Services billable via online invoicing
Information about which services are billable with online invoicing, along with helpful troubleshooting advice.
Services billable
The services listed below are available for invoicing via online invoicing. To invoice a service not available via the electronic platforms, please follow your usual invoicing practice.
The funding of any services are subject to WorkSafe Victoria's adjudication criteria.
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General Practitioner (GP) Consultations
The following GP Consultation services are available for invoicing via the electronic invoicing platform. All other services please invoice via the existing channels.
GP Consultations
Description MBS Code GP consultation at rooms - level a 3 GP consultation at home - level a (expl required) 4 GP consultation at rooms - level b/c <20 mins 23 GP consultation at home level b/c <20mins expl re 24 GP consultation rooms - level c >20 <40 mins 36 GP consultation home levelc>20 m/leveld<40m expl. 37 GP consult. at rooms level d >40 mins 44 GP consult. at home level d >40 mins (expl requir) 47 Professional attendance at consulting rooms of MOR 53 Professional attendance at consulting rooms of MOR 54 Professional attendance at consulting rooms of MOR 57 Professional attendance by a general practitioner 193 Acupuncture - prof. attend by GP 197 Acupuncture - prof. attend by GP 199 Professional attendance by a general practitioner 585 Professional attendance by a medical practitioner 594 Emergency attendance at cons rooms bt 11pm & 7am 599 Professional attendance by a general practitioner 2713 Professional attendance by a general practitioner 2715 After-hours attend - GP - professional attendance 5000 After-hours attend - GP - surgery consultation 5020 After-hours attend - GP - home visit 5023 After-hours attend - surgery consultation 5040 After-hours attend - surgery - home visit 5043 After-hours attend - surgery level d 5060 GP participation in RTW case conference <20 mins RTWCC1 GP participation in RTW case conference 20-40 min RTWCC2 GP participation in RTW case conference >40 mins RTWCC3 Description MBS Telehealth Item (Video Conference) MBS Telehealth Item (Telephone) GP consultation at rooms - level a 91790 91795 GP consultation at rooms - level b/c <20 mins. 91800 91809 GP consultation rooms - level c >20 <40 mins 91801 91810 GP consult. at rooms level d >40 mins. 91802 91811 Professional attendance at consulting rooms of MORE than 5 mins 91803 91812 Professional attendance at consulting rooms of MORE than 25 mins 91804 91813 Professional attendance at consulting rooms of MORE than 45 mins 91805 91814 Emergency attendance at cons rooms bt 11pm & 7am 92210 92216 Professional attendance by a general practitioner <20 mins 92115 92127 Professional attendance by a general practitioner >20 <40 mins 92116 92128 Short consultation, less than 6 minutes* n/a 91890 Long consultation, 6 minutes or greater* n/a 91891 * New MBS Telephone Items introduced on 1 July 2021
More information
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Physiotherapy and Hydrotherapy
The following Physiotherapy, Early Intervention Physiotherapy Framework (EIPF) and Hydrotherapy services are available for invoicing via the electronic invoicing platform.
Please note: Physiotherapy/EIPF and Hydrotherapy items cannot be submitted on the same electronic invoice. Please submit separate electronic invoices for each service.
Physiotherapy
Biller Code Description PY100 Initial Consultation - New Patient - Initial subjective and objective assessment and treatment of a new patient PY102 Standard Consultation - History, examination and treatment PY105 Restricted Consultation - History, examination and complex treatment for workers with specific injuries based on prior approval PY106 Restricted Consultation Application - Completion of Restricted Consultation Application Form PY136 Group Consultation - Physiotherapist to supervise and attend planned session PY141 Travel - Melbourne Metropolitan PY142 Travel - Regional/Rural PY130 Initial Consultation PY132 Standard Consultation PY133 Long Consultation PY135 Group Consultation - minimum of two to a maximum of six patients PY0035 Orthosis (purchase)- provided in accordance with the External Prostheses and Orthoses Policy EPA100 Initial Consultation EIXTC1 Extended Consultation EPA102 Standard Consultation < 7 months from date of injury EPB102 Standard Consultation > 7 months from date of injury EICERT Certificate of Capacity EIP001 Post-operative Consultation EIP105 Extended Consultation PY128 Workplace Assessment and report EPA109 Return to work case conference – Physiotherapy EPA131 Travel: Melbourne Metropolitan EPA132 Travel: Regional/Rural PY600 Return to Work Case Conference – Physiotherapy AP001 Small Stock Aids and Appliance - Unique description must be provided Telehealth code Description EPB102T Standard Consultation > 7 months from date of injury EPA102T Standard Consultation < 7 months from date of injury PY102T Standard consultation - History, examination PY600T RTW Case Conference EPA109T Return to work case conference PY100T Initial consultation - New Patient EIP001T Early intervention Post-operative Consultation EIXTC1T Extended Consultation PY105T Restricted consultation EPA100T Initial Consultation PY135T Physio Group consultation – min. 2 clients, max. 6 clients EIP105T Extended consultation - prior approval required EICERTT Certificate of Capacity Hydrotherapy
Biller Code Description PY130 Initial consultation PY132 Standard consultation PY133 Long consultation PY135 Group consultation: minimum of two to a maximum of 6 patients -
Pharmacy
Medications and other pharmacy items from the following pharmacy service lists are available for invoicing via the electronic invoicing platform.
