{"openapi":"3.1.0","info":{"title":"RebateRight API","version":"1.0.0"},"paths":{"/MedicareItems/{itemNumber}":{"get":{"operationId":"Get MBS Item","summary":"Get MBS Item","description":"This endpoint retrieves detailed information about a specific MBS item using its item number.\n\n#### 🎨 **How It Works**\n\n- Sources data from MBS and enriches it with RebateRight details.\n    \n- Includes **MBS notes** and additional insights including the **limitation period**, specifying how often an item can be claimed within a given timeframe (e.g., **not more than three times in a 12-month period**).\n\nIf the item number is unknown, the API returns **404** with a plain-text body — see the **`404`** example.","tags":["mbs"],"parameters":[{"name":"itemNumber","in":"path","required":true,"schema":{"type":"string"}},{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/MBS_Get MBS Item_Response_200"}}}},"404":{"description":"No MBS item exists for the supplied `itemNumber`.\n\n**Wire format:** `Content-Type: text/plain` (UTF-8). The body is not JSON — it is the raw text shown in the example below (captured from `GET /MedicareItems/1` on the local RebateRight environment).\n\nOpenAPI lists this under `application/json` with `schema: string` so the API explorer can display an example; interpret it as the verbatim plain-text body.\n","content":{"application/json":{"schema":{"type":"string"}}}}}}},"/MedicareItems":{"get":{"operationId":"Get All MBS Items","summary":"Get All MBS Items","description":"Retrieves the full list of Medicare Benefits Schedule (MBS) items (~6,000 entries), each enriched with RebateRight-derived metadata such as MBS notes and the claim-history limitation period.\n\nEvery query parameter is optional. Send none and you get the whole catalogue in one response, with no paging fields on the body.\n\n## Errors\n\nA `400` carries a **plain-text** message naming the parameter and what to send instead, not a JSON error envelope.\n\n> 🔍 **Responses below are truncated** to 2 and 3 items so they stay readable. A real call returns every matching item, with `ItemsCount` reflecting the true total.\n","tags":["mbs"],"parameters":[{"name":"category","in":"query","description":"Return only the items in this MBS category, matching the `Category` field on each item.","required":false,"schema":{"type":"integer","minimum":1}},{"name":"pageNumber","in":"query","description":"1-based page to return. Send it with `pageSize`; one without the other returns `400`. A page starting past the last item returns an empty `MedicareItems` array, not an error.","required":false,"schema":{"type":"integer","minimum":1}},{"name":"pageSize","in":"query","description":"Number of items per page. Send it with `pageNumber`. There is no upper limit, so you can trade request count against response size.","required":false,"schema":{"type":"integer","minimum":1}},{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK. The full MBS catalogue, or the category and page you asked for.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/MBS_Get All MBS Items_Response_200"}}}}}}},"/CalculateBenefit":{"post":{"operationId":"Benefit Calculator","summary":"Benefit Calculator","description":"Returns the benefit Medicare pays for an MBS item. The schedule fee comes back with it.\n\nEvery request field is optional. An empty body `{}` is valid: it prices a standard GP\nconsultation (item `23`) for one patient, out of hospital. The response echoes the values it\nused, so you always see which defaults applied.\n\n## What the calculation takes into account\n\n- The benefit and schedule fee published for the item in the MBS in force today. Benefits\n  are read from the published amounts rather than worked out as a percentage of the fee, so\n  they match what Medicare pays on every item, including the high-fee ones where a\n  percentage does not.\n- Whether the service is in hospital or out of hospital, for the items that pay differently\n  in each.\n- How many patients were seen on the occasion, for the attendance items whose fee depends on\n  it, such as a general practitioner seeing several residents in one visit to an aged care\n  facility. These figures reproduce the official MBS Ready Reckoner exactly.\n\nA request that cannot be priced still returns `200`, with `ReasonCode` and `Reason`\nexplaining why. Only an unparseable body returns `400`.\n\nTo check whether a specific patient can claim an item, use\n[Eligibility Check](/api-reference/medicare-eligibility/eligibility-check), which verifies\nthe patient with Medicare and quotes the same benefit.\n","tags":["mbs"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/MBS_Benefit Calculator_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"ItemNumber":{"type":"string","description":"The MBS item number to price. Defaults to `23` (a standard GP consultation, Level B) when omitted."},"PatientsSeen":{"type":"integer","description":"How many patients the practitioner sees at the same place on the same occasion. Sets the per-patient fee on the attendance items whose fee depends on it, and multiplies `TotalBenefit` for every item. Defaults to `1` when omitted. A value below `1` returns `200` with `ReasonCode` `InvalidRequest`."},"InHospitalTreatment":{"type":"boolean","description":"Whether the service is provided to an in-hospital patient. Defaults to false when omitted, and the service is priced out of hospital."}}}}}}}},"/MBSChanges":{"get":{"operationId":"Get MBS Changes","summary":"Get MBS Changes","description":"Compares the two most recent MBS releases RebateRight holds — the previous schedule and the current one — and returns every difference: items added, items removed, and items modified field by field. RebateRight keeps both releases current, so you can see exactly what a release changed without parsing the Services Australia files yourself.\n\nThe response gives three views of the same release:\n\n| Field | What it gives you |\n|---|---|\n| `ChangedCounts` | How many items changed — in total, and per field. |\n| `ChangedItemNumbers` | The item numbers behind those counts, grouped the same way. |\n| `ChangedItems` | The full detail — added and removed items in full, plus a field-by-field old/new for every modified item. |\n\n> 🔍 **Sample only** — the example truncates the long item-number arrays and the longest item descriptions. The live API returns the complete lists, and `ChangedCounts` reflects the real totals.\n","tags":["mbs"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK — the differences between the previous and current MBS releases.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/MBS_Get MBS Changes_Response_200"}}}}}}},"/ServicingProviderEligibility":{"post":{"operationId":"Servicing Provider Eligibility","summary":"Servicing Provider Eligibility","description":"Checks whether a **servicing (rendering) provider** may perform and claim a given MBS item. It runs *before* the claim is lodged, so a wrong-provider rejection is caught up front rather than at assessment.\n\nThe check runs entirely within RebateRight: no Medicare call and no patient details, only a `ProviderNumber` and an `ItemNumber`. That makes it fast enough to validate every line of a batch.\n\n<CardGroup cols={1}>\n<Card title=\"Provider Atlas: every specialty and credential\" icon=\"sitemap\" href=\"/provider-atlas\">\nEvery eligibility answer rests on the recognition Medicare holds for the provider. The Provider Atlas maps them all, and shows how the same recognitions decide who may render, claim, and refer each item.\n</Card>\n</CardGroup>\n\n#### The sources behind every check\n\nRebateRight resolves the answer from the authoritative sources that govern who may render an item:\n\n<CardGroup cols={2}>\n<Card title=\"Provider recognitions\">The specialties, fields and credentials Medicare recognises for the provider, expanded through RebateRight's recognition hierarchy so that allowing a broad class (such as a specialist medical practitioner) automatically covers every sub-specialty beneath it.</Card>\n<Card title=\"MBS item structure\">The item's MBS category, group and sub-group (the layered structure mapped to eligible specialties), together with the item's own descriptor, which can override the group rule where an individual item is tighter or broader.</Card>\n<Card title=\"Legislative determinations\">The Diagnostic Imaging, Pathology and General Medical Services Tables on the Federal Register: the legislation that sets, item by item, which providers may render and bill a service, beyond what the descriptor alone states.</Card>\n<Card title=\"MBS explanatory notes\">Conditions a specialty alone cannot express, such as Approved Pathology Practitioner status, nuclear-medicine credentialling, or CT coronary angiography recognition. RebateRight surfaces these in the Reason as a \"verify separately\" pointer with its MBS reference.</Card>\n</CardGroup>\n\nTo stay accurate, RebateRight continually reconciles its determinations against Medicare. The result is advisory: the binding decision is made when the claim is assessed.\n\n#### Reading the result\n\nA `200` always returns a boolean `IsEligible` and a plain-language `Reason`. Three shapes come back:\n\n- **`IsEligible: true` with a specialty named.** One of the provider's specialties may render the item; the `Reason` names the matching specialty and the MBS group or item rule it satisfied.\n- **`IsEligible: true`, no restriction.** The item is open to any provider, so no specialty gate applies.\n- **`IsEligible: false`.** None of the provider's specialties may render the item; the `Reason` lists the provider's specialties alongside the eligible ones, so the gap is explicit.\n\nWhere an item carries a further condition the API cannot confirm from a provider number (a credential, supervision, or accreditation rule), the `Reason` appends a \"verify separately\" note with its MBS reference, so nothing is silently assumed.\n\n#### Status codes\n\n- `200`: eligibility determined; read `IsEligible` and `Reason`.\n- `404`: the `ProviderNumber` or `ItemNumber` was not found. The body is plain text (see the `404` example).\n","tags":["providers"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"Eligibility was determined.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Providers_Servicing Provider Eligibility_Response_200"}}}},"400":{"description":"A required field was omitted, or the request body could not be parsed. Field names are case-sensitive, and a field this endpoint does not recognise is rejected rather than ignored.