A Bulk Billed transaction (from within the Tyro Health Online portal) does not require  an SMS approval step from your patient. To submit the bulk bill claim, your patient will need to provide you with their full name, date of birth and their Medicare card details. 

Once the Bulk Bill claim has been submitted, Tyro Health Online provides the ability for you to print the ‘Medicare Online Claiming - Bulk Bill Assignment of Benefit Form’ (DB4) for your patient to sign and keep.

You can obtain a DB4 by selecting any bulk bill invoice, scrolling to the bottom of the invoice and hitting "Print statement" in the Medicare statement section.

For more information and full instructions for creating a Bulk Billed transaction, refer to this article.