OpBill - OFFICE USE ONLY
Welcome OpBill backend! This is your version only. The forms will go DIRECTLY to the forms@ email address, and will NOT be automatically sent. This is so you can check it and decide if you want to send this version. I have removed some areas of this form that are not required for you. ūüėČ CWL
Send me the following forms
I am updating the following details (Select all that apply) *
MUST include MED at the start please
If you do not provide an ABN here, you will not be able to bill WORKCOVER cases.

BANK DETAILS

Where your money will be sent to
Please do not use spaces
Bank Statement *
Drop a file here or click to upload Choose File
Maximum upload size: 8.39MB
When updating your details, BUPA REQUIRES confirmation of the bank account that you have nominated above. This is either a BANK DEPOSIT slip, CANCELLED CHEQUE or BANK STATEMENT for verification purposes. If you don't add this, we cannot update your BUPA details. This is required EACH TIME this form is completed. (8MB File Limit)
Please note there is a limit of 11 provider numbers you can add to this form. If you require more than 11, please redo this form with ALL details completed

PROVIDER NUMBERS - ACT / NSW

If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers.

PROVIDER NUMBERS - SA / NT

If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers.

PROVIDER NUMBERS - VIC

If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers.

PROVIDER NUMBERS - QLD

If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers.

PROVIDER NUMBERS - WA

If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers.

PROVIDER NUMBERS - TAS

If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers.
BUPA gives each Assistant a specific practice ID. Don't know yours? Just call BUPA 1800 060 239 and ask for your provider ID. This field cannot be blank

SIGNING

If you plan on charging patients an out of pocket expense, you will need to select KNOWN Gap. Please note that you will need to be responsible for chasing your own gap payments. We do not chase these for you. OpBill has no direct patient contact.
Please note that with BUPA, all Medical Gap Scheme participants will be listed on their doctors register regardless of what you select here.
We use this to determine who at times may be given special discounts, prizes and more.
Please allow jump to 3 minutes to process the form. You will get a success notification if the form was successful. Then check the Forms@ email which you will have to forward if you're happy.