RebateRight Medicare eligibility intelligence

Right the first time.

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

Before we begin

Talk us through your biggest problem today.

We shape the rest of this demo around it.

hello@rebateright.com.au
What RebateRight is

Connect to RebateRight once. We take care of the rest.

Your software connects to RebateRight, and RebateRight connects to everything else. Patient verification, eligibility, claiming, immunisation records and the MBS, with the complexity on us.

How RebateRight connects your software to the systems a claim depends onYour practice software, or the RebateRight web app, sends one request to RebateRight, which runs its own rules engine and connects to Medicare, DVA, the AIR, the MBS items, the providers directory and PRODA, then returns the result.Your practice softwareor the RebateRight web appRebateRightRules engineMBS rules, turned into codeMedicarePatients, eligibility, claimsDVAVerification and claimingMBS itemsAbout 6,000 items and rulesProviders directoryEvery registered providerPRODAAuthentication, on usAIRImmunisation records How RebateRight connects your software to the systems a claim depends onThe same map, stacked for a narrow screen.Your practice softwareor the RebateRight web appRebateRightRules engineMBS rules, turned into codeMedicarePatients, eligibility, claimsDVAVerification and claimingMBS itemsAbout 6,000 items and rulesProviders directoryEvery registered providerPRODAAuthentication, on usAIRImmunisation records
See every integration
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 answer, its benefit, and every check that ran on it: which passed, which did not, and why.

Try it in the app See a full result, explained
One eligibility check, check by check.RebateRight verifies the patient through PRODA and Medicare, then checks item 58121 rule by rule. Four checks pass. Frequency of service fails: the maximum number of services for this item has already been paid. The item is not eligible.Rules engineMBS rules, turned into codeMBS itemsAbout 6,000 items and rulesProviders directoryEvery registered providerPRODAAuthentication, on usMedicarePatients, eligibility, claims One eligibility check, check by check.The same check, stacked for a narrow screen.Rules engineMBS rules, turned into codeMBS itemsAbout 6,000 items and rulesProviders directoryEvery registered providerPRODAAuthentication, on usMedicarePatients, eligibility, claims
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
Details don’t match

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

Impact.

$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

Every feature, on every plan.

Six plans from $190 a month, and the only difference between them is the number of requests. Here are the two smallest, and the plan we build with you.

  1. Tier 1$190a month + GST
    • 200 requests a monthAbout 10 a business day
    • Unlimited MBS lookups in the app
    • Unlimited users and clinics
    • Every RebateRight feature
  2. Tier 2$290a month + GST
    • 1,000 requests a monthAbout 50 a business day
    • Unlimited MBS lookups in the app
    • Unlimited users and clinics
    • Every RebateRight feature
  3. Custom planBuilt with you
    • Unlimited MBS lookups in the app
    • Unlimited users and clinics
    • Every RebateRight feature
    Book a 30-minute call

Switch plans or cancel at any time. No exit fee.

See all six plans
Annual plans

The full year’s requests are yours from the first day.

Monthly
200 requests each month $190 a month + GST Resets every month. Unused requests do not carry forward.
AnnualSave 10%
2,400 requests for the year $170 a month + GST Use them at any pace. Busy months and quiet months even out.

Shown for Tier 1. The year of requests and the 10% saving apply to every plan.

See full pricing
What’s included

Your plan price is all you pay.

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

Every feature

On every plan, whatever its size.

Unlimited users

And unlimited clinics.

Support

And staff training.

Test environment

Included and full-fidelity.

MBS updates

Applied automatically.

Web app and API

Both, on every plan.

Price drops reach existing customers automatically, and a fault in your software will not cost you requests.

See full pricing
Insights

See your usage, month by month.

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

Open insights in the app

Not eligible reasons

Medicare or our rules found a reason the item would not be paid.

1,236 reasons
  1. Maximum number of services for this item already paid160 431 34.9%
  2. Referrer specialty ineligible 288 23.3%
  3. Requires in hospital 201 16.3%
  4. Age out of range 154 12.5%
  5. Coning applied 92 7.4%
  6. Patient sex mismatch 41 3.3%
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 commitments

Cancel at any time, with no exit fee.

Every feature

The whole product, not a limited tier.

Full support

For your whole team.

Start free trial Book a demo
Your view

Tell us what stood out about RebateRight.

Say the one thing you would tell a colleague.

hello@rebateright.com.au
One last thing

Tell us your biggest concern about RebateRight.

You get the answer now. Where we cannot help, we say so.

Start free trial hello@rebateright.com.au