Integrating online claiming applications
Help for software developers integrating our online claiming applications.
We work with the health care sector and software developers to offer integrated digital claiming solutions.
| Claiming channel | Supports | Other functionality |
|---|
| Medicare Online | - Bulk bill (BB) claims.
- Patient claims (PC).
- Department of Veterans’ Affairs (DVA) claims.
- Complex pathology claims.
- In-hospital Medicare Benefit Schedule (MBS) services.
- Transferring Australian Immunisation Register (AIR) data.
| - Online Patient Verification (OPV).
- Online Concession Entitlement Verification (OCV).
- Same Day Delete (SDD).
|
| ECLIPSE | - In-patient Medical claims (IMC) - submit claims to both Medicare and private health insurers.
- In-hospital claims (IHC).
- Complex pathology claims.
- In-hospital claims DVA (IHC DVA).
- Overseas claims (OVS).
| - OPV with Medicare and private health insurer patient check.
- Online Veteran Verification (OVV) which verifies veteran patient details with DVA.
- Online eligibility check (OEC) for hospital and medical checks with both Medicare and private health insurers (OEC).
- OEC for hospital only checks (ECF).
- OEC for Medicare only checks (ECM).
|
| PBS Online Claiming | Pharmacy claims for dispensed PBS and RPBS medicines. | - Ostomy claims processing.
|
| Aged Care Online Claiming | - Residential care for business to business (B2B).
- Residential care for file uploads.
- Aged care assessment teams (ACATs) for B2B.
| |
To develop an integrated Medicare Easyclaim solution together with a financial institution, contact the relevant institution.
Read more about Medicare Online for software developers.