\n\n**Wire format:** the body is plain text (`text/plain`, UTF-8), not JSON. OpenAPI lists it under `application/json` with `schema: string` only so the API explorer can render the example.\n","content":{"application/json":{"schema":{"type":"string"}}}},"404":{"description":"The `ProviderNumber` or `ItemNumber` was not found.\n\n**Wire format:** the body is plain text (`text/plain`, UTF-8), not JSON. The example shows the verbatim message. OpenAPI lists it under `application/json` with `schema: string` only so the API explorer can render the example.\n","content":{"application/json":{"schema":{"type":"string"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"ProviderNumber":{"type":"string","description":"The servicing provider's Medicare provider number, exactly as issued (case-sensitive, including the location and check-digit characters)."},"ItemNumber":{"type":"string","description":"The MBS item number being checked."}},"required":["ProviderNumber","ItemNumber"]}}}}}},"/VerifyPatient":{"post":{"operationId":"Patient Verification","summary":"Patient Verification","description":"Checks the patient details you hold (name, date of birth, sex, Medicare card number and IRN)\nagainst Medicare's records. Field formats are validated first, then the details go to Medicare's\n**Patient Verification Check** service.\n\n## Reading the result\n\n| `Verified` | Result | Meaning |\n|---|---|---|\n| `true` | **`patient verified`** | Patient details verified with Medicare. Proceed. |\n| `false` | **`details don't match`** | The details you hold don't match Medicare's current record. Correct the patient's record before claiming. |\n| `null` | **`cannot determine`** | The details couldn't be checked against Medicare's record. `Reason` says what stopped it. |\n\n`Reason` carries the detail in every case.\n\n**`patient verified`** covers the fields Medicare checks, not every field you sent. It does not\ncheck family name or sex, so those can still differ; the corrections table below says which fields it checks.\n\n**`cannot determine`** names its cause in `Reason`:\n\n| Cause | What to do |\n|---|---|\n| The request failed our format checks, so it never reached Medicare | Fix the field named in `Reason` and check again. |\n| Medicare returned no assessment — a reciprocal card or a deceased patient, for example | `Reason` carries Medicare's own sentence. |\n| Medicare answered with a status RebateRight doesn't recognise | `Reason` carries what Medicare said. |\n| The call to Medicare didn't complete — an outage, a timeout, or a connection problem on our side | `Reason` says what failed. Check again; if it persists, it isn't your request. |\n\nIt is never a quiet `false`: a Medicare error reads `null`, and only `false` says the details\ndon't match. An eligibility result uses **`cannot determine`** the same way — the item couldn't\nbe checked, and we never guess — though its causes are its own. See [coverage](/eligibility-coverage).\n\nBranch on `Verified`, and never match on `Reason` text.\n\n## Corrections Medicare sends back\n\nWhere Medicare holds a different value and is willing to share it, that value arrives in the\nmatching `Correct…` field. Every other `Correct…` field stays `null`.\n\n| What differs from Medicare's records | `Verified` | Correction returned |\n|---|---|---|\n| Family name, or sex | `true` | Medicare doesn't check these |\n| Given name, first five characters still match | `true` | — |\n| Given name, differs within the first five | `false` | `CorrectGivenName` |\n| IRN | `false` | `CorrectMedicareReferenceNumber` |\n| Date of birth | `false` | — |\n| Medicare card number | `false` | — |\n| The card has been reissued | `false` | `CorrectMedicareNumber`, `CorrectMedicareReferenceNumber`, `CorrectGivenName` |\n\nWhen two or more checked fields are wrong at once, Medicare returns no corrections at all, so\nfix what you can and check again.\n\n## Patients with a single name\n\nFor single-name patients, submit the single name as **`PatientFamilyName`** and set **`PatientGivenName`** to\nthe literal string **`ONLYNAME`**.\n\n<Warning icon='gavel'>\n**Display `Reason` exactly as supplied.** It is a requirement by Services Australia that its\nmessages are displayed to the end user exactly as supplied in the response, not truncated,\ntransformed, or changed in any way. The wording may be updated at any time, so never parse\n`Reason` for logic.\n</Warning>\n","tags":["medicareEligibility"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Medicare Eligibility_Patient Verification_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"PatientDateOfBirth":{"type":"string","format":"date","description":"Patient date of birth (`YYYY-MM-DD`). Cannot be a future date or more than 130 years in the past."},"PatientFamilyName":{"type":"string","description":"Patient family name as it appears on the Medicare card. For single-name patients, put the single name here."},"PatientGivenName":{"type":"string","description":"Patient first given name as it appears on the Medicare card. Medicare matches on the first 5 characters, so `ELIZA` is accepted against a record of `ELIZABETH`. For single-name patients, set this to the literal string `ONLYNAME`."},"PatientSex":{"$ref":"#/components/schemas/VerifyPatientPostRequestBodyContentApplicationJsonSchemaPatientSex","description":"Patient sex (Services Australia coding). Medicare does not fail verification on a sex mismatch\nalone and does not report a correction for this field.\n\n| Code | Meaning |\n|---|---|\n| `1` | Male |\n| `2` | Female |\n| `3` | Other |\n| `9` | Not stated / inadequately described |\n"},"PatientMedicareNumber":{"type":"string","description":"Patient's 10-digit Medicare card number. Must pass the Medicare card check-digit routine, which is validated before the check runs."},"PatientMedicareRefNumber":{"type":"string","description":"Individual Reference Number (IRN) from the patient's Medicare card — a single digit identifying the family member."}},"required":["PatientDateOfBirth","PatientFamilyName","PatientGivenName","PatientSex","PatientMedicareNumber","PatientMedicareRefNumber"]}}}}}},"/CalculateRebate":{"post":{"operationId":"Eligibility Check","summary":"Eligibility Check","description":"Verifies the patient with Medicare and works out what they can claim, for up to 50 MBS items\nin one call.\n\n## What you get back\n\n```\nPatientVerification    Was the patient known?\nRebates[]              One per item you sent\n ├─ ItemNumber\n ├─ IsEligible\n ├─ Reason\n ├─ ReasonCode\n ├─ Benefit\n ├─ ItemScheduleFee\n └─ Checks[]           One per check run on it\n     ├─ Title\n     ├─ IsEligible\n     ├─ Reason\n     └─ ReasonCode\n```\n\n<Card title=\"See a full result, rendered\" href=\"https://rebateright.com.au/eligibility-check-result\">\nThis response laid out as a screen — the answer on each item, the benefit, and the checks — for the front desk as much as the developer.\n</Card>\n\nEach item in `Rebates` holds:\n\n| Field | What it holds |\n|---|---|\n| `ItemNumber` | The item you asked about, echoed back. `\"104\"` |\n| `IsEligible` | Can the patient claim it. `true`, `false`, or `null` |\n| `Reason` | Why, in one sentence you can show as it is. |\n| `ReasonCode` | A code for that reason, for analytics only. |\n| `Benefit` | What Medicare pays, in dollars. `\"88.36\"`, never cents |\n| `ItemScheduleFee` | The MBS fee for the item. `\"103.95\"` |\n| `Checks` | One entry per check that ran on this item, detailed below. |\n\nEach entry in `Checks` holds:\n\n| Field | What it holds |\n|---|---|\n| `Title` | What it checked. `\"Patient age\"`, `\"Frequency of service\"` |\n| `IsEligible` | What this one check found. `true`, `false`, or `null` |\n| `Reason` | Why, in one sentence you can show as it is. |\n| `ReasonCode` | A code for that reason, for analytics only. |\n\nSo `IsEligible` / `Reason` / `ReasonCode` answer the question at both levels: the item gives you\nthe answer, and its checks show the working. A full response is in the example panel alongside\nthis page.\n\n## `IsEligible`: `true`, `false`, or `null`\n\n`IsEligible` is not a yes/no flag. Handle all three values:\n\n| `IsEligible` | Result | Meaning | What to do |\n|---|---|---|---|\n| `true` | **`eligible`** | The patient is eligible to claim this item. | Proceed with the claim. |\n| `false` | **`not eligible`** | The patient is not eligible. | Show `Reason`. A claim would not be paid. |\n| `null` | **`cannot determine`** | The item couldn't be checked for this patient. | Show `Reason`, and see below. |\n\n## When `IsEligible` is `null`\n\nSomething a check needed was missing or unavailable. A `null` is never a quiet `false` — only\n`false` says the patient can't claim. The causes include:\n\n| Cause | What to do |\n|---|---|\n| No referrer sent, on an item that requires one | Send `ReferrerProviderNumber` and check again. See [Provider Atlas](/provider-atlas). |\n| Medicare doesn't verify this item online, and it has a claim-frequency limit we can't see | Nothing is missing: every other check passed. Decide using the patient's history. See [coverage](/eligibility-coverage). |\n| The details you hold don't match Medicare's current record | Correct the details and check again. `PatientVerification` says what was wrong, and `Checks` shows what could still be checked. |\n\nTo see which check it was, find the entry in `Checks` with `IsEligible: null`.\n\n## How to use each field\n\n| Field | Use it for | Don't |\n|---|---|---|\n| `IsEligible` | Branching your logic. | Treating it as a boolean. |\n| `Reason` | Showing the outcome to staff or patients. | Parsing it. The wording changes. |\n| `ReasonCode` | Analytics, grouping, and reporting. | Branching your logic. |\n\n<Note>\n**`ReasonCode` is for analytics, not decisions.** The set of codes grows as RebateRight covers\nmore checks, so new ones appear over time and are not a breaking change. Anything you branch on\nshould come from `IsEligible`, which is stable.\n</Note>\n\n## The checks\n\nEvery check that ran on an item appears as an entry in its `Checks`. Together they cover the\nMBS rules (patient age, referrer eligibility, in-hospital status, and similar) and the live\nServices Australia assessment: how often the item has been claimed, items that conflict on the\nsame day, the servicing provider, and its other rules.