Medicare Online for software vendors

Information and resources to help developers integrating Medicare Online software.

About

What you need to know

Medicare Online covers:

  • patient claiming, real-time and store-and-forward
  • same-day delete request, for real-time patient claims only
  • bulk bill claiming
  • Department of Veterans' Affairs medical and pathology
  • Australian Immunisation Register notifications
  • Online Patient Verification for Medicare and private health insurers
  • ECLIPSE (Electronic Claim Lodgement and Information Processing Service Environment)
  • In Hospital Claim (IHC) claiming to us and private health insurers
  • Checking eligibility online

These online options mean the practice no longer needs to lodge paperwork with us. Health professionals who use Medicare Online claiming software know immediately if their transmission is delivered.

Public Key Infrastructure

Online claiming uses Public Key Infrastructure (PKI) to ensure communication is secure, private and identifiable. PKI uses digital certificates to digitally sign and encrypt electronic transmissions.

Register

Medicare Easyclaim information for software vendors

An easy way for patients and practices to claim their Medicare benefits via EFTPOS.

Read more about Medicare Easyclaim information for software vendors

Managing

Medicare digital claiming return codes

When you lodge a claim for Medicare benefits, we use return codes to tell you why the claim was rejected or how the claim was assessed.

Read more about Medicare digital claiming return codes

Resources

Formats for the exchange of electronic data

Information for software vendors who integrate claim information into the document formats required for the exchange of electronic data with us.

Read more about formats for the exchange of electronic data

Page last updated: 27 August 2017