DVA Claim — Pathology | RebateRight

curl -X POST https://api.rebateright.com.au/Medicare/dvaclaim/pathology/v1 \
     -H "x-api-key: <apiKey>" \
     -H "Content-Type: application/json" \
     -d '{
  "claim": {
    "serviceTypeCode": "P",
    "serviceProvider": {
      "providerNumber": "2447781L"
    },
    "medicalEvent": [
      {
        "id": "01",
        "authorisationDate": "2026-04-09",
        "createDateTime": "2026-04-09T10:00:00+10:00",
        "medicalEventDate": "2026-04-09",
        "submissionAuthorityInd": "Y",
        "acceptedDisability": {
          "ind": "Y",
          "code": "OSTEOARTHRITIS"
        },
        "patient": {
          "identity": {
            "dateOfBirth": "1958-09-27",
            "familyName": "IAN",
            "givenName": "JANET",
            "sex": "2"
          },
          "veteranMembership": {
            "veteranNumber": "NX901667"
          }
        },
        "service": [
          {
            "id": "0001",
            "itemNumber": "65060",
            "chargeAmount": "5000",
            "collectionDateTime": "2026-04-09T08:00:00+10:00",
            "accessionDateTime": "2026-04-09T09:00:00+10:00"
          }
        ],
        "referral": {
          "issueDate": "2026-01-01",
          "typeCode": "P",
          "provider": {
            "providerNumber": "2054781W"
          }
        }
      }
    ]
  }
}'

Submit a DVA pathology claim. Set serviceTypeCode to P.

Each pathology service requires a collection date/time (collectionDateTime) and accession date/time (accessionDateTime). These must both be supplied together and must not be after the medical event date/time.

Referral Requirement

Each medical event must satisfy one of:

A pathology request (referral with typeCode: P)
referralOverrideCode: N (not required)
selfDeemedCode: SD on at least one service

Claim ID

On success, pathology claims submitted in hospital return a claimId prefixed with # (e.g. #9876@). Out-of-hospital pathology returns an alpha prefix (e.g. D0744@).

For the numeric status codes, see DVA Integration.

Submit a DVA pathology claim. Set `serviceTypeCode` to `P`. Each pathology service requires a collection date/time (`collectionDateTime`) and accession date/time (`accessionDateTime`). These must both be supplied together and must not be after the medical event date/time. #### Referral Requirement Each medical event must satisfy one of: - A pathology request (`referral` with `typeCode: P`) - `referralOverrideCode: N` (not required) - `selfDeemedCode: SD` on at least one service #### Claim ID On success, pathology claims submitted in hospital return a `claimId` prefixed with `#` (e.g. `#9876@`). Out-of-hospital pathology returns an alpha prefix (e.g. `D0744@`). For the numeric status codes, see [DVA Integration](/dva).

Authentication

x-api-keystring

API Key authentication via header

x-minor-idstring

API Key authentication via header

Request

This endpoint expects an object.

claimobjectRequired

correlationIdstringOptional

Optional. Supply a unique transaction ID in the format urn:uuid:{MinorId}{16 hex chars} (33 characters total, e.g. urn:uuid:MDE00000a1b2c3d4e5f6a7b8). If the same correlationId is submitted twice, the second request is rejected with error 9777. If omitted, RebateRight generates one automatically.

Response

claimIdstring

Unique claim identifier. Out-of-hospital pathology uses an alpha prefix (e.g. D0744@); in-hospital pathology uses # prefix (e.g. #9876@).

statusstring

Always SUCCESS on a successful submission.

correlationIdstring

Errors

400

Bad Request Error