\n\nEach check's `Title` names what it looked at, and stays stable. New checks appear as\nRebateRight's coverage grows, so handle unfamiliar titles gracefully.\n\nMedicare doesn't verify every item online. Where it can't, RebateRight's own rules decide and\nthe answer is **indicative**: a clear answer from our checks rather than a live confirmation\nfrom Services Australia. The\n[coverage guide](/eligibility-coverage) lists which items fall where.\n\nThe example responses below show every outcome in full. To see one rendered as a screen —\nthe answer, the benefit and the checks, laid out for the front desk — see\n[What an eligibility check looks like](https://rebateright.com.au/eligibility-check-result).\n\n<Warning icon='gavel'>\n**Display `Reason` exactly as supplied.** It is a requirement by Services Australia that its\nmessages are displayed to the end user exactly as supplied in the response, not truncated,\ntransformed, or changed in any way. The wording may be updated at any time, so never parse\n`Reason` for logic. This applies at both levels, the item's `Reason` and each check's.\n</Warning>\n","tags":["medicareEligibility"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Medicare Eligibility_Eligibility Check_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"DateOfService":{"type":"string","format":"date","description":"Date the service was / will be performed (`YYYY-MM-DD`). Defaults to today when omitted. Cannot be in the future or more than 2 years in the past."},"InHospitalTreatment":{"type":"boolean","description":"Whether the service is provided to an in-hospital patient. Drives the in-hospital vs out-of-hospital rebate percentage and several MBS restriction rules. Defaults to false when omitted — the service is treated as out-of-hospital."},"BulkBilled":{"type":"boolean","description":"Optional. Indicates the service will be bulk-billed. Used only by rules that differ between bulk-bill and non-bulk-bill scenarios. Defaults to false when omitted — benefits are quoted at the not-bulk-billed rate, so an item carrying the bulk-billing incentive quotes 85% rather than 95% of the Schedule Fee unless you set it."},"PatientDateOfBirth":{"type":"string","format":"date","description":"Patient date of birth (`YYYY-MM-DD`). Cannot be a future date or more than 130 years in the past."},"PatientFamilyName":{"type":"string","description":"Patient family name as it appears on the Medicare card."},"PatientGivenName":{"type":"string","description":"Patient first given name as it appears on the Medicare card."},"PatientSex":{"$ref":"#/components/schemas/CalculateRebatePostRequestBodyContentApplicationJsonSchemaPatientSex","description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|---|---|\n| `1` | Male |\n| `2` | Female |\n| `3` | Other |\n| `9` | Not stated / inadequately described |\n\nOn a sex-restricted item, `9` returns `IsEligible: null`, since the restriction can't be\nchecked without a recorded sex.\n"},"PatientMedicareNumber":{"type":"string","description":"Patient's 10-digit Medicare card number."},"PatientMedicareRefNumber":{"type":"string","description":"Individual Reference Number (IRN) from the patient's Medicare card, a single digit identifying the family member."},"ReferrerProviderNumber":{"type":"string","description":"Referring provider's Medicare provider number. Required when any requested item has a referrer restriction. Omit it and those items return `IsEligible: null` (**`cannot determine`**); supply a referrer Medicare doesn't recognise for the item and they return `IsEligible: false` with a plain-language reason. See the [Provider Atlas](/provider-atlas) for who may refer what."},"ServicingProviderNumber":{"type":"string","description":"Provider number of the health professional who performs the service."},"PrincipalProviderNumber":{"type":"string","description":"Provider number of the practice / principal provider the service is billed under. Often the same as `ServicingProviderNumber`."},"MedicareItems":{"type":"array","items":{"$ref":"#/components/schemas/CalculateRebatePostRequestBodyContentApplicationJsonSchemaMedicareItemsItems"},"description":"MBS items to evaluate. Up to **50 items total**, grouped into up to **16 medical events** (via `MedicalEventId`) with up to **14 items per event**."}},"required":["PatientDateOfBirth","PatientFamilyName","PatientGivenName","PatientSex","PatientMedicareNumber","PatientMedicareRefNumber","ServicingProviderNumber","PrincipalProviderNumber","MedicareItems"]}}}}}},"/EligibilityDisclaimer":{"post":{"operationId":"Eligibility Report (PDF)","summary":"Eligibility Report (PDF)","description":"Generates the PDF you hand the patient after an eligibility check: the printable **Online\nEligibility Check (OEC) Report** — header, patient details, per-service rebate estimate, and the\nmandated disclaimer and privacy notice wording. Quote only — not for claiming.\n\n**Handing the patient a printed report is optional.** A written estimate is encouraged\ninformed-financial-consent practice, not an obligation. When you do hand one over, Services\nAustralia prescribes this layout and wording — which is what this endpoint produces.\n\n## How it works\n\nThe live check happens in [Eligibility Check](/api-reference/medicare-eligibility/eligibility-check):\nrun it first, then feed the per-item figures it returned (`ItemScheduleFee`, `Benefit`, an\nexplanation code) and the overall `Reason` into this request. This endpoint makes no Medicare\ncall of its own — it formats the result you already hold into the approved report.\n\n## Request body\n\nThe shape mirrors `/CalculateRebate` so the same payload can drive both calls with small additions. Identical\nfield names are reused (PascalCase) for patient and service fields. Three per-item fields\n(`ItemScheduleFee`, `Benefit`, `MedicareExplanationCode`) are echoed from the `/CalculateRebate` response, and\ntwo root fields (`AccountReferenceId`, `Reason`) are specific to the disclaimer.\n\nOnly `MedicareItems` (with at least one item) and each item's `ItemNumber` are required. Missing optional fields\nrender as blank cells on the PDF.\n\n## Location on the report\n\nThe **Location ID** printed on the report is taken from the **`x-minor-id`** request header (the same header as\nother RebateRight endpoints), not from the JSON body.\n\n## Response\n\nOn success the response body is **`application/pdf`**. The download is offered as **`MedicareEligibilityCheckReport.pdf`**.\n\n## Errors\n\nValidation failures return **HTTP 400** with a **plain-text** message describing the problem (not a JSON error\nenvelope).\n","tags":["medicareEligibility"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"PDF document — Online Eligibility Check (OEC) Report (`MedicareEligibilityCheckReport.pdf`).","content":{"application/octet-stream":{"schema":{"type":"string","format":"binary"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"DateOfService":{"type":"string","format":"date","description":"Date of service printed against every row on the report. ISO date `YYYY-MM-DD`."},"PatientFamilyName":{"type":"string","description":"Patient family name as it appears on the Medicare card. Printed in the patient-details section of the report."},"PatientGivenName":{"type":"string","description":"Patient first given name as it appears on the Medicare card. Printed in the patient-details section of the report."},"PatientMedicareNumber":{"type":"string","description":"Patient's 10-digit Medicare card number."},"PatientMedicareRefNumber":{"type":"string","description":"Individual Reference Number (IRN) from the patient's Medicare card."},"AccountReferenceId":{"type":"string","description":"Caller-supplied reference identifying this OECW quote (e.g. invoice or visit id)."},"Reason":{"type":"string","description":"Outcome text printed under **Outcome / Fund Explanation Text**. Typically the `Reason` returned by `/CalculateRebate`."},"MedicareItems":{"type":"array","items":{"$ref":"#/components/schemas/EligibilityDisclaimerPostRequestBodyContentApplicationJsonSchemaMedicareItemsItems"}}}}}}}}},"/Medicare/bulkbillstoreforward/general/v1":{"post":{"operationId":"Bulk Bill Claim — General","summary":"Bulk Bill Claim — General","description":"Submit a bulk bill claim for **general** Medicare services. Use `serviceTypeCode: O`.\n\nSee the [Bulk Bill Claim guide](/bulk-bill-claim) for claim structure and [assignment of benefit](/assignment-of-benefit).\n\n**General-only constraint:** do **not** set `referral`, `referralOverrideCode`, or `selfDeemedCode` on this endpoint. They apply only to specialist and pathology claims.\n\n## 📐 Claim limits\n\n| Limit | Value |\n| --- | --- |\n| Medical events per claim | 80 |\n| Services per medical event | 14 |\n| Claims per day, per payee provider and location | 2500 |\n\n## 📅 How far back you can claim\n\n`medicalEventDate` must not be in the future, and the service must have been rendered within the last **year**.\n\n## 🕑 Time zones\n\nEvery date-time you send must carry an **Australian UTC offset** (for example `+10:00`, `+09:30`). A UTC `Z` value is rejected. Most languages produce UTC by default, so convert to Australian local time before serialising.\n\n## 📑 Error codes\n\nFailures return **`400`**. Each entry in `serviceMessage[]` names the faulting medical event, and where relevant the service, in its `reason` text.\n\n| Code | Condition | What to do |\n| --- | --- | --- |\n| `9202` | A field value is the wrong format, length, or range | Correct the named field and resubmit |\n| `2030` | A field is valid on its own but breaks a cross-field rule | Read the `reason` text, which states the rule |\n| `2025` | More than 80 medical events in the claim | Split the claim |\n| `2032` | More than 14 services in a medical event | Split the medical event |\n| `9777` | This `correlationId` has already been received | Resubmit with a new one, unless you intended a resubmission |\n| `3004` | Daily claim limit reached for this payee provider and location | Resume the following day |\n\nFor any code not listed, use the [Services Australia lookup tool](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code).\n","tags":["bulkBillClaim"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"Claim accepted by Medicare for store-and-forward processing. Poll the Bulk Bill Processing Report using the returned `claimId` to retrieve the assessment outcome.