RebateRight Medicare eligibility intelligence

Right the first time.

Medicare claims, checked before you submit. For Australian healthcare providers.

Why RebateRight

Medicare changes its rules four times a year.

Some live only inside Medicare’s systems, where your team can’t see them. RebateRight checks each claim against the rules that cause rejections, before you submit, so it’s right the first time, and a rule you couldn’t see doesn’t cost you the rebate.

Open the web app
Eligibility check

Check eligibility before you submit.

Add the patient, the provider, and as many items as you like. Each one comes back with its own verdict, benefit, and reason.

Try it in the app
PatientRose Riviera
Provider2429581B
MBS items
12306 23 + Add item
Check eligibility
2 results
Item 12306
Not eligible

Maximum number of services for this item already paid.

Benefit
$0.00
Schedule fee
$122.55
Item 23
Eligible

All checks passed. Medicare covers 100% of the schedule fee.

Benefit
$45.05
Schedule fee
$45.05
Patient verification

Verify the patient against Medicare’s records.

Check Medicare, DVA, or concession before you bill. When a detail has changed, Medicare returns the current value and you apply it in one click. No PRODA, no Minor ID setup.

Try it in the app
PatientRose Riviera
Medicare card6951393261
IRN3
Verify patient
Patient verification
Mismatch

A new Medicare card has been issued. Confirm the patient’s record and update it for future claims.

Medicare number 6951393261 6951393352 Apply
Reference number (IRN) 3 2 Apply

Synthetic test data

Claiming

Lodge claims through one connection.

Bulk bill

General, specialist, and pathology, with the signable assignment of benefit.

Patient claims

Interactive claims where the patient holds the benefit and is reimbursed.

DVA

Veteran claims for Gold, White, and Orange card holders.

Every payment is reconciled to the cent, with processing and payment reports.

See the claiming guide
One integration

Four government systems, one connection.

Medicare

Eligibility, patient verification, bulk bill and patient claims.

DVA

Veteran verification and DVA claiming, for Gold, White, and Orange card holders.

AIR

Immunisations recorded, for every patient, Medicare-eligible or not.

MBS

Look up any item’s fee and rules, across the full schedule of 6,000-plus items, updated automatically.

We handle PRODA, Services Australia certification, and the quarterly rule updates. You connect once, through the web app or the API.

Browse the API docs
Data and compliance

We store nothing that identifies anyone.

Nothing is stored

Patient and provider details pass through to Services Australia and back. Not copied, not logged, not kept.

Serverless

Each check runs in Azure for a moment, then the process ends and memory clears. No host sits there holding data.

Australian, end to end

Hosted in Azure Australia, on infrastructure assessed to IRAP PROTECTED. Your data never leaves the country.

Services Australia Certified

The gate into Medicare integration. Earned over months, kept current.

We keep only the billing metadata we need to invoice you. Eligibility runs rule by rule against the published schedule, and never reaches an AI.

Read about our security
By the numbers

What we’ve built, and what it gives back.

$25M+ in claim rejections prevented
30,000+ hours saved on rework
4Australian government systems
50+Services Australia endpoints
300+Medicare rules per claim
6,000+MBS items, the full schedule

The impact figures are measured from real customer usage: five minutes saved for each rework avoided, and each caught item valued at 85% of its Medicare schedule fee. They grow over time.

See the live figures
Pricing

Ten plans, priced by monthly volume.

Requests / moPer monthPer request
1,000$30030¢
2,000$50025¢
5,000$1,00020¢
10,000$1,80018¢
20,000$3,20016¢
50,000$7,00014¢
100,000$12,00012¢
200,000$20,00010¢
500,000$40,000
1,000,000$60,000

Monthly, in AUD, excluding GST. Go over your plan and extra requests are 50¢ each. Change plan any time.

See full pricing
Annual plans

A year of requests, ready whenever you need them.

Monthly
1,000 requests each month $300 / month Resets at the end of each month.
AnnualSave 10%
12,000 requests for the year $270 / month Yours from day one. Busy months and quiet months even out.

Shown for Tier 1. The yearly pooling and the 10% saving apply to every tier.

See full pricing
What’s included

Your monthly plan is the whole price.

No setup fee, no support fee, no per-user or per-clinic charge.

Every feature

On every plan, no tiers.

Unlimited users

And unlimited clinics.

Free support

And staff training.

Test environment

Free and full-fidelity.

MBS updates

Applied automatically.

Web app and API

Both, on every plan.

Price drops reach existing customers automatically, and a system error on our side is never billed.

See full pricing
Insights

See your usage, month by month.

Pick a period and see your total requests, your eligibility and verification results, your top items, and your daily activity.

Open insights in the app
May 2026
3,420 total requests
Eligibility checks2,100
Eligible1,820
Not eligible280
Patient verifications1,320
Matched1,250
Mismatched70
Sample data
Free trial

Try the full product free for 14 days.

14 days

The full trial, start to finish.

No cost

No credit card to begin.

Unlimited requests

Use it as much as you need.

No commitment

Cancel any time, nothing to sign.

Every feature

The whole product, not a limited tier.

Full support

For your whole team.