Using the information below create a Manual Workers compensation invoice for the following patient.

Download the ‘Workers Compensation Manual Invoice’ from the OLS.
Refer to the schedule of Workers compensation fees listed on the OLS.

Invoice details:
Patient
• Jack Maneksji
• Dob: 24 12 1957
• Medicare No:  0000 28574 2

Employer
• United Builders Pty Ltd
• 42 Crowtree Road, STRATHFIELD, NSW 2135

Insurer responsible for account:
• Myther and Myther
Insurance Brokers
231 Castle Street
SYDNEY NSW 2000

Referring Doctor:
• Peter Piper
• Provider No: 123456
• Referral period: 12 months

Treatment:

Item No

Description

IMG002

Examination and report conducted with the assistance of an interpreter

Add on 10% GST and total the invoice.

Prepare the invoice and ensure the GST is noted separately.