Education guide - Register for Medicare Online and ECLIPSE claiming

How to register for Medicare Online and ECLIPSE to submit electronic claims directly to us through practice management software.

Register for Medicare Online

To register for Medicare Online and submit online claims from any site through your practice management software (PMS), you need to:

  1. check your PMS is compatible.
  2. register for a Provider Digital Access (PRODA) individual or organisation account
  3. register for online claiming.

Check your practice management software

We must approve your Practice Management Software (PMS) for it to support Medicare online claiming. Check with your software developer if your operating system is compatible and your software can:

  • submit different types of claims such as bulk billing, and patient and Department of Veterans' Affairs (DVA) claims
  • send Australian Immunisation Register (AIR) data for notification of immunisations
  • complete Online Patient Verification (OPV) or Online Concession Entitlement Verification (OCV).

Read more about software developers for Medicare Online, ECLIPSE and the AIR.

Register for PRODA

To access available services using PRODA, you’ll need to register as an individual to get your own account.

To access a service on behalf of an organisation, you may need to register the organisation in PRODA. The service will let you know if you need to register your organisation.

Read more about PRODA.

Register for online claiming

To register for online claiming you need to:

  • complete the online claiming provider agreement form, which includes registering your bank details for Electronic Funds Transfer (EFT) payments
  • complete the banking details - online claiming form for each additional practice location
  • get each health professional in your practice to sign the relevant online agreement - if you’re registering on their behalf. So we can access their Medicare records.

For help registering, contact the eBusiness Service Centre.

Medicare Online registration checklist

Before you start, you’ll need internet connection and 1 of these browser versions:

  • Microsoft Edge 79
  • Mozilla Firefox 72
  • Google Chrome 80
  • Safari 14.

Other browsers may work but may not display correctly as they aren’t tested or supported.

You’ll also need to have:

Check with your software developer to find out if your:

  • computer operating system is compatible with doing business online with us
  • PMS has all the functions you need for Medicare Online.

Register for ECLIPSE

Electronic Claim Lodgement and Information Processing Environment (ECLIPSE) lets health professionals, hospitals and billing agents lodge in-patient medical and in-hospital claims in one transaction.

To register for ECLIPSE you can use the same process as you did for Medicare Online.

You’ll need to complete these steps before you first claim using ECLIPSE:

  1. Check your PMS can support ECLIPSE.
  2. Check how to submit ECLIPSE claims.
  3. Register as a Hospital if you need to.

Check your practice management software

We need to approve your software product and it must support ECLIPSE claiming. Check with your software developer to confirm your software is approved and that it can:

  • submit different types of claims - in-patient medical claims (IMC), in-hospital claims (IHC), in-hospital claims DVA, and overseas claims (OVS)
  • complete eligibility and verification checks.

Read more about software developers for Medicare Online, ECLIPSE and the AIR.

Check how to submit ECLIPSE claims

Private health insurers may accept ECLIPSE claims differently.

Before you lodge ECLIPSE claims, you should check how you need to submit the claims. You’ll need to know if they’re submitted as Schemes (SC) or Agreements (AG), and whether you need to quote a fund payee ID before lodging.

Find out more about ECLIPSE in the ECLIPSE Medical and Eligibility User Guide in Simplified Billing and ECLIPSE.

Register a hospital or day procedure centre for in-hospital claiming (IHC)

Before you begin IHC, you need to submit the hospital or day procedure centre registration for in-hospital claiming form.

Before you submit ECLIPSE claims

Check you have:

  • an internet connection
  • registered for PRODA
  • completed the registration form hospital or day procedure centre registration for in-hospital claiming form
  • registered your banking details with private health insurers or billing agents
  • submitted ECLIPSE claims as either SC or AG and quote a fund payee ID where needed
  • registered with the private health insurers online systems.

Check with your software developer to confirm your:

  • computer operating system is compatible for doing business online with us
  • PMS has all the functions you need for IMCs and IHCs through ECLIPSE.

Keeping online claiming details up to date

Online claiming registration

It’s important you contact us about any changes to your online claiming registration details. This includes changes to your phone number, mailing address or location ID.

You can update changes to your location ID or bank account details by either:

Changing multiple provider location ID registration details

You can change nominated location IDs for multiple health professionals who claim through Medicare Online. Contact the eBusiness Service Centre to let us know of any changes.

Managing your PRODA organisation

You can make these changes to your PRODA organisation:

  • management attributes
  • adding/linking service providers to organisations
  • managing members and delegations
  • registering subsidiary organisations
  • managing B2B devices.

More information

Read more about:

For support or to provide feedback on our education resources contact the eBusiness Service Centre.

Page last updated: 5 May 2022