Submit claims using Medicare Easyclaim

A guide to using Medicare Easyclaim to submit bulk billing and patient claims with an EFTPOS device or practice management software.

You can use Easyclaim with an EFTPOS device either by itself or integrated with your practice management software to submit patient claims and bulk billing claims.

The patient must have a valid Medicare card number to submit claims using Medicare Easyclaim.

If you don’t have Easyclaim, find out how to register.

If a patient or claimant has paid their account, follow these steps to submit a claim using Easyclaim:

  1. Enter the patient’s Medicare number or swipe their Medicare card through the EFTPOS terminal.
  2. Enter the claim details using either the EFTPOS keypad or the details stored in the integrated practice management software. Short cut keys can be used for provider IDs and common item numbers.
  3. Once the patient’s details have been entered, they will be verified and a message sent back to the EFTPOS terminal to submit the claim.
  4. The patient then needs to swipe their debit card through the EFTPOS terminal and enter their PIN. The benefit will be paid directly to their bank account almost immediately.

If a patient or claimant has not paid their account, or paid part of the account, follow these steps to submit a claim using Easyclaim:

  1. Swipe the patient’s Medicare card through the EFTPOS terminal or provide their details from the integrated practice management software.
  2. Enter the claim details using either the EFTPOS keypad or the details stored in the integrated practice management software. Short cut keys can be used for provider IDs and common item numbers.
  3. Once the patient’s details have been entered, they will be verified and a message sent back to the EFTPOS terminal to submit the claim.

If we accept the service, we’ll send a statement and cheque in the health professional’s name to the patient at the address they have given us. They need to provide this cheque to the practice, along with any outstanding balance.

If the patient is not eligible for a benefit, we’ll send a statement to the patient.

If a patient or claimant is eligible for a Medicare benefit, they can assign their right to the benefit to you as full payment. This is at your discretion.

You then submit the bulk bill claim with us. Only one bulk bill claim can be submitted per transmission. This claim may contain more than one service item.

Follow these steps to submit a bulk bill claim using Easyclaim:

  1. Swipe the patient’s Medicare card through the EFTPOS terminal or provide their details from the integrated practice management software.
  2. Enter the claim details using either the keypad or the details stored in the integrated practice management software. Short cut keys can be used for provider IDs and common item numbers.
  3. Once the patient’s details have been entered, they will be verified and a message sent back to the EFTPOS terminal to submit the claim.
  4. The patient then needs to press a button on the keypad to assign their Medicare benefit to you. The EFTPOS terminal will print a patient receipt.

You will receive a single payment into your nominated bank account in 2 to 3 working days. There is no need to batch or store claims.

If you are using Medicare Easyclaim by itself, you can log in to Health Professional Online Services (HPOS) through Provider Digital Access (PRODA) to obtain bulk bill processing and payment reports.

Log in to PRODA

You can download and print a PDF or Excel file and reconcile this report against your claims.

If Medicare Easyclaim is integrated with your practice software, you can obtain bulk bill processing and payment reports using your practice management software. You won’t need to download or print a PDF or Excel file.

The availability, format and content of reports depend on the software and Medicare Online release installed on your practice management software.

Page last updated: 8 July 2024.
QC 74159