Australia, Veterans' Affairs Processing 
GPO Box 9869 
Melbourne VIC 3001

All other states and territories:

Services Australia, Veterans' Affairs Processing 
GPO Box 9869 
Perth WA 6848

Hospital

Victoria, Tasmania, Queensland:

Services Australia, Veterans' Affairs Processing 
GPO Box 9917 
Melbourne VIC 3001

All other states and territories:

Services Australia, Veterans' Affairs Processing 
GPO Box 9917 
Perth WA 6848

For assistance with mail claims call our Provider invoice and billing enquiries line on 1300 550 017.

Late claims

Claims must be received by Veterans’ Affairs Processing at Services Australia within 2 years of the date of service.

If you want to make a claim more than 2 years after you consult with or treat an eligible client, you must:

• show us that if we do not assess your claim, you may suffer financial hardship
• provide us with documents that prove you may suffer financial hardship.

If you need to request a Late Lodgement Application form please call 1300 550 017.