Education guide - Register for Medicare Online and ECLIPSE claiming

How to register for Medicare Online and ECLIPSE to submit electronic claims directly to us through practice management software.

Register for Medicare Online

To register for Medicare Online and submit online claims from any site through your practice management software (PMS), you need to:

  1. Check your PMS is compatible.
  2. Apply for a Medicare Public Key Infrastructure (PKI) site certificate.
  3. Register for online claiming.

Check your practice management software

We must approve your PMS for it to support Medicare online claiming. Check with your software vendor if your operating system is compatible and your software can:

  • submit different types of claims: bulk bill claims, patient claims, Department of Veterans' Affairs (DVA) claims
  • send Australian Immunisation Register (AIR) data for notification of immunisation
  • complete Online Patient Verification (OPV) or Online Concession Entitlement Verification (OCV).

Read more about vendors offering Medicare online claiming.

Apply for a Medicare Public Key Infrastructure site certificate

To get a Medicare PKI site certificate for secure access to Medicare Online you need to:

Register for online claiming

To register for online claiming you need to:

  • Complete and fax the online claiming provider agreement to the eBusiness Service Centre, you must do this before you first claim online.
  • Make sure you registered for each location you provide health services.
  • Complete the online claiming provider agreement form, which includes registering your bank details for Electronic Funds Transfer (EFT) payments. You must also complete the banking details - online claiming form for each additional practice location.
  • Get each health professional in your practice to sign the relevant online agreement - if you’re registering on their behalf - so we can access their Medicare records.

For help, you can contact us at the eBusiness Service Centre.

Medicare Online registration checklist

Check you have:

  • an internet connection with 1 of these minimum browser versions - other browsers may work, but aren’t tested or supported, so things might not display correctly
    • Internet Explorer 9
    • Mozilla Firefox 30
    • Google Chrome 39
    • Safari 5
  • applied for a Medicare PKI site certificate
  • a Medicare PKI site certificate CD ready for installation, if not already installed
  • a Personal Identification Code (PIC) for your Medicare PKI site certificate and your original PIC in case you need to re-enter this information
  • completed the online claiming provider agreement form and provided your bank details so you are registered to do business online.

Check with your software vendor if:

  • your computer operating system is compatible with doing business online with us
  • your PMS has all the functions you need for Medicare Online.

Register for ECLIPSE

Electronic Claim Lodgment and Information Processing Environment (ECLIPSE) lets health professionals, hospitals and billing agents lodge in-patient medical claims and in-hospital claims to us and private health insurers in 1 transaction.

To register for ECLIPSE you can use the same process as you did for Medicare Online.

You also need to complete these steps before you first claim using ECLIPSE:

  1. Check your PMS can support ECLIPSE.
  2. Check how you submit ECLIPSE claims.
  3. Register as a Hospital or Billing Agent if you need to.

Check your practice management software

We need to approve your software product and it must support ECLIPSE claiming. Check with your software vendor that we approve your software and that it can:

  • submit different types of claims - in-patient medical claims (IMC), in-hospital claims (IHC), in-hospital claims DVA, and overseas claims (OVS)
  • complete eligibility and verification checks OPV, OCV and online eligibility check (OEC).

Read more about vendors offering Medicare online claiming.

Check how to submit ECLIPSE claims

Private health insurers may accept ECLIPSE claims differently.

Before you lodge ECLIPSE claims, check how these claims need to be submitted. You’ll need to know if they are submitted as Schemes (SC) or Agreements (AG), and whether you need to quote a fund payee ID before you send them.

Find out more about ECLIPSE in the ECLIPSE Medical and Eligibility User Guide in Simplified Billing and ECLIPSE.

Hospitals, day procedure centres and approved billing agents

We make ECLIPSE payments to private health insurers or billing agents by EFT. They’ll forward the Medicare benefit to you. You must register your bank details with private health insurers or billing agents.

Approved billing agents must register for online functions with private health insurers before sending claims to them.

If you’re an individual or company setting up a billing agency you need to complete the application to register as an approved billing agent and ECLIPSE form to register with us.

Contact us at the eBusiness Service Centre to speak to about your business needs.

Read more about Simplified Billing and ECLIPSE and applying for a Medicare PKI certificate.

Register a hospital or day procedure centre for in-hospital claiming (IHC)

Before you begin IHC, you need to submit the hospital or day procedure centre registration for in-hospital claiming form.

If you haven't registered with us as a health professional or business, you need to:

Before you submit ECLIPSE claims

Check you have:

  • an internet connection
  • applied for a Medicare PKI site certificate
  • a Medicare PKI site certificate CD ready for installation, if not already installed
  • a PIC for your Medicare PKI site certificate and your original PIC in case you need to re-enter this information
  • completed the relevant registration forms, either
  • registered your banking details with private health insurers or billing agents
  • submitted ECLIPSE claims as either SC or AG, and whether you need to quote a fund payee ID
  • registered with the private health insurers online systems.

Check with your software vendor if:

  • your computer operating system is compatible with doing business online with us
  • your PMS has all the functions you need for IMCs and IHCs through ECLIPSE.

Keeping online claiming details up to date

Online claiming registration

It’s important you contact us about any changes to your online claiming registration details, for example, your phone number, mailing address or change in location ID.

You can update changes to your location ID or bank account details through Health Professional Online Services (HPOS) or update and return the banking details - online claiming form to us.

Changing multiple provider location ID registration details

You can change nominated location IDs for multiple health professionals who claim through Medicare Online. Contact us at the eBusiness Service Centre to let us know of any changes.

Medicare PKI site certificate

A Certificate Manager must tell our eBusiness Service Centre of changes to:

  • the location ID
  • the PKI Registration Authority (RA) number
  • other relevant information.

Certificate Managers revoke, re-issue and renew the Medicare PKI site certificate.

More information

Read more about:

Contact us at the eBusiness Service Centre.

Provide your feedback on our education resources.

Page last updated: 5 April 2019

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