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Medicare Claiming_Bulk Bill Claim_Bulk Bill Claim — General_Response_200"}}}},"400":{"description":"Validation or business-rule failure. The body is one of two envelopes, and both always include `correlationId` for support tracing.\n\nThe whole claim is rejected. Nothing is lodged, and no `claimId` is issued, so one malformed value fails every voucher in the claim. See [how a failure is scoped](/bulk-bill-claim#how-a-failure-is-scoped) before choosing a batch size.\n","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareBulkbillstoreforwardGeneralV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","pattern":"^urn:uuid:.{24}$","minLength":33,"maxLength":33,"description":"Optional. Your unique identifier for this claim, echoed on the response and used to trace or resubmit it.\n\nThe value is **exactly 33 characters**: the literal prefix `urn:uuid:`, then your 8-character Minor ID, then 16 characters of your own. Despite the prefix, this is **not** a standard UUID, and a plain UUID is rejected.\n\n```\nurn:uuid:MDE00000a1b2c3d4e5f6a7b8\n└───┬───┘└──┬───┘└──────┬───────┘\n  prefix  Minor ID   your 16\n```\n\nResubmitting the same value is treated as a correction to the same claim. A value already used by a *different* claim is rejected with `9777`. Omit the field and RebateRight generates one for you.\n"},"claim":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaim"}},"required":["claim"]}}}}}},"/Medicare/bulkbillstoreforward/specialist/v1":{"post":{"operationId":"Bulk Bill Claim — Specialist","summary":"Bulk Bill Claim — Specialist","description":"Submit a bulk bill claim for **specialist, allied health, or diagnostic imaging** services. Use `serviceTypeCode: S`.\n\nSee the [Bulk Bill Claim guide](/bulk-bill-claim) for claim structure and [assignment of benefit](/assignment-of-benefit).\n\n**Mixing rule:** specialist and diagnostic-imaging services may share the same medical event. **Pathology** services must be submitted through the [Pathology endpoint](/api-reference/medicare-claiming/bulk-bill-claim/bulk-bill-claim-pathology).\n\n## 📋 Referral requirement\n\nEvery medical event must satisfy **one** of the following, or Medicare rejects the claim with `2030`:\n\n| Option | How to send it |\n| --- | --- |\n| A referral exists | `referral` with `typeCode` of `S` or `D` |\n| No referral document exists | `referralOverrideCode` of `H`, `L`, `E`, or `N` |\n| The provider self-deems the service | `selfDeemedCode` of `SD` or `SS` on at least one service |\n\n`referralOverrideCode` is exclusive: it cannot be combined with `referral`, nor with `selfDeemedCode`.\n\n## 📐 Claim limits\n\n| Limit | Value |\n| --- | --- |\n| Medical events per claim | 80 |\n| Services per medical event | 14 |\n| Claims per day, per payee provider and location | 2500 |\n\n## 📅 How far back you can claim\n\n`medicalEventDate` must not be in the future, and the service must have been rendered within the last **year**.\n\n## 🕑 Time zones\n\nEvery date-time you send must carry an **Australian UTC offset** (for example `+10:00`, `+09:30`). A UTC `Z` value is rejected. Most languages produce UTC by default, so convert to Australian local time before serialising.\n\n## 📑 Error codes\n\nFailures return **`400`**. Each entry in `serviceMessage[]` names the faulting medical event, and where relevant the service, in its `reason` text.\n\n| Code | Condition | What to do |\n| --- | --- | --- |\n| `9202` | A field value is the wrong format, length, or range | Correct the named field and resubmit |\n| `2030` | A field is valid on its own but breaks a cross-field rule | Read the `reason` text, which states the rule |\n| `2025` | More than 80 medical events in the claim | Split the claim |\n| `2032` | More than 14 services in a medical event | Split the medical event |\n| `9777` | This `correlationId` has already been received | Resubmit with a new one, unless you intended a resubmission |\n| `3004` | Daily claim limit reached for this payee provider and location | Resume the following day |\n\nFor any code not listed, use the [Services Australia lookup tool](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code).\n","tags":["bulkBillClaim"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"Claim accepted by Medicare for store-and-forward processing. Poll the Bulk Bill Processing Report using the returned `claimId` to retrieve the assessment outcome.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Medicare Claiming_Bulk Bill Claim_Bulk Bill Claim — Specialist_Response_200"}}}},"400":{"description":"Validation or business-rule failure. The body is one of two envelopes, and both always include `correlationId` for support tracing.\n\nThe whole claim is rejected. Nothing is lodged, and no `claimId` is issued, so one malformed value fails every voucher in the claim. See [how a failure is scoped](/bulk-bill-claim#how-a-failure-is-scoped) before choosing a batch size.\n","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareBulkbillstoreforwardSpecialistV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","pattern":"^urn:uuid:.{24}$","minLength":33,"maxLength":33,"description":"Optional. Your unique identifier for this claim, echoed on the response and used to trace or resubmit it.\n\nThe value is **exactly 33 characters**: the literal prefix `urn:uuid:`, then your 8-character Minor ID, then 16 characters of your own. Despite the prefix, this is **not** a standard UUID, and a plain UUID is rejected.\n\n```\nurn:uuid:MDE00000a1b2c3d4e5f6a7b8\n└───┬───┘└──┬───┘└──────┬───────┘\n  prefix  Minor ID   your 16\n```\n\nResubmitting the same value is treated as a correction to the same claim. A value already used by a *different* claim is rejected with `9777`. Omit the field and RebateRight generates one for you.\n"},"claim":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaim"}},"required":["claim"]}}}}}},"/Medicare/bulkbillstoreforward/pathology/v1":{"post":{"operationId":"Bulk Bill Claim — Pathology","summary":"Bulk Bill Claim — Pathology","description":"Submit a bulk bill claim for **pathology** services. Use `serviceTypeCode: P`.\n\nSee the [Bulk Bill Claim guide](/bulk-bill-claim) for claim structure and [assignment of benefit](/assignment-of-benefit).\n\nPathology services cannot share a medical event with specialist or diagnostic-imaging services. Submit those through the [Specialist endpoint](/api-reference/medicare-claiming/bulk-bill-claim/bulk-bill-claim-specialist).\n\n## 📋 Referral requirement\n\nEvery medical event must satisfy **one** of the following, or Medicare rejects the claim with `2030`:\n\n| Option | How to send it |\n| --- | --- |\n| A request exists | `referral` with `typeCode` of `P` |\n| No request is required | `referralOverrideCode` of `N` |\n| The provider self-deems the service | `selfDeemedCode` of `SD` on at least one service |\n\n`SS` is not permitted for pathology, and `selfDeemedCode` cannot be combined with `referralOverrideCode`.\n\n## 🧪 Fields this endpoint does not accept\n\nSeveral service fields belong to general and specialist claims only. Sending any of them here is rejected with `2030`: `aftercareOverrideInd`, `duplicateServiceOverrideInd`, `fieldQuantity`, `lspNumber`, `multipleProcedureOverrideInd`, `numberOfPatientsSeen`, `restrictiveOverrideCode`, and `timeDuration`.\n\n## 📐 Claim limits\n\n| Limit | Value |\n| --- | --- |\n| Medical events per claim | 80 |\n| Services per medical event | 14 |\n| Claims per day, per payee provider and location | 2500 |\n\n## 📅 How far back you can claim\n\n`medicalEventDate` must not be in the future, and the service must have been rendered within the last **year**.\n\n## 🕑 Time zones\n\nEvery date-time you send must carry an **Australian UTC offset** (for example `+10:00`, `+09:30`). A UTC `Z` value is rejected. Most languages produce UTC by default, so convert to Australian local time before serialising.\n\n## 📑 Error codes\n\nFailures return **`400`**. Each entry in `serviceMessage[]` names the faulting medical event, and where relevant the service, in its `reason` text.\n\n| Code | Condition | What to do |\n| --- | --- | --- |\n| `9202` | A field value is the wrong format, length, or range | Correct the named field and resubmit |\n| `2030` | A field is valid on its own but breaks a cross-field rule | Read the `reason` text, which states the rule |\n| `2025` | More than 80 medical events in the claim | Split the claim |\n| `2032` | More than 14 services in a medical event | Split the medical event |\n| `9777` | This `correlationId` has already been received | Resubmit with a new one, unless you intended a resubmission |\n| `3004` | Daily claim limit reached for this payee provider and location | Resume the following day |\n\nFor any code not listed, use the [Services Australia lookup tool](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code).\n","tags":["bulkBillClaim"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"Claim accepted by Medicare for store-and-forward processing. Poll the Bulk Bill Processing Report using the returned `claimId` to retrieve the assessment outcome.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Medicare Claiming_Bulk Bill Claim_Bulk Bill Claim — Pathology_Response_200"}}}},"400":{"description":"Validation or business-rule failure. The body is one of two envelopes, and both always include `correlationId` for support tracing.\n\nThe whole claim is rejected. Nothing is lodged, and no `claimId` is issued, so one malformed value fails every voucher in the claim. See [how a failure is scoped](/bulk-bill-claim#how-a-failure-is-scoped) before choosing a batch size.\n","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareBulkbillstoreforwardPathologyV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","pattern":"^urn:uuid:.{24}$","minLength":33,"maxLength":33,"description":"Optional. Your unique identifier for this claim, echoed on the response and used to trace or resubmit it.\n\nThe value is **exactly 33 characters**: the literal prefix `urn:uuid:`, then your 8-character Minor ID, then 16 characters of your own. Despite the prefix, this is **not** a standard UUID, and a plain UUID is rejected.