Education guide - Functions of our digital claiming channels

An overview of the functions available through different Medicare digital claiming channels, including Medicare Easyclaim, Medicare Online, ECLIPSE and Webclaim.

Claiming

The following table shows you which digital claiming channels you can use to make different types of claims.

  Digital claiming channel
Type of claim Medicare Easyclaim Medicare Online ECLIPSE Webclaim

Bulk bill claims -
no batching or storage required

Yes Yes
Batching available
No Yes

Patient claims

Yes Yes Yes Yes

In-patient medical claims (IMC)

No No Yes No

Department of Veterans' Affairs (DVA) claims

No Yes Yes
Private Hospital and Day Procedure Centre claiming only
Yes

Australian Immunisation Register (AIR) information

No Yes No No

In-hospital Medicare Benefits Schedule (MBS) services

No Yes Yes Yes

In-hospital claiming (IHC)

No No Yes No

Verifying eligibility

The following table shows which digital channels you can use to verify a patient’s eligibility.

  Digital claiming channel
Type of verification and eligibility check Medicare Easyclaim Medicare Online ECLIPSE Webclaim

Online Patient Verification (PVM) - Medicare

No Yes Yes Yes

Online Patient Verification (PVF) - private health insurer

No No Yes No

Online Patient Verification (OPV) - Medicare and private health insurer

No No Yes No

Online Concessional Verification

Yes Yes No Yes

Online Eligibility Checking (OEC)

No No Yes No

Making payments

The following table shows which digital claiming channels you can use for different types of payments. It also shows you how long payments will take through the different channels.

  Digital claiming channel
Type of payment Medicare Easyclaim Medicare Online ECLIPSE Webclaim

Bulk bill payments to health professional's nominated bank account

Yes
2-3 working days
Yes
2-3 working days
No Yes
1-3 working days

Patient claim payments to claimant's bank account

Yes
Almost immediately
Yes
Usually next working day
Yes
2-3 working days in-patient medical claims - patient claims (IMC PC) only
Yes
1-3 working days

Payments to private health insurers and billing agents (IMC, AG, SC, MO and MB)

No No Yes
Minimum government payment time of 10 days after date of lodgement
No

90 day pay doctor cheques scheme

Yes Yes Yes No

Accessing reports

You can access processing and payment reports through HPOS if you’re using:

  • Medicare Easyclaim, either using a standalone EFTPOS device or integrated practice management software (PMS)
  • Webclaim.

You can access processing and payment reports using PMS if you are using:

  • Medicare Easyclaim, using integrated PMS
  • Medicare Online
  • ECLIPSE.

IT details

The following table shows the type of IT details you will need when using different digital claiming channels.

  Digital claiming channel
IT details Medicare Easyclaim using EFTPOS device Medicare Easyclaim using PMS Medicare Online ECLIPSE Webclaim

Equipment

  • EFTPOS device.
  • Internet connection.
  • PC.
  • Internet connection.
  • EFTPOS device.
  • Integrated PMS.
  • PC.
  • Internet connection.
  • PMS with Medicare Online functions.
  • PC.
  • Internet connection.
  • PMS with ECLIPSE functions.
  • PC.
  • Internet connection.

Security

Triple data encryption standard (DES)

Triple DES

Public Key Infrastructure (PKI) Site certificate

PKI

PRODA or PKI

More information

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Page last updated: 1 November 2019