Education guide - Software vendors information and resources for developing online claiming
Information and resources to assist developers integrating our online claiming applications with their software products.
Online claiming channels and functionality
Information to assist software vendors to choose an electronic claiming channel. Channels include:
- Medicare Online
- PBS Online
- Aged Care Online
We are committed to working collaboratively with the health care sector and software vendors to offer a range of integrated electronic claiming solutions for lodging various types of electronic claims.
|Claiming channel||Supports||Other functionality|
|PBS Online Claiming||
|Aged Care Online Claiming||
To develop an integrated Medicare Easyclaim solution together with a financial institution, contact the relevant institution for more information. Read more about Medicare Easyclaim information for software vendors.
Software development process and checklist
The generic process for developing integrated software for:
- Medicare Online
- PBS Online, and
- Aged Care Online electronic claiming channels
Step 1 - Developer agreement
An agreement establishes the terms and conditions between you and us.
Contact Online Technical Support (OTS) Liaison to get an agreement. OTS Liaison is the first point of contact and escalation for software vendors.
Sign and return the completed agreement.
Step 2 - Developer kit
Once the agreement is approved a developer's kit is sent to you. Contents vary depending on the claiming channel and may include:
- client adaptor
- support information
- test Medicare Public Key Infrastructure (PKI) certificates
- test data
Step 3 - Development
OTS Helpdesk helps software vendors diagnose and resolve technical issues during the development and production stages including technical issues encountered in the vendor environment.
There is no set development timeframe. Contact the OTS Help Desk for support with diagnosing and resolving any technical issues.
Step 4 - Preliminary testing
We recommend you complete in house testing of your software product. In house testing ensures your software product functions correctly and any issues are resolved before integration testing.
Step 5 - Integration testing
Integration testing must be successfully completed.
Book in for integration testing with OTS Product Integration Team:
- a testing officer is assigned to help vendors with integration
- testing can occur on-site or online
This verifies your software product correctly integrates with our online claiming channels.
Step 6 - Notice of Integration (NOI)
This is issued once we approve your software. You can't send production transmissions to us until integration testing has been successfully completed and a NOI issued.
When an NOI is issued you can use your approved software product to transmit claims.
Changes or updates to approved software require a new NOI.
Other topics of interest for developers
Information for developers using different claiming channels.
- Public Key Infrastructure (PKI)
- Healthcare Identifiers (HI) Service
- National Authentication Service for Health (NASH) PKI
- Online claiming for PBS
- Education services for health professionals to access other education resources
New software vendors can contact Online Technical Services to provide advice on:
- new business
- online claiming
- PBS Online Claiming
- Aged Care Online Claiming
- Medicare Easyclaim
- HI Service
- My Health Record
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