\n\n```\nurn:uuid:MDE00000a1b2c3d4e5f6a7b8\n└───┬───┘└──┬───┘└──────┬───────┘\n  prefix  Minor ID   your 16\n```\n\nResubmitting the same value is treated as a correction to the same claim. A value already used by a *different* claim is rejected with `9777`. Omit the field and RebateRight generates one for you.\n"},"claim":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaim"}},"required":["claim"]}}}}}},"/Medicare/bulkbillpaymentreport/v1":{"post":{"operationId":"Bulk Bill Payment Report","summary":"Bulk Bill Payment Report","description":"Retrieve a payment report for a Bulk Bill claim, providing payment information including the deposit amount,\nmasked bank account details, and the list of claims covered by the same payment run.\n\n## 📑 Response — `status`\n\n| Value | Meaning |\n|---|---|\n| `COMPLETE` | Payment information is available (`paymentRun`, `paymentInfo`, `claimSummary`). |\n| `REPORT_NOT_AVAILABLE` | Claim is finalised but there is **no payment report** (for example, nil or rejected benefit — nothing to pay). |\n| `REPORT_NOT_READY` | Claim not yet paid and finalised — retry later. |\n| `REPORT_NOT_FOUND` | No matching claim for this location, provider, and identifiers. |\n| `REPORT_EXPIRED` | Lodgement is outside the six-month retrieval window. |\n\nWhen a payment run exists, the response includes the **payment run** reference, **masked bank / EFT** details,\n**deposit amount**, and a **claim summary** listing every claim included in that run (not only the claim you queried).\n\nReports can be retrieved for **six months** from the date the original claim was lodged, as many times as needed.\nOnly the location that submitted the claim may request its report.\n\nMalformed requests (for example an invalid `correlationId`) receive **HTTP 400** — see the **`400`** response examples.\n","tags":["bulkBillClaim"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Medicare Claiming_Bulk Bill Claim_Bulk Bill Payment Report_Response_200"}}}},"400":{"description":"Validation or business-rule failure (HTTP 400). The body is either the Medicare `serviceMessage` envelope or a gateway JSON-schema envelope (`code`, `codeType`, `message`); both include `correlationId` for tracing.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareBulkbillpaymentreportV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Transaction identifier from the successful Bulk Bill claim response; must match exactly what was returned when the claim was accepted. Format is `urn:uuid:` + Minor ID (8 characters) + 16 hexadecimal characters (33 characters total), for example `urn:uuid:MDE00000a081f297cf7741ad`."},"payeeProvider":{"$ref":"#/components/schemas/MedicareBulkbillpaymentreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider","description":"Payee provider from the original claim transmission; use the same values as on that claim."}},"required":["correlationId","payeeProvider"]}}}}}},"/Medicare/bulkbillprocessingreport/v1":{"post":{"operationId":"Bulk Bill Processing Report","summary":"Bulk Bill Processing Report","description":"Retrieve a processing report for a Bulk Bill claim, detailing processing information (including changes and\nexception situations) for each medical event and associated service within the original claim.\n\n## 📑 Response — `status`\n\n| Value | Meaning |\n|---|---|\n| `COMPLETE` | Report is available; `claimAssessment` is populated. |\n| `REPORT_NOT_READY` | Claim located but assessment / payment is not finalised yet. Retry the next day. |\n| `REPORT_NOT_FOUND` | No matching claim for this location, provider, and identifiers. |\n| `REPORT_EXPIRED` | Lodgement is outside the six-month retrieval window. |\n\nThe report summarises how the claim was assessed: totals at claim level, and per medical event and service\n(assessment codes, benefit and charge amounts, Medicare patient details as held when assessed).\n\nIf the patient's Medicare details differ from what was submitted, the corrected values come back here, flagged with a patient `status` code (`8023`–`8028`). Reconcile against those before resubmitting.\n\n## 🕑 When to retrieve\n\nA claim's report becomes available **the day after lodgement**. A report requested on the day you submit\nreturns `REPORT_NOT_READY`, so schedule a daily retrieval from the following day.\n\nReports can be retrieved for **six months** from the date the original claim was lodged, as many times as needed.\nOnly the location that submitted the claim may request its report.\n\nMalformed requests (for example an invalid `correlationId`) receive **HTTP 400** — see the **`400`** response examples.\n","tags":["bulkBillClaim"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Medicare Claiming_Bulk Bill Claim_Bulk Bill Processing Report_Response_200"}}}},"400":{"description":"Validation or business-rule failure (HTTP 400). The body is either the Medicare `serviceMessage` envelope or a gateway JSON-schema envelope (`code`, `codeType`, `message`); both include `correlationId` for tracing.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareBulkbillprocessingreportV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Transaction identifier from the successful Bulk Bill claim response; must match exactly what was returned when the claim was accepted. Format is `urn:uuid:` + Minor ID (8 characters) + 16 hexadecimal characters (33 characters total), for example `urn:uuid:MDE00000ee97ff9fd17d4afc`."},"payeeProvider":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider","description":"Payee provider from the original claim transmission; use the same values as on that claim."}},"required":["correlationId","payeeProvider"]}}}}}},"/AoBPreAssignment":{"post":{"operationId":"Pre-assignment (PDF)","summary":"Pre-assignment (PDF)","description":"Returns **`application/pdf`**: a printable Medicare bulk bill **pre-assignment** Assignment of\nBenefit agreement: the form a patient signs to assign their Medicare benefit **before** the service.\n\nFor what pre-assignment is, when to use it instead of post-assignment, and the signing and retention\nobligations, see the [Pre-assignment guide](/assignment-of-benefit/pre-assignment).\n\nSupply the servicing provider, the `serviceStream`, and one or more `assignments`. Each renders as a\ncomplete, signable page, so one request can produce a batch. Because a pre-assignment precedes the\nclaim, this request is **not** the bulk bill claim payload. This endpoint **renders** the document; it\ndoes not lodge a claim or call Services Australia.\n\nA pre-assignment cannot be used for Child Dental Benefits Schedule (CDBS) claims.\n\n## How the form is chosen\n\nYou set the **service stream** explicitly with `serviceStream` (`general`, `pathology`, or\n`diagnosticImaging`). It selects the assignor's statement and the date-column label for every page\nof the request.\n\n## Response\n\n| Status | Content type | Meaning |\n|--------|--------------|---------|\n| `200` | `application/pdf` | The rendered pre-assignment agreement. |\n| `400` | `text/plain` | The request was malformed or missing a required field. |\n","tags":["assignmentOfBenefit"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"PDF bytes, a **Medicare online** bulk bill pre-assignment Assignment of Benefit agreement, carrying the minimum data set Services Australia requires.","content":{"application/octet-stream":{"schema":{"type":"string","format":"binary"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"serviceProviderName":{"type":"string","description":"The servicing provider's name, printed under **Details of the professional** alongside the\nprovider number.\n"},"serviceStream":{"$ref":"#/components/schemas/AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaServiceStream","description":"The service stream. It selects the assignor's statement, the date-column label, and the\ndescription-column label printed on every page of this request.\n\n| Value | Statement (future tense) | Date column | Description column |\n|-------|--------------------------|-------------|--------------------|\n| `general` | …the health professional who will render the service(s). | Date of service | Basic service description |\n| `pathology` | …the approved pathology practitioner who will render the requested pathology service(s)… | Date of specimen collection | Description of service |\n| `diagnosticImaging` | …the diagnostic imaging provider who will render the requested diagnostic imaging service(s)… | Date of imaging procedure | Description of service |\n\nA specialist or allied-health attendance uses `general`. Pathology Group P9 (simple in-rooms\ntests) also uses `general`, the way Services Australia defines the streams.\n"},"serviceProvider":{"$ref":"#/components/schemas/AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaServiceProvider"},"assignments":{"type":"array","items":{"$ref":"#/components/schemas/AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaAssignmentsItems"},"description":"One entry per patient. Each renders as a complete, signable agreement on its own page."}},"required":["serviceProviderName","serviceStream","serviceProvider","assignments"]}}}}}},"/AoBPostAssignment":{"post":{"operationId":"Post-assignment (PDF)","summary":"Post-assignment (PDF)","description":"Returns **`application/pdf`**: a printable Medicare bulk bill **post-assignment** Assignment of\nBenefit agreement: the form a patient signs **after** the service.\n\nFor what post-assignment is and when to use it instead of pre-assignment, see the\n[Post-assignment guide](/assignment-of-benefit/post-assignment).\n\nThe body is the bulk bill `claim` you already build (General, Specialist, or Pathology), passed\n**unchanged**, plus `serviceProviderName` (a claim carries only the provider number) and an optional\nper-event `assignorIsPatient`. RebateRight renders **one signable page per medical event**; it does\nnot lodge the claim, call Services Australia, or revalidate claim fields.