Claiming
The Claiming services allow health professionals and healthcare locations to submit Medicare and DVA medical claims electronically to Services Australia.
RebateRight supports two Medicare claim flows (below) and DVA medical claiming for eligible veterans — see the DVA claiming card.
The patient assigns their right to Medicare benefits to the health professional. The claim is lodged on their behalf, with payment going directly to the provider.
The patient retains their right to Medicare benefits. The claim is lodged on their behalf, with Medicare benefit paid directly to the patient.
Veteran verification, general / specialist / pathology medical claims, processing and payment reports, and the treatment service voucher (PDF).
Common Concepts
The two Medicare claim flows share the same building blocks:
DVA claiming follows a similar voucher-and-services model, but patients are identified with a DVA file number and related veteran fields.
Before You Begin
Claiming requires a Minor ID to be registered with Services Australia before you can submit claims. See the Minor ID Setup guide for instructions.
Ensure you have completed:
- Minor ID registration via the HW027 or HW052 form with Services Australia
- Practitioners linked to the Minor ID (call Medicare eBusiness on 1800 700 199)
- EFT bank details registered with Services Australia for Bulk Bill payment
Implementation Note
It is a requirement by Services Australia that error messages are displayed to the end user exactly as supplied in the response — not truncated, transformed, or changed in any way. These messages may be updated at any time.
