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API ReferenceMedicare ClaimingBulk Bill Claim

Bulk Bill Claim — Pathology

||View as Markdown|
POST
/Medicare/bulkbillstoreforward/pathology/v1
POST
/Medicare/bulkbillstoreforward/pathology/v1
$curl -X POST https://api.rebateright.com.au/Medicare/bulkbillstoreforward/pathology/v1 \
>     -H "x-api-key: <apiKey>" \
>     -H "Content-Type: application/json" \
>     -d '{
>  "claim": {
>    "serviceTypeCode": "P",
>    "serviceProvider": {
>      "providerNumber": "2447781L"
>    },
>    "medicalEvent": [
>      {
>        "id": "01",
>        "authorisationDate": "2025-09-16",
>        "createDateTime": "2025-09-17T08:30:00+10:00",
>        "medicalEventDate": "2025-09-16",
>        "submissionAuthorityInd": "Y",
>        "patient": {
>          "identity": {
>            "givenName": "Edmond",
>            "familyName": "FLETCHER",
>            "dateOfBirth": "1986-12-18"
>          },
>          "medicare": {
>            "memberNumber": "4951525561",
>            "memberRefNumber": "2"
>          }
>        },
>        "service": [
>          {
>            "id": "0001",
>            "itemNumber": "65120",
>            "chargeAmount": "15075",
>            "collectionDateTime": "2025-09-16T07:00:00+10:00",
>            "accessionDateTime": "2025-09-16T07:00:00+10:00",
>            "scpId": "00001",
>            "rule3ExemptInd": "Y"
>          }
>        ],
>        "medicalEventTime": "07:00:00+10:00",
>        "referral": {
>          "issueDate": "2025-08-01",
>          "typeCode": "P",
>          "provider": {
>            "providerNumber": "2447791K"
>          }
>        }
>      }
>    ]
>  }
>}'
1{
2  "claimId": "F3850@",
3  "status": "SUCCESS",
4  "correlationId": "urn:uuid:MDE00000d4e8f5f47c4e67ad"
5}
Submit a bulk bill claim for **pathology** services. Use `serviceTypeCode: P`. A claim may contain up to **80 medical events**, each with up to **14 services**. `medicalEventDate` must not be more than **1 year before submission**. ## 📑 Referral requirement Each medical event must satisfy **one** of the following — otherwise Medicare rejects the claim: - `referral` is supplied with `typeCode: P`, **or** - `referralOverrideCode` is set to `N` (not required), **or** - `selfDeemedCode` is set to `SD` on at least one service (`SS` is **not** permitted for pathology). ## 📑 In-hospital pathology Set `hospitalInd: Y` and supply `facilityId` when the service was rendered in hospital. Omit both for out-of-hospital pathology. ## 📑 Error codes Validation and business-rule failures return **`400`** with `serviceMessage[].code` populated by Medicare. Use the [Services Australia lookup tool](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code) to map each code to a human-readable description.
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Bulk Bill Claim — Specialist

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Submit a bulk bill claim for pathology services. Use serviceTypeCode: P.

A claim may contain up to 80 medical events, each with up to 14 services. medicalEventDate must not be more than 1 year before submission.

📑 Referral requirement

Each medical event must satisfy one of the following — otherwise Medicare rejects the claim:

  • referral is supplied with typeCode: P, or
  • referralOverrideCode is set to N (not required), or
  • selfDeemedCode is set to SD on at least one service (SS is not permitted for pathology).

📑 In-hospital pathology

Set hospitalInd: Y and supply facilityId when the service was rendered in hospital. Omit both for out-of-hospital pathology.

📑 Error codes

Validation and business-rule failures return 400 with serviceMessage[].code populated by Medicare. Use the Services Australia lookup tool to map each code to a human-readable description.

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

OK — claim accepted by Medicare for store-and-forward processing. Poll the Bulk Bill Processing Report using the returned claimId to retrieve the assessment outcome.

claimIdstring

Claim identifier assigned by Medicare. Format is a letter prefix, 4 digits, and a @ suffix (e.g. F3850@). Use this to retrieve the Processing Report once the claim has been assessed.

statusstring

Always SUCCESS on a successful submission.

correlationIdstring

Unique identifier for the request, for support tracing. Matches the correlationId you supplied (or the one RebateRight generated for you).

Errors

400
Bad Request Error