I am a breast physician but am unable to claim the A4 attendance items that physicians claim. They always reject. Why?

Context

I am a breast physician working at a specialised breast clinic but am unable to claim the A4 attendance items that physicians claim - 110, 116, 132 and 133 and the telehealth equivalents. I have tried to claim these items for legitimate services I have provided but the claim always get rejected. Why?

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