\n\n## How the form is chosen\n\nThe assignor's statement and the service-date label follow the **service stream**, derived per\nmedical event from the claim's `serviceTypeCode` and the event's `referral.typeCode`:\n\n| `serviceTypeCode` | `referral.typeCode` | Form |\n|-------------------|---------------------|------|\n| `P` | any | Pathology |\n| `S` | `D` | Diagnostic imaging |\n| `S` | any other | General |\n| `O` | n/a | General |\n\n## Response\n\n| Status | Content type | Meaning |\n|--------|--------------|---------|\n| `200` | `application/pdf` | The rendered post-assignment agreement. |\n| `400` | `text/plain` | The request was malformed or missing a required field. |\n","tags":["assignmentOfBenefit"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"PDF bytes, **Medicare online** bulk bill Assignment of Benefit (post-assignment), aligned with Services Australia BBSW expectations.","content":{"application/octet-stream":{"schema":{"type":"string","format":"binary"}}}}},"requestBody":{"description":"Same shape as a bulk bill claim payload. Only fields that affect the rendered PDF are described here; for everything else, see the bulk bill claim endpoints.","content":{"application/json":{"schema":{"type":"object","properties":{"serviceProviderName":{"type":"string","description":"Servicing provider's name, printed under **Details of the professional**. A bulk bill claim\ncarries only the provider number, so the name is supplied here at the root, and `claim` stays\nunchanged.\n"},"claim":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaim"}},"required":["serviceProviderName","claim"]}}}}}},"/Medicare/patientclaiminteractive/general/v1":{"post":{"operationId":"Interactive Patient Claim — General","summary":"Interactive Patient Claim — General","description":"The **general** interactive patient claim endpoint submits a Medicare patient claim for professional services that do not require a referral or request. The claimant authorises the submission and receives the Medicare benefit; the patient received the service. They may be the same person.\n\n### Response handling\n\nEvery `200` response carries a `status` indicating the claim outcome — `MEDICARE_ASSESSED`, `MEDICARE_PENDABLE`, `MEDICARE_PENDED`, or `MEDICARE_REJECTED`. Per-service outcomes are reported via `assessmentCode` on each `medicalEvent[].service[]`. See the response schema for the full handling tables.\n\n### Error codes\n\nMedicare reason codes appear on three fields: claim-level `claimAssessment.error.code`, per-service `claimAssessment.medicalEvent[].service[].error.code`, and `serviceMessage[].code` on `400` responses. Map all of them to user-facing descriptions via the [Services Australia reason-code lookup](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code).\n","tags":["interactivePatientClaims"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"Claim submitted successfully.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponse"}}}},"400":{"description":"Validation failure. The response body is one of two envelopes:\n\n- **Medicare `serviceMessage`** — the request was structurally valid but failed a Medicare business-rule or\n  field-level check (invalid card number, future date, duplicate transaction, etc.). One `serviceMessage`\n  entry per failed check. Each message's `reason` points to the offending field (and medical event / service\n  id where applicable).\n- **Gateway (`DHSEIN`)** — the request failed JSON-schema validation at the Medicare gateway before reaching\n  the business-rule layer (missing required property, wrong type, unparsable `correlationId`).\n\nMap any `code` on either envelope using the [Services Australia reason-code\nlookup](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code).\n","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicarePatientclaiminteractiveGeneralV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBody"}}}}}},"/Medicare/patientclaiminteractive/specialist/v1":{"post":{"operationId":"Interactive Patient Claim — Specialist","summary":"Interactive Patient Claim — Specialist","description":"The **specialist** interactive patient claim endpoint submits a Medicare patient claim for specialist or diagnostic imaging services.\n\n### Referral requirement\n\nOne of the following must hold, otherwise Medicare rejects the claim:\n\n- `referral.typeCode` is `D` (diagnostic imaging) or `S` (specialist), or\n- `referralOverrideCode` is `H`, `L`, `E`, or `N`, or\n- at least one service has `selfDeemedCode` `SD` or `SS`.\n\n### Response handling\n\nThe `200` response shape is shared with the **general** endpoint — see that endpoint's response schema for the full `status` and `assessmentCode` handling tables.\n\n### Error codes\n\nMedicare reason codes on `error.code` (claim- or service-level) and `serviceMessage[].code` map to user-facing descriptions via the [Services Australia reason-code lookup](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code).\n","tags":["interactivePatientClaims"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponse"}}}},"400":{"description":"Validation failure. Same two envelopes as the general endpoint — see the general `400` for the full example\nset and mapping guidance. Only specialist-specific examples are shown here to avoid duplication.\n","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicarePatientclaiminteractiveSpecialistV1RequestBadRequestError"}}}}},"requestBody":{"description":"Specialist / diagnostic imaging request fields (combined with the general interactive claim payload via allOf).","content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Optional. Supply a unique transaction ID in the format `urn:uuid:{MinorId}{16 hex chars}`. If omitted, RebateRight generates one automatically."},"patientClaimInteractive":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractive"}},"required":["patientClaimInteractive"]}}}}}},"/Medicare/patientclaiminteractive/pathology/v1":{"post":{"operationId":"Interactive Patient Claim — Pathology","summary":"Interactive Patient Claim — Pathology","description":"The **pathology** interactive patient claim endpoint submits a Medicare patient claim for pathology services.\n\n### Referral requirement\n\nOne of the following must hold, otherwise Medicare rejects the claim:\n\n- `referral.typeCode = P` (pathology request), or\n- `referralOverrideCode = N` (not required), or\n- `selfDeemedCode = SD` on at least one service and no service uses `SS`.\n\n### Response handling\n\nThe `200` response shape is shared with the **general** endpoint — see that endpoint's response schema for the full `status` and `assessmentCode` handling tables.\n\n### Error codes\n\nMedicare reason codes on `error.code` (claim- or service-level) and `serviceMessage[].code` map to user-facing descriptions via the [Services Australia reason-code lookup](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code).\n","tags":["interactivePatientClaims"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponse"}}}},"400":{"description":"Validation failure. Same two envelopes as the general endpoint — see the general `400` for the full example\nset and mapping guidance. Only pathology-specific examples are shown here to avoid duplication.\n","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicarePatientclaiminteractivePathologyV1RequestBadRequestError"}}}}},"requestBody":{"description":"Pathology-only request fields (combined with the general interactive claim payload via allOf).","content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Optional. Supply a unique transaction ID in the format `urn:uuid:{MinorId}{16 hex chars}`. If omitted, RebateRight generates one automatically."},"patientClaimInteractive":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractive"}},"required":["patientClaimInteractive"]}}}}}},"/Medicare/samedaydelete/v1":{"post":{"operationId":"Same Day Delete","summary":"Same Day Delete","description":"Same Day Delete lets a practice **withdraw an interactive patient claim** that was sent **earlier the same calendar\nday**. Medicare only allows the delete when the original claim was **accepted and assessed** (final status\n**`MEDICARE_ASSESSED`**).\n\n**Matching the original submission:** use the **same transaction correlation**, **location context**, and **patient\ndetails** as the claim you are withdrawing, sent through this API.\n\n**Headers and registration:** use the same Medicare claiming header pattern as your other interactive patient claims (including\n`dhs-correlationId` and `dhs-auditId`, which Medicare uses in its business rules). Your organisation must have suitable\n**PRODA** access and a **Notice of Intent (NOI)** that covers interactive claiming **and** same-day delete.\n\n**Messages from Medicare:** when you surface errors to end users, show **`serviceMessage[].reason`** **exactly as\nreturned** — do not shorten, paraphrase, or “improve” the wording.\n\nField rules, lengths, formats, and examples are on the **request body**, **`200`**, and **`400`** schemas below.\n","tags":["interactivePatientClaims"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK — delete accepted. When Medicare removes the claim, **status** is **`SUCCESS`**.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Medicare Claiming_Interactive patient claims_Same Day Delete_Response_200"}}}},"400":{"description":"YAML / schema validation or Medicare business-rule failure (`serviceMessage` + `correlationId`).","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareSamedaydeleteV1RequestBadRequestError"}}}}},"requestBody":{"description":"Body for a same-day delete. It identifies the **original claim’s transaction** and supplies the **patient** and\n**reasonCode** Medicare uses to validate the delete.\n\nMedicare ties the delete to the original claim using **`dhs-correlationId`** (transaction correlation) and\n**`dhs-auditId`** (location / audit context), together with the values in this JSON.\n","content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Correlation / transaction id for the **original** interactive claim to delete. It must refer to a claim Medicare\ncan match **for the same calendar day** and **same location** as this delete request. If nothing matches,\nMedicare often returns **`9775`** (see the **`400`** response — `serviceMessage[].code`).\n"},"sameDayDelete":{"$ref":"#/components/schemas/MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDelete","description":"Patient identity and Medicare card details must match the **original** claim. **reasonCode** is required.\n"}},"required":["correlationId","sameDayDelete"]}}}}}},"/Medicare/veteranverification/v1":{"post":{"operationId":"Veteran Verification","summary":"Veteran Verification","description":"Verify a patient's DVA veteran status in real time. One patient per request.\n\nTwo verification types are supported:\n\n- **PVP** — submit personal details only (name, DOB, sex). DVA returns the veteran's file number and card type.