Claiming

Claims,
lodged right.

Right the first time.

Lodge bulk bill, DVA, and patient claims through one connection, then reconcile every payment to the cent.

A sample bulk bill claim, lodged and accepted.

Services Australia Certified Used by GP, specialist, and diagnostic practices across Australia
Every way you claim

Bulk bill, DVA, and patient claims.

Three ways money moves between you, Medicare, and the patient. All three lodge through one connection, across general, specialist, and pathology.

Bulk bill

The patient assigns their Medicare benefit to you. You lodge the claim and Medicare pays you straight into your account. The patient pays nothing. Up to 80 patients in a single claim.

  • General
  • Specialist
  • Pathology

DVA

Treat a veteran or their dependant and claim the Department of Veterans’ Affairs, on the same connection as Medicare. DVA pays you. The veteran pays nothing. Gold, White, and Orange cards.

  • General
  • Specialist
  • Pathology

Patient claims

The patient has paid the account, in full or in part. You lodge the claim, Medicare assesses it in real time, and the benefit is paid back to the patient, or to the provider when the account isn’t fully paid. Withdraw a same-day claim if something needs fixing.

  • General
  • Specialist
  • Pathology
What comes back

Paid, pending, or a reason why.

Every claim resolves to a clear outcome. When Medicare says no, the reason comes back in plain English. A rejection is a result we surface, never an error we hide.

Paid

Medicare assessed the claim and paid the benefit. You reconcile it against the payment report.

Pending

Held for a Services Australia officer to assess by hand. You get the claim reference straight away, and the outcome follows.

Rejected

Medicare or DVA declined the claim. The reason comes back in plain English, so you can fix it and lodge again.

Every reason tells you whether it came from Medicare or from RebateRight, so you always know who said what.

Reconciliation

Tracked to the cent, down to the bank deposit.

A claim is not finished when it is lodged. It is finished when the money is in the account. Every bulk bill and DVA claim has a processing report and a payment report, so you can match what Medicare assessed, what it paid, and the exact deposit that lands. Retrievable for six months.

More than lodging

Everything around the claim.

The work a claim needs before and after it goes. All of it on the one connection.

Verify the veteran first

Confirm a patient’s DVA entitlement and card colour, Gold, White, or Orange, before you treat and claim.

Withdraw, same day

Lodged a patient claim by mistake? Delete it the same day, with the reason, before it settles.

The paperwork, generated

Produce the Assignment of Benefit agreement and the DVA service voucher as print-ready PDFs, from the same claim details.

No double lodgements

Every claim carries a unique reference, so you can resend it safely if a connection drops. A duplicate is refused, never paid twice.

Right before it’s lodged

Check the patient and each item against 300+ Medicare rules before you lodge. That’s the eligibility check.

Test before you go live

Practise a claim from start to finish before you send a real one, with no money at stake.

How it fits

Claim from the software you already use.

RebateRight connects straight to your practice management or billing software, so claiming happens inside the system your team already works in. There’s nothing new to open, and nothing to key in twice.

In your workflow

No new system to learn

Claims go out from the software your team already uses. The patient and item details they enter become the claim, so the front desk and the billing team keep working exactly as they do now.

Set up once

Connected once, then it just runs

Your software provider connects to RebateRight one time. After that, claiming runs quietly in the background. Developers will find everything they need in the API documentation.

Claiming runs on your practice’s own Services Australia registration, including PRODA. We set that up with you and guide you through each step.

Services Australia Certified
We keep ours current
Zero Data Persistence
Stateless, real-time. Patient data never stored.
Azure Australia East
IRAP PROTECTED region

“A claim had been rejected across all five items. Using RebateRight we were able to claim an extra $500 we would have previously lost entirely.”

Owner of a medical billing service serving ~30 healthcare clinics
Who claims with RebateRight

From the solo practice to the national network.

  • GP clinics

    Bulk bill a full day of consults in a single claim, and reconcile each payment to the deposit.

  • Specialist clinics

    Referred consults and procedures, lodged with the referral handled, paid without the chase.

  • Pathology labs

    Bulk bill and DVA pathology at volume, with request handling and duplicate protection built in.

  • Radiology practices

    Diagnostic imaging claims with referral validation, reconciled to the payment run.

  • Allied health

    Care-plan and chronic-disease items, claimed and reconciled without the spreadsheet.

  • Medical billing services

    Lodge and reconcile across every clinic in your portfolio, on a single key.

Pricing

Claiming is in every plan.

You pick the volume you need. Every plan gets every feature.

See all 10 plans

Claiming questions

Answered, in full.

What kinds of Medicare claims can I lodge?

Bulk bill, DVA, and interactive patient claims, each across general, specialist, and pathology. You can also generate the Assignment of Benefit agreement and the DVA service voucher as PDFs. It’s one connection for every claim type.

What’s the difference between bulk billing and a patient claim?

With bulk bill, the patient assigns their Medicare benefit to you. You claim Medicare directly, the patient pays nothing, and Medicare pays you by EFT. With an interactive patient claim, the patient has paid the account, in full or in part. You lodge the claim, Medicare assesses it in real time, and the benefit is paid back to the patient, or to the provider when the account isn’t fully paid.

Do you support DVA claiming?

Yes. Claim for veterans and their dependants across general, specialist, and pathology, on the same connection as Medicare. You can verify a veteran’s entitlement first, including whether they hold a Gold, White, or Orange card, and generate the DVA D1216S service voucher.

How do I know a claim was paid?

Every bulk bill and DVA claim has a processing report and a payment report. The processing report shows what Medicare assessed; the payment report shows the exact deposit paid into your account, with every claim in that payment run. Both are retrievable for six months.

Can I cancel a claim after I lodge it?

Yes, for an interactive patient claim lodged earlier the same day. Same-day delete withdraws it before it settles, with a reason code for why, so a wrong patient, item, or payment type is corrected cleanly.

What do I need before I can claim?

Claiming runs on your own Services Australia registration, so it needs PRODA, a Notice of Integration, and a registered location (your Minor ID). We set these up with you and guide you through the sequence. Eligibility checks and patient verification need none of this.

What happens when a claim is rejected?

It comes back as a result, not a silent failure. You get the reason in plain English, and it tells you whether it came from Medicare or from RebateRight, so you know who said what and can correct the claim and lodge it again.

What happens to patient data?

Zero Data Persistence. The claim is lodged and the request is discarded once the response returns, so patient details are never stored. Australian-hosted on Microsoft Azure’s Australia East region (IRAP PROTECTED). The only thing we keep is billing metadata (endpoint name, outcome), never patient details.

Lodge your first claim today.

Start free for 14 days. Unlimited requests, no credit card. Connect your software, test every claim type, then go live.