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Education guide - Electronic claiming channel functions

An overview of Medicare electronic claiming channels and functions available to support practices’ different claiming needs.

Claim types

Claiming channels Medicare Easyclaim - Stand-alone (EFTPOS device) Medicare Easyclaim - Integrated (with practice management software) Medicare Online - Integrated (with practice management software) ECLIPSE - Integrated (with practice management software)
Bulk bill claims
No batching or storage required
Yes Yes yes
Batching available
No
Patient claims Yes Yes Yes Yes
In-patient Medical Claims (IMC) No No No Yes
Department of Veterans' Affairs (DVA) claims No No Yes yes
Private Hospital and Day Procedure Centre claiming only
Australian Immunisation Register (AIR) information No No Yes No
Complex pathology claims No No Yes Yes
In-hospital Medicare Benefits Schedule (MBS) services No No Yes Yes
In Hospital Claiming (IHC) No No No Yes

Eligibility

Claiming channels Medicare Easyclaim - Stand-alone (EFTPOS device) Medicare Easyclaim - Integrated (with practice management software) Medicare Online - Integrated (with practice management software) ECLIPSE - Integrated (with practice management software)
90 day pay doctor cheques scheme Yes Yes Yes Yes

EFT payments

Claiming channels Medicare Easyclaim - Stand-alone (EFTPOS device) Medicare Easyclaim - Integrated (with practice management software) Medicare Online - Integrated (with practice management software) ECLIPSE - Integrated (with practice management software)
Bulk bill payments to health professional's nominated bank account yes
2-3 working days
yes
2-3 working days
yes
2-3 working days
No
Patient claim payments to claimant's bank account yes
Almost immediately
yes
Almost immediately
yes
Usually next working day
yes
2-3 working days In-patient Medical Claims - Patient Claims (IMC PC) only
Payments to private health insurers and billing agents (IMC, AG, SC, MO and MB) No No No yes
Minimum government payment time of 10 days after date of lodgement

Reports

Claiming channels Medicare Easyclaim - Stand-alone (EFTPOS device) Medicare Easyclaim - Integrated (with practice management software) Medicare Online - Integrated (with practice management software) ECLIPSE - Integrated (with practice management software)
Access to processing and payment reports Health Professional Online Services (HPOS)
  • HPOS
  • Practice software
Real-time through integrated practice software Any time through integrated practice software

IT details

Claiming channels Medicare Easyclaim - Stand-alone (EFTPOS device) Medicare Easyclaim - Integrated (with practice management software) Medicare Online - Integrated (with practice management software) ECLIPSE - Integrated (with practice management software)
Equipment EFTPOS device
  • Personal Computer (PC)
  • Internet connection
  • EFTPOS device
  • Integrated with practice software
  • PC
  • Internet connection
  • Integrated with practice software
  • PC
  • Internet connection
  • Integrated with practice software
Security Triple Data Encryption Standard (DES) Triple DES Public Key Infrastructure (PKI) PKI

More information

Online:

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Page last updated: 31 May 2017

This information was printed Tuesday 22 August 2017 from humanservices.gov.au/health-professionals/enablers/education-guide-electronic-claiming-channel-functions It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.