Eligibility Check

View as Markdown
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.
InHospitalTreatmentbooleanRequired
PatientDateOfBirthdateRequired
PatientFamilyNamestringRequired
PatientGivenNamestringRequired
PatientSexstringRequired
PatientMedicareNumberstringRequired
PatientMedicareRefNumberstringRequired
ServicingProviderNumberstringRequired
PrincipalProviderNumberstringRequired
MedicareItemslist of objectsRequired
DateOfServicedateOptional
BulkBilledbooleanOptional
ReferrerProviderNumberstringOptional

Response

OK
PatientVerificationobject or null
Rebateslist of objects
Reasonstring