Interactive Patient Claim — General | RebateRight

curl -X POST https://api.rebateright.com.au/Medicare/patientclaiminteractive/general/v1 \
     -H "x-api-key: <apiKey>" \
     -H "Content-Type: application/json" \
     -d '{
  "patientClaimInteractive": {
    "accountPaidInd": "Y",
    "authorisationDate": "2026-04-13",
    "submissionAuthorityInd": "Y",
    "serviceProvider": {
      "providerNumber": "2447781L"
    },
    "patient": {
      "identity": {
        "givenName": "Clint",
        "familyName": "FLETCHER",
        "dateOfBirth": "2009-02-08"
      },
      "medicare": {
        "memberNumber": "4951525561",
        "memberRefNumber": "3"
      }
    },
    "medicalEvent": [
      {
        "id": "01",
        "medicalEventDate": "2026-04-13",
        "service": [
          {
            "id": "0001",
            "itemNumber": "23",
            "chargeAmount": "15075"
          }
        ]
      }
    ],
    "claimant": {
      "identity": {
        "givenName": "Clint",
        "familyName": "FLETCHER",
        "dateOfBirth": "2009-02-08"
      },
      "medicare": {
        "memberNumber": "4951525561",
        "memberRefNumber": "3"
      }
    }
  }
}'

{
  "status": "MEDICARE_ASSESSED",
  "correlationId": "urn:uuid:MDE00000dd434adf401e4ee3",
  "claimAssessment": {
    "claimId": "MDE0000010042614054286",
    "medicalEvent": [
      {
        "id": "01",
        "eventDate": "2026-04-10",
        "service": [
          {
            "id": "0001",
            "itemNumber": "23",
            "chargeAmount": "15075",
            "assessmentCode": "ASSESSED",
            "benefitPaid": "4390",
            "numberOfPatientsSeen": "1"
          },
          {
            "id": "0002",
            "itemNumber": "57506",
            "chargeAmount": "15075",
            "assessmentCode": "ASSESSED",
            "benefitPaid": "2905"
          }
        ]
      }
    ]
  }
}

The general interactive patient claim endpoint submits a Medicare patient claim for professional services that do not require a referral or request. The claimant authorises the submission and receives the Medicare benefit; the patient received the service. They may be the same person.

Field rules and response shapes are defined on the request body, 200, and 400 JSON schemas for this operation. Shared component definitions are in components.schemas at the bottom of this file (PciwPatientClaimInteractiveRequestBody, PciwPatientClaimInteractiveSuccessResponse, PciwMedicareServiceMessageError) and are reused by the specialist and pathology paths.

The **general** interactive patient claim endpoint submits a Medicare patient claim for professional services that do not require a referral or request. The claimant authorises the submission and receives the Medicare benefit; the patient received the service. They may be the same person. Field rules and response shapes are defined on the **request body**, **`200`**, and **`400`** JSON schemas for this operation. Shared component definitions are in **`components.schemas`** at the bottom of this file (`PciwPatientClaimInteractiveRequestBody`, `PciwPatientClaimInteractiveSuccessResponse`, `PciwMedicareServiceMessageError`) and are reused by the specialist and pathology paths.

Authentication

x-api-keystring

API Key authentication via header

x-minor-idstring

API Key authentication via header

Request

This endpoint expects an object.

patientClaimInteractiveobjectRequired

correlationIdstringOptional

Optional. Supply a unique transaction ID in the format urn:uuid:{MinorId}{16 hex chars}. If omitted, RebateRight generates one automatically.

Response

Claim submitted successfully.

statusstring

correlationIdstring

claimAssessmentobject

Errors

400

Bad Request Error