Eligibility Check
This endpoint receives patient details and Medicare items. It verifies patient information with Medicare and calculates rebate amounts.
#### 🎨 **How It Works**
- Uses **Medicare Patient Verification**, **Medicare Eligibility Check**, and **RebateRight Rules Engine** services behind the scenes.
- The response includes enriched data, combining RebateRight insights and MBS item details.
- Returns the rebate amount Medicare will pay for a specific item for a given patient. The **reason** for the benfit amount is also included in the response.
- If no rebate is payable, the response includes the **reason** why (e.g., limitations, ineligibility).
In summary, this endpoint performs multiple checks and provides a detailed breakdown of Medicare rebate eligibility and the reasons behind the rebate amount.
Authentication
x-api-keystring
API Key authentication via header
x-minor-idstring
API Key authentication via header
Request
This endpoint expects an object.
InHospitalTreatment
PatientDateOfBirth
PatientFamilyName
PatientGivenName
PatientSex
PatientMedicareNumber
PatientMedicareRefNumber
ServicingProviderNumber
PrincipalProviderNumber
MedicareItems
DateOfService
BulkBilled
ReferrerProviderNumber
Response
OK
PatientVerification
Rebates
Reason
