Progress and payment status of a MBS claim - Health professionals

Claiming channels

This table shows you which digital claiming channels you can use to make different types of claims.

Type of claim	Medicare Easyclaim	Medicare Online	ECLIPSE	Webclaim
Bulk bill claims - no batching or storage required	Yes	Yes Batching available	No	Yes
Patient claims	Yes	Yes	Yes	Yes
In-patient medical claims (IMC)	No	No	Yes	No
Department of Veterans’ Affairs (DVA) claims	No	Yes	Yes Private Hospital and Day Procedure Centre claiming only	Yes
Australian Immunisation Register (AIR) information	No	Yes	No	No
In-hospital Medicare Benefits Schedule (MBS) services	No	Yes	Yes	Yes
In-hospital claiming (IHC)	No	No	Yes	No

This table shows which digital channels you can use to verify a patient’s eligibility.

Type of verification and eligibility check	Medicare Easyclaim	Medicare Online	ECLIPSE	Webclaim
Online Patient Verification (PVM) - Medicare	No	Yes	Yes	Yes
Online Patient Verification (PVF) - private health insurer	No	No	Yes	No
Online Patient Verification (OPV) - Medicare and private health insurer	No	No	Yes	No
Online Concessional Verification	Yes	Yes	No	Yes
Online Eligibility Checking (OEC)	No	No	Yes	No

This table shows which digital claiming channels you can use for different types of payments. It also shows you how long payments will take.

Type of payment	Medicare Easyclaim	Medicare Online	ECLIPSE	Webclaim
Bulk bill payments to health professional’s nominated bank account	Yes 2-3 working days	Yes 2-3 working days	No	Yes 1-3 working days
Patient claim payments to claimant’s bank account	Yes Almost immediately	Yes Usually next working day	Yes 2-3 working days in-patient medical claims - patient claims (IMC PC) only	Yes 1-3 working days
Payments to private health insurers and billing agents (IMC, AG, SC, MO and MB)	No	No	Yes Minimum government payment time of 10 days after date of lodgement	No
90 day pay doctor cheques scheme	Yes	Yes	Yes	No

This table shows the type of equipment you’ll need when using different digital claiming channels.

IT details	Medicare Easyclaim using EFTPOS device	Medicare Easyclaim using PMS	Medicare Online	ECLIPSE	Webclaim
Equipment	EFTPOS device Internet connection	PC Internet connection EFTPOS device Integrated PMS	PC Internet connection PMS with Medicare Online functions	PC Internet connection PMS with ECLIPSE functions	PC Internet connection
Security	Triple data encryption standard (DES)	Triple DES	Provider Digital Access (PRODA)	PRODA	PRODA

The scheme allows us to cancel a patient cheque for some health professionals when they don't get it, or it hasn’t been banked after 90 days.