Medicare guides
Plain-English guides to Medicare billing and integration in Australia, for the practice and the dev team. Written from Services Australia and MBS Online sources, each with the date it was last reviewed.
Step by step
How to reduce Medicare claim rejections
Why claims get rejected, and how to cut them: verify the patient before the service, use the right MBS item, and act on the return code.
Read the guide Guide · 5 min readHow to connect your software to Medicare
PRODA, Web Services, and what building the connection takes, or how to skip the build with a certified API.
Read the guide Comparison · 5 min readWays to check Medicare eligibility
Manual checks, the module in your PMS, or purpose-built software: where each approach holds up, and where it breaks.
Compare the optionsLook it up
Medicare glossary
The terms behind Medicare billing in Australia, defined plainly: MBS, bulk billing, PRODA, AIR, DVA, ECLIPSE, provider numbers and more.
Open the glossary Reference · by releaseMBS updates
Each Medicare Benefits Schedule release, in plain English: new and removed items, fee changes, and what each one means for billing.
See the updatesRight the first time.
Check eligibility before you claim, with a plain-English reason on every result.