What we do
At RebateRight, we specialise in addressing the challenges of Medicare eligibility, reducing billing errors and preventing financial losses caused by claim rejections.
Real-time Medicare eligibility check
​​RebateRight offers instant patient eligibility checks, enabling healthcare providers to quote patients accurately and efficiently on demand. We decipher Medicare rules for you and translate them into meaningful information so you don’t have to.
How it works
Picture this, a patient calls to book an appointment. You take a few details from them and in an instant you check if Medicare will cover the cost of their tests. Within moments you receive a clear eligibility status and an accurate quote, including any out-of-pocket costs... in short, you're connected with RebateRight.
We provide
An API that seamlessly integrates with your healthcare system with eligibility checks for all ~6000 Medicare items.
Our Services
RebateRight
​
RebateRight API as a tool that instantly checks a patient's Medicare eligibility and provides MBS search.
Consultancy
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Advisory services to help you navigate the complexities of Medicare and the Australian healthcare landscape.
RebateRight Features
Age Eligibility
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Real-time Medicare eligibility checks based on the patient's age.​
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Limitation Periods
​
Item claim limitation periods, allowing you to notify
patient's when they may have reached their limit.
Referrer Eligibility
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On-demand Medicare eligibility checks based on who referred the patient.
MBS Search
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Incorporate the MBS online as a knowlegde tool within your existing healthcare system.
Hospital Status
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Eligibility checks based on the patient's hospital status.
~6000 MBS Items
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Comprehensive access to nearly 6,000 MBS items across ten categories, enriched with the MBS notes.
RebateRight Sample Eligibility Responses
You Provide
Bulkbill Status: Yes
Date of Birth: 05/04/1987
In Hospital: No
Provider #: 0000000X
Medicare Item: 66523
API Response
Medicare Eligible: No
Reason: A 'General Practitioner' is not eligible to refer this Medicare item. The following specialties can refer this item: 'Specialist gastroenterologist and hepatologist'.
​
Medicare Fee: $75.00
Patient Rebate: $0.00
You Provide
Bulkbill Status: Yes
Date of Birth: 05/04/2020
In Hospital: No
Provider #: 0000000X
Medicare Item: 63551
Medicare Eligible: No
Reason: The rebate for this Medicare item is available to patients 16 years or older, this patient is 4 years and 6 months and 29 days old.
Claim frequency limit:
Applicable not more than three times in a 12 month period.
​
Medicare Fee: $441.45
Patient Rebate: $419.38
API Response
You Provide
Bulkbill Status: Yes
Date of Birth: 05/04/1987
In Hospital: No
Provider #: 0000000X
Medicare Item: 63560
API Response
Medicare Eligible: No
Reason: The rebate for this Medicare item is only available to in-hospital patients, this patient is out-of-hospital
Medicare Fee: $441.45
Patient Rebate: $0.00
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