\n- **PVV** — include `veteranMembership.veteranNumber` to verify against a known DVA file number.\n\nFor card types, entitlement codes, the DVA File Number format, and the numeric status codes, see [DVA Integration](/dva).\n","tags":["dva"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/DVA_Veteran Verification_Response_200"}}}},"400":{"description":"Validation failure — body includes `serviceMessage` entries and `correlationId`.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareVeteranverificationV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"patient":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatient"}},"required":["patient"]}}}}}},"/Medicare/dvaclaim/general/v1":{"post":{"operationId":"DVA Claim — General","summary":"DVA Claim — General","description":"Submit a DVA general medical claim on behalf of a health professional. One claim per request, containing up to 80 medical events, each with up to 14 services.\n\nUse this endpoint for general (non-specialist, non-pathology) DVA medical services. Set `serviceTypeCode` to `O`.\n\nFor Accepted Disability, patient identification, the claim ID format, and the numeric status codes, see [DVA Integration](/dva).\n","tags":["dva"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/DVA_DVA Claim — General_Response_200"}}}},"400":{"description":"Validation or business-rule failure; body includes `serviceMessage` entries and `correlationId`.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareDvaclaimGeneralV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Optional. Supply a unique transaction ID in the format `urn:uuid:{MinorId}{16 hex chars}` (33 characters total, e.g. `urn:uuid:MDE00000a1b2c3d4e5f6a7b8`). If the same `correlationId` is submitted twice, the second request is rejected with error `9777`. If omitted, RebateRight generates one automatically."},"claim":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaim"}},"required":["claim"]}}}}}},"/Medicare/dvaclaim/specialist/v1":{"post":{"operationId":"DVA Claim — Specialist","summary":"DVA Claim — Specialist","description":"Submit a DVA specialist claim. Set `serviceTypeCode` to `S`.\n\n#### Referral Requirement\n\nEach medical event must satisfy one of:\n- A specialist or diagnostic imaging referral (`referral` with `typeCode: S` or `D`)\n- A referral override code of `H`, `L`, `E`, or `N`\n- A `selfDeemedCode` of `SD` or `SS` on at least one service\n\nWhen `referral.typeCode` is `S`, `referral.periodCode` must also be set. Standard period is 12 months for GPs, 3 months for specialists.\n\n#### Hyperbaric Items\n\nClaims for hyperbaric items must use `timeDuration` (in conjunction with item start/end times via service `text`) to determine the number of time units (hours) applicable to the service.\n\n#### Retained Referral Details\n\nSoftware must retain referral details for a patient to be used for subsequent consultations where needed.\n\nFor the claim ID format and the numeric status codes, see [DVA Integration](/dva).\n","tags":["dva"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/DVA_DVA Claim — Specialist_Response_200"}}}},"400":{"description":"Validation or business-rule failure; body includes `serviceMessage` entries and `correlationId`.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareDvaclaimSpecialistV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Optional. Supply a unique transaction ID in the format `urn:uuid:{MinorId}{16 hex chars}` (33 characters total, e.g. `urn:uuid:MDE00000a1b2c3d4e5f6a7b8`). If the same `correlationId` is submitted twice, the second request is rejected with error `9777`. If omitted, RebateRight generates one automatically."},"claim":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaim"}},"required":["claim"]}}}}}},"/Medicare/dvaclaim/pathology/v1":{"post":{"operationId":"DVA Claim — Pathology","summary":"DVA Claim — Pathology","description":"Submit a DVA pathology claim. Set `serviceTypeCode` to `P`.\n\nEach pathology service requires a collection date/time (`collectionDateTime`) and accession date/time (`accessionDateTime`). These must both be supplied together and must not be after the medical event date/time.\n\n#### Referral Requirement\n\nEach medical event must satisfy one of:\n- A pathology request (`referral` with `typeCode: P`)\n- `referralOverrideCode: N` (not required)\n- `selfDeemedCode: SD` on at least one service\n\n#### Claim ID\n\nOn success, pathology claims submitted in hospital return a `claimId` prefixed with `#` (e.g. `#9876@`). Out-of-hospital pathology returns an alpha prefix (e.g. `D0744@`).\n\nFor the numeric status codes, see [DVA Integration](/dva).\n","tags":["dva"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/DVA_DVA Claim — Pathology_Response_200"}}}},"400":{"description":"Validation or business-rule failure; body includes `serviceMessage` entries and `correlationId`.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareDvaclaimPathologyV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Optional. Supply a unique transaction ID in the format `urn:uuid:{MinorId}{16 hex chars}` (33 characters total, e.g. `urn:uuid:MDE00000a1b2c3d4e5f6a7b8`). If the same `correlationId` is submitted twice, the second request is rejected with error `9777`. If omitted, RebateRight generates one automatically."},"claim":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaim"}},"required":["claim"]}}}}}},"/Medicare/dvaprocessingreport/v1":{"post":{"operationId":"DVA Processing Report","summary":"DVA Processing Report","description":"Retrieve a processing report for a **DVA medical claim** submitted through **Medicare**, from the same Minor ID\n(transmitting location) that submitted the claim.\n\n## 📑 Response — `status`\n\n| Value | Meaning |\n|---|---|\n| `COMPLETE` | Report is available; `claimAssessment` is populated. |\n| `REPORT_NOT_READY` | Claim located but assessment / payment is not finalised yet — retry later. |\n| `REPORT_NOT_FOUND` | No matching claim for this location, provider, and identifiers. |\n| `REPORT_EXPIRED` | Lodgement is outside the six-month retrieval window. |\n\nThe report summarises how the claim was assessed: totals at claim level, and per medical event and service (assessment codes, benefit and charge amounts, veteran details as held when assessed).\n\nReports can be retrieved for **six months** from the date the original claim was lodged, as many times as needed. Only the location that submitted the claim may request its report.\n\nMalformed requests (for example an invalid `correlationId`) receive **HTTP 400** — see the **`400`** response examples.\n","tags":["dva"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/DVA_DVA Processing Report_Response_200"}}}},"400":{"description":"Validation or business-rule failure (HTTP 400). The body is either the Medicare `serviceMessage` envelope or a gateway JSON-schema envelope (`code`, `codeType`, `message`); both include `correlationId` for tracing.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareDvaprocessingreportV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Transaction identifier from the successful DVA medical claim response; must match exactly what was returned when the claim was accepted. Format is `urn:uuid:` + Minor ID (8 characters) + 16 hexadecimal characters (33 characters total), for example `urn:uuid:MDE0000015181774ceb04e27`."},"payeeProvider":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider","description":"Payee provider from the original claim transmission; use the same values as on that claim."}},"required":["correlationId","payeeProvider"]}}}}}},"/Medicare/dvapaymentreport/v1":{"post":{"operationId":"DVA Payment Report","summary":"DVA Payment Report","description":"Retrieve a **payment report** for a **DVA medical claim** submitted through **Medicare**, from the same Minor ID that\nsubmitted the claim.\n\n## 📑 Response — `status`\n\n| Value | Meaning |\n|---|---|\n| `COMPLETE` | Payment information is available (`paymentRun`, `paymentInfo`, `claimSummary`). |\n| `REPORT_NOT_AVAILABLE` | Claim is finalised but there is **no payment report** (for example, nil or rejected benefit — nothing to pay). |\n| `REPORT_NOT_READY` | Claim not yet paid and finalised — retry later. |\n| `REPORT_NOT_FOUND` | No matching claim for this location and identifiers. |\n| `REPORT_EXPIRED` | Outside the six-month window. |\n\nWhen a payment run exists, the response includes the **payment run** reference, **bank / EFT mask** details, **deposit amount**, and a **claim summary** listing claims included in that run (not only the claim you asked about).\n\nReports can be retrieved for **six months** from the original claim lodgement date, as often as needed. Only the transmitting location may request the report.\n\nMalformed requests (for example an invalid `correlationId`) receive **HTTP 400** — see the **`400`** response examples.\n","tags":["dva"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/DVA_DVA Payment Report_Response_200"}}}},"400":{"description":"Validation or business-rule failure (HTTP 400). The body is either the Medicare `serviceMessage` envelope or a gateway JSON-schema envelope (`code`, `codeType`, `message`); both include `correlationId` for tracing.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareDvapaymentreportV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"correlationId":{"type":"string","description":"Transaction identifier from the successful DVA medical claim response; must match exactly what was returned when the claim was accepted. Format is `urn:uuid:` + Minor ID (8 characters) + 16 hexadecimal characters (33 characters total), for example `urn:uuid:MDE0000015181774ceb04e27`."},"payeeProvider":{"$ref":"#/components/schemas/MedicareDvapaymentreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider","description":"Payee provider from the original claim transmission; use the same values as on that claim."}},"required":["correlationId","payeeProvider"]}}}}}},"/DVAVoucher":{"post":{"operationId":"Service Voucher D1216S (PDF)","summary":"Service Voucher D1216S (PDF)","description":"## Treatment service voucher\n\nGenerates a **printable treatment service voucher** for the veteran to keep — a PDF that records the visit and the\nservices. Use it when your workflow needs a paper or saved copy for the patient's own records.\n\nThis endpoint **does not** lodge a claim and **does not** produce the separate **manual claim cover sheet** used\nwhen posting some paper claims.