Might mean (unverified): Charges directly billed to insurer.
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We found one dictionary that defines the word bulk bill:

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  1. bulk bill: Wiktionary

Definitions from Wiktionary (bulk bill)

verb:  (Australia) To invoice the government or insurer, and not the patient, for medical expenses incurred at a general practitioner or other medical service provider.
verb:  Used other than figuratively or idiomatically: see bulk, bill.

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