Interactive Patient Claim — Pathology | RebateRight

curl -X POST https://api.rebateright.com.au/Medicare/patientclaiminteractive/pathology/v1 \
     -H "x-api-key: <apiKey>" \
     -H "Content-Type: application/json" \
     -d '{
  "patientClaimInteractive": {
    "medicalEvent": [
      {
        "service": [
          {
            "scpId": "00001",
            "id": "1001",
            "itemNumber": "65120",
            "chargeAmount": "2505"
          }
        ],
        "id": "01",
        "medicalEventDate": "2026-04-13"
      }
    ],
    "referral": {
      "provider": {
        "providerNumber": "2447781L"
      },
      "issueDate": "2026-01-01",
      "typeCode": "P"
    },
    "accountPaidInd": "Y",
    "authorisationDate": "2026-04-13",
    "submissionAuthorityInd": "Y",
    "serviceProvider": {
      "providerNumber": "2446081F"
    },
    "patient": {
      "identity": {
        "dateOfBirth": "2009-02-08",
        "familyName": "FLETCHER",
        "givenName": "Clint"
      },
      "medicare": {
        "memberNumber": "4951525561",
        "memberRefNumber": "3"
      }
    },
    "claimant": {
      "identity": {
        "dateOfBirth": "2009-02-08",
        "familyName": "FLETCHER",
        "givenName": "Clint"
      },
      "medicare": {
        "memberNumber": "4951525561",
        "memberRefNumber": "3"
      }
    }
  }
}'

{
  "status": "MEDICARE_ASSESSED",
  "correlationId": "urn:uuid:MDE00000c0eae06553a240de",
  "claimAssessment": {
    "claimId": "MDE0000013042608430607",
    "medicalEvent": [
      {
        "id": "01",
        "eventDate": "2026-04-13",
        "service": [
          {
            "id": "1001",
            "itemNumber": "65120",
            "chargeAmount": "2505",
            "assessmentCode": "ASSESSED",
            "benefitPaid": "1195"
          }
        ]
      }
    ]
  }
}

The pathology interactive patient claim endpoint submits a Medicare patient claim for pathology services.

One of the following must hold, otherwise Medicare rejects the claim:

referral.typeCode = P (pathology request), or
referralOverrideCode = N (not required), or
selfDeemedCode = SD on at least one service and no service uses SS.

Request and successful 200 payloads reuse the same schemas as the general endpoint in components.schemas in this file (PciwPatientClaimInteractiveRequestBody, PciwPatientClaimInteractiveSuccessResponse). Pathology-only fields are the second branch of the request allOf below. 400 uses PciwMedicareServiceMessageError.

The **pathology** interactive patient claim endpoint submits a Medicare patient claim for pathology services. One of the following must hold, otherwise Medicare rejects the claim: - `referral.typeCode = P` (pathology request), or - `referralOverrideCode = N` (not required), or - `selfDeemedCode = SD` on at least one service and no service uses `SS`. **Request** and successful **`200`** payloads reuse the same schemas as the **general** endpoint in **`components.schemas`** in this file (`PciwPatientClaimInteractiveRequestBody`, `PciwPatientClaimInteractiveSuccessResponse`). Pathology-only fields are the second branch of the request `allOf` below. **`400`** uses `PciwMedicareServiceMessageError`.

Authentication

x-api-keystring

API Key authentication via header

x-minor-idstring

API Key authentication via header

Request

This endpoint expects an object.

correlationIdstringOptional

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

patientClaimInteractiveobjectOptional

Response

statusstring

correlationIdstring

claimAssessmentobject

Errors

400

Bad Request Error