- PBS
- Private Script
- OTC
Using online invoicing for payment requests
Tips to assist you when entering information into the electronic platform.
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Claim Number
Please ensure you are entering the patient's full 11-digit WorkSafe Claim Number including all zeros ('0'), with no spaces or dashes.
For example:
Agent Claim number example EML 12991234567 Allianz 09010034567 Gallagher Bassett 21170034567 DXC Claims Management 08131234567 TAC 80931234567 WorkSafe Claims and Recovery Support 04111200567 -
Provider Numbers
Please ensure you are entering the WorkSafe Provider Number issued by WorkSafe to either your organisation or the individual practitioner as part of the registration process.
For example:
- for organisations such as pharmacies - eg. "PH12345"
- for individuals registered with Medicare, it should include the Medicare stem & suffix – eg. "1381565B"
- for individuals not registered with Medicare – eg. "P999Z"
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Cancelling Invoices
Invoices submitted via the electronic invoicing platforms can be cancelled at any time by submitting a request to WorkSafe Victoria using the 'cancel invoice' function within the 3PPP application.
All cancellation requests are reviewed by WorkSafe Victoria and will only be accepted when:
- the invoice status is "Pending Review", or
- the invoice status is "Approved" but the invoice has not yet been processed for payment
For all invoice enquiries including cancellations, top-ups or overpayments please, contact the claim's managing agent.
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Invoice Real Time Feedback
The electronic invoicing technology enables you to receive real time feedback ('outcomes') on the progress of your eligibility check or invoice submission as well as the adjudication outcomes following a decision to approve or deny payment of an invoice.
The following provides examples of outcome messages you may see as you draft and submit your invoice together with any actions required to complete the claim.
HICAPS
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Mandatory data missing or data format incorrect
- Invoice line outcome: Rejected.
- Action required: Update the missing or incorrect data as per the error message and resubmit.
- If further support is required, use the contact details are provided in the error message.
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Provider or item details entered not valid
- Invoice line outcome: Rejected.
- Action required: Update provider or item details as per the error message and resubmit.
- If further support is required, use the contact details are provided in the error message.
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The invoice item has not been funded
- Invoice line outcome: Rejected.
- Action required: Refer to the error message for the explanation as to why this was not funded. Please don’t submit this invoice again via existing channels as the outcome will be the same.
- If further support is required, contact: Claim's managing agent.
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Manual review required by Claim's managing agent
- Invoice line outcome: Pending review.
- Action required: Wait for a response from the agent. This may take approximately 2 business days.
- If further support is required, contact: Claim's managing agent.
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Another line inside the same invoice is in 'Pending review'
- Invoice line outcome: Pending.
- Action required: Wait for a response from the agent regarding the line in 'Pending Review' This may take approximately 2 business days.
- If further support is required, contact: Claim's managing agent.
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Part of the amount billed has been funded
- Invoice line outcome: Partly approved.
- Action required: Refer to the error message for the specific explanation as to why this was partly funded. Please don't submit this invoice again via existing channels as the outcome will be the same.
- If further support is required, contact: Claim's managing agent.
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Full amount billed has been funded
- Invoice line outcome: Approved.
- Action required: No further action required.
- If further support is required, contact: Not applicable.
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Invoice cancellation request has been successful
- Invoice line outcome: Cancelled.
- Action required: No further action required.
- If further support is required, contact: Not applicable.
CommBank Smart Health
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Mandatory data missing or data format incorrect
- Invoice line outcome: Rejected.
- Action required: Update the missing or incorrect data as per the error message and resubmit.
