Medicare Online for health professionals
Medicare Online cuts paperwork and speeds up payment times.
You can submit patient, bulk bill and Department of Veterans' Affairs claims, and transfer Australian Immunisation Register data, via a secure internet connection.
What you need to know
Payments for bulk billed services are deposited directly into your nominated bank account in 2-3 working days.
It also makes it easier for you to help patients claim their Medicare benefit on the spot. Patients can receive their benefit electronically, usually the next working day, by providing their bank account details to us.
If you already have Medicare Online, it's easy to switch on patient claiming in your software. To find out more, contact us or your software vendor.
If you are using Medicare Online for patient claiming, you don't have to ask patients for bank details. Patients register their bank details with us to claim on the spot at the practice.
- can be used for patient claims and bulk bill claims
- allows Online Patient Verification and Online Eligibility Verification
- provides notification of immunisation through the Australian Immunisation Register
- is integrated with practice management software
- requires an internet connection, PC and practice management software
- no batching required
- makes payments within 2-3 working days via electronic funds transfer
- makes payments for patient claims, usually the next working day
- has secure communication using Public Key Infrastructure (PKI).
Online functionality offered through Medicare Online specific for Department of Veterans' Affairs claims includes:
- paperless claiming for:
- medical and pathology
- in-hospital services, including accommodation, theatre fees and prostheses
- allied health services
- community nursing services
- online checks to see if a patient is known to the Department of Veterans' Affairs.
Assignment of benefit documents
Assignment of benefit forms no longer need to be stored at the practice if you are using Medicare Online.
If we need to confirm that the service was provided to a patient, we will seek alternative evidence from you that the service was provided. Evidence may include electronic billing information, notes in practice software appointment records, and, if the practice chooses to retain them, the copy of the assignment of benefit form.
The legislative requirements for the assignment of benefit are:
- an agreement must be made between the patient (assignor) and you for the assignment of benefit
- the agreement is evidenced through the use of the assignment of benefit form
- the patient is required to sign the form
- a copy of the agreement must be provided to the patient.
Medicare digital claiming return codes
When you submit a claim for Medicare benefits, we use return codes to tell you why the claim was rejected or how the claim was assessed.
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Page last updated: 4 March 2020
This information was printed 18 September 2020 from https://www.servicesaustralia.gov.au/organisations/health-professionals/services/medicare/medicare-online-health-professionals. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.