- If further support is required, use the contact details provided in the error message.
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Provider or item details entered not valid
- Invoice line outcome: Rejected.
- Action required: Update provider or item details as per the error message and resubmit.
- If further support is required, use the contact details provided in the error message.
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The invoice item has not been funded
- Invoice line outcome: Rejected.
- Action required: Refer to the error message for the explanation as to why this was not funded. Please don’t submit this invoice again via existing channels as the outcome will be the same.
- If further support is required, contact: Claim's managing agent.
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Manual review required by Claim's managing agent
- Invoice line outcome: Pending review.
- Action required: Wait for a response from the agent. This may take approximately 2 business days.
- If further support is required, contact: Claim's managing agent.
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Another line inside the same invoice is in 'Pending review'
- Invoice line outcome: Pending review.
- Action required: Wait for a response from the agent regarding the line in 'Pending Review' This may take approximately 2 business days.
- If further support is required, contact: Claim's managing agent.
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Part of the amount billed has been funded
- Invoice line outcome: Partly approved.
- Action required: Refer to the error message for the specific explanation as to why this was partly funded. Please don't submit this invoice again via existing channels as the outcome will be the same.
- If further support is required, contact: Claim's managing agent.
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Full amount billed has been funded
- Invoice line outcome: Approved.
- Action required: No further action required.
- If further support is required, contact: Not applicable.
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Invoice cancellation request has been successful
- Invoice line outcome: Cancelled.
- Action required: No further action required.
- If further support is required, contact: Not applicable.
Tyro Health
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Mandatory data missing or data format incorrect
- Invoice line outcome: Rejected.
- Action required: Update the missing or incorrect data as per the error message and resubmit.
- If further support is required, use the contact details are provided in the error message.
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Provider or item details entered not valid
- Invoice line outcome: Rejected.
- Action required: Update provider or item details as per the error message and resubmit.
- If further support is required, use the contact details are provided in the error message.
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Part or all of the invoice item/s have not been funded
- Invoice outcome: Rejected.
- Action required: Update provider or item details as per the error message and resubmit.
- If further support is required, use the contact details are provided in the error message.
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Part or all of the invoice item/s have not been funded
- Invoice outcome: Outstanding.
- Action required: Contact the managing agent for the explanation as to why the service/s were not funded. Please don't submit this invoice again via existing channels as the outcome will be the same.
- If further support is required, contact the managing Agent.
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Manual review required by Claim's managing agent
- Invoice outcome: Pending review.
- Action required: Contact the managing agent for the explanation as to why the service/s require review. Otherwise, wait for a response from the Agent. This may take approximately 2 business days.
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Full amount billed has been funded
- Invoice line outcome: Settled.
- Action required: No further action required.
- If further support is required, contact: Not applicable.
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Invoice cancellation request has been successful
- Invoice line outcome: Cancelled.
- Action required: No further action required.
- If further support is required, contact: Not applicable.
Where to get additional help
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General enquiries about Online Invoicing
For information about WorkSafe's Online Invoicing, contact WorkSafe Advisory Service.
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Your provider registration with WorkSafe enquiries
For information about your provider registration, contact WorkSafe Advisory Service.
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Claim, Invoicing outcomes, cancellation, top-up or overpayment, items and rates enquiries
If you require support to resolve issues with invoicing for a specific claim, please contact the claim's designated managing WorkSafe Agent as per your usual business practice.
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HICAPS technical support or settlement of funds enquiries
For help with the HICAPS electronic invoicing platform including any technical issues, training or settlement of invoices, please contact the HICAPS Technical Support Team -
Phone Number: 1300 650 852
Support page: www.hicaps.com.au/support
Support Hours: 8.30am - 5.30pm Monday to Friday (Sydney Business Days)
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Technical CommBank Smart Health or settlement of funds enquiries
For help with the CommBank Smart Health invoicing platform, including any technical issues, training or settlement of invoices, contact the Technical support team.
Phone Number: 1800 222 484
Support Hours: 8am - 8pm Monday to Friday (Melbourne Business Days)
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Technical Tyro Health or settlement of funds enquiries
For help with the Tyro Health electronic invoicing platform including any technical issues, training or settlement of invoices, chat to the Tyro Health Support Team within the Tyro Health payment platform, or email:
Live chat (Melb team): Pink chat bubble (bottom right) on our website - tyrohealth.com
Email: [email protected]
Support Hours: 8am - 6pm Monday to Friday (Melbourne Business Days)