\n\n## Request body\n\nSend a **single JSON object** at the root (no `claim` wrapper). Field names match the schema below. Unknown root-level\nproperty names are rejected.\n\nOptional blocks (`payeeProvider`, `referral`) may be omitted or set to JSON `null`. When `referral` is an object,\n`issueDate` and `provider` (with `providerNumber` and `providerName`) are required.\n\n**`treatmentLocationCode`** must be **`H`** (Hospital), **`R`** (Rooms), or **`V`** (home visit / residential care /\ncommunity health / hostel). When it is **`H`**, **`facilityProviderNumber`** is required.\n\n**`chargeAmountCents`** is a non-negative whole number as a string (e.g. `10000` for $100.00).\n\n## Location on the voucher\n\nThe **location ID** printed on the voucher is taken from the **`x-minor-id`** request header (the same header as\nother RebateRight Medicare and DVA endpoints), not from the JSON body.\n\n## Response\n\nOn success, the response body is **`application/pdf`**. The download is offered as **`DVAVoucher.pdf`**.\n\n## Errors\n\nValidation failures return **HTTP 400** with a **plain-text** message describing the problem (not a JSON error\nenvelope).\n\n**Technical references:** The PDF follows the approved **D1216S** treatment service voucher layout.\nAuthoritative wording and rules are according to the current specification from Services Australia.\n","tags":["dva"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"PDF document — treatment service voucher (`DVAVoucher.pdf`).","content":{"application/octet-stream":{"schema":{"type":"string","format":"binary"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"lspNumber":{"type":["string","null"],"description":"Location Specific Practice Number (diagnostic imaging). Omit or `null` when not used."},"patient":{"$ref":"#/components/schemas/DvaVoucherPostRequestBodyContentApplicationJsonSchemaPatient"},"servicingProvider":{"$ref":"#/components/schemas/DvaVoucherPostRequestBodyContentApplicationJsonSchemaServicingProvider","description":"Provider rendering the services on the voucher."},"payeeProvider":{"oneOf":[{"$ref":"#/components/schemas/DvaVoucherPostRequestBodyContentApplicationJsonSchemaPayeeProvider"},{"type":"null"}],"description":"Payee when different from the servicing provider; omit or `null` if the same."},"referral":{"oneOf":[{"$ref":"#/components/schemas/DvaVoucherPostRequestBodyContentApplicationJsonSchemaReferral"},{"type":"null"}],"description":"Referral or request details when applicable; omit or `null` if none."},"accountReferenceNumber":{"type":"string","description":"Account or internal reference for this voucher (e.g. invoice or visit id)."},"treatmentLocationCode":{"$ref":"#/components/schemas/DvaVoucherPostRequestBodyContentApplicationJsonSchemaTreatmentLocationCode","description":"Where treatment was provided. When **H**, send **facilityProviderNumber**.\n\n| Code | Meaning |\n|------|---------|\n| H | Hospital |\n| R | Rooms |\n| V | Home visit / residential care / community health / hostel |\n"},"facilityProviderNumber":{"type":["string","null"],"description":"Required when `treatmentLocationCode` is `H` (hospital establishment provider number)."},"kilometresTravelled":{"type":["string","null"],"description":"Distance in kilometres when a visit charge applies; omit or `null` if not used."},"conditionTreated":{"type":["string","null"],"description":"Condition treated (e.g. for White Card); omit or `null` if not applicable."},"services":{"type":"array","items":{"$ref":"#/components/schemas/DvaVoucherPostRequestBodyContentApplicationJsonSchemaServicesItems"},"description":"One row per service to include on the voucher."}},"required":["patient","servicingProvider","accountReferenceNumber","treatmentLocationCode","services"]}}}}}},"/Medicare/concessionverification/v1":{"post":{"operationId":"Concession Verification","summary":"Concession Verification","description":"Verifies whether a Medicare patient holds a current concession entitlement.\n\nRebateRight runs a Medicare identity check first. If the patient matches — including a partial match such as a corrected IRN — the concession check is performed. If the Medicare check does not match, `concessionStatus` is still returned but carries code `9781` (check not undertaken). A request that fails field validation (for example a card number that does not pass the Medicare check-digit routine) returns `400` with `serviceMessage` and no status blocks.\n\n#### Medicare Status Codes (`medicareStatus.status.code`)\n\n| Code | Meaning |\n|---|---|\n| `0` | Patient matched on Medicare |\n| `8016` | Accepted, but not an exact match (for example a wrong IRN) — `currentMembership` holds the correct value |\n| `9633` | New Medicare card issued — details differ from records |\n| `9650` | Card number and/or patient details did not match Medicare |\n\n#### Concession Status Codes (`concessionStatus.status.code`)\n\n| Code | Meaning |\n|---|---|\n| `0` | Patient is eligible for concession |\n| `9685` | No concession entitlement found |\n| `9781` | Check not undertaken — the Medicare identity check did not match |\n\n#### Validation Errors (`400`)\n\n| Code | Meaning |\n|---|---|\n| `9202` | A submitted field failed validation — see `serviceMessage` for detail |\n","tags":["concession"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/Concession_Concession Verification_Response_200"}}}},"400":{"description":"Validation or business-rule failure; body includes `serviceMessage` entries and `correlationId`.","content":{"application/json":{"schema":{"$ref":"#/components/schemas/PostMedicareConcessionverificationV1RequestBadRequestError"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"dateOfService":{"type":"string","format":"date","description":"Date the service is being provided. Defaults to today if not supplied. Cannot be in the future or more than 2 years in the past."},"patient":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostRequestBodyContentApplicationJsonSchemaPatient"}},"required":["patient"]}}}}}},"/AIR/v1/authorisation/access/list":{"post":{"operationId":"Authorisation","summary":"Authorisation","description":"Check which Australian Immunisation Register (AIR) capabilities an information provider is authorised for. Returns an `accessList` of codes, each with `hasAccess: true` or `false`. Use it to decide which AIR actions to expose in your interface.\n\nThe **information provider** is the entity sending data to AIR — not necessarily the immunisation provider who administered the vaccine. A provider can be registered for AIR but not authorised for every capability (recording natural immunity, for example, is granted separately from recording encounters).\n\nCall this once on first connection, and again if the provider's authorisations change at Services Australia.\n\n#### Capability Codes\n\n| Code | Capability | Display label |\n|---|---|---|\n| `IDV` | Identify individual details | Identify Individual |\n| `IDGST` | Update Indigenous status | Indigenous Status |\n| `ADINDT` | Add or remove additional vaccine indicator | Additional Vaccines Required |\n| `NATIMM` | Record natural immunity | Natural Immunity |\n| `MEDCON` | Record medical contraindication | Medical Contraindication |\n| `RECUPD` | Update vaccination encounter | Update Encounter |\n| `RECENC` | Record encounter | Record Encounter |\n| `NXTDUE` | Record planned catch-up date | Planned Catch Up |\n| `IHSPDS` | Get immunisation history statement (PDF) | Immunisation History Statement |\n| `GETIHS` | Get immunisation history details | Immunisation History |\n| `GETMEDCON` | Get medical contraindication history | Medical Contraindication History |\n| `GETNATIMM` | Get natural immunity history | Natural Immunity History |\n| `GETVACTRL` | Get vaccine trial history | Vaccine Trial History |\n| `GETCOV19PDF` | Get COVID-19 digital certificate (PDF) | — |\n\n<Note>\n  Show the **Display label** in your interface for any capability returning `hasAccess: true`. Services Australia certification (NOI) requires the exact wording.\n</Note>\n\n#### Status Codes\n\nReturns `AIR-I-1100` on success or `AIR-E-1005` on validation errors. See [AIR Integration](/air) for the response envelope, the full code tables, and the HTTP 200 / verbatim-display rules that apply to every AIR endpoint.\n","tags":["authorisation"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Authorisation_Authorisation_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"informationProvider":{"$ref":"#/components/schemas/AirV1AuthorisationAccessListPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["informationProvider"]}}}}}},"/AIR/v1.4/encounters/record":{"post":{"operationId":"Record Encounter","summary":"Record Encounter","description":"Record vaccinations to the Australian Immunisation Register (AIR). One request can carry up to 10 encounters; each encounter is a single visit and can hold up to five episodes (one per vaccine administered).\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Modes\n\nThe endpoint accepts two request shapes against the same URL:\n\n- **Add** — the standard submission. Identify the individual, list the encounter(s), and submit.\n- **Confirm** — re-submit with the `claimId` from a previous response to accept pended episodes (when AIR returned warnings such as a dose adjustment) or to create a new individual that AIR couldn't find on the first call (`acceptAndConfirm: \"Y\"`).\n\n#### Date format\n\nDate fields (`dateOfBirth`, `dateOfService`) use **DDMMYYYY** with no separators (e.g. `18042016`). This is different from the ISO `YYYY-MM-DD` used by Medicare and DVA endpoints.\n\n#### Identifying the individual\n\nProvide enough detail for AIR to match the individual. AIR returns `AIR-W-1004` if it can't match — resubmit with `individual.acceptAndConfirm: \"Y\"` and the personal details and address (no Medicare card or IHI) to create a new record.\n\n#### Status Codes\n\nTop-level outcomes for this endpoint:\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1007` | All encounter(s) successfully recorded. |\n| `AIR-W-1004` | Individual not found. Resubmit with `acceptAndConfirm: \"Y\"` if the details are correct. |\n| `AIR-W-1008` | Some encounter(s) not recorded. `claimDetails.encounters[]` shows which failed. |\n| `AIR-E-1005` | Validation errors. See `errors[]`. |\n| `AIR-E-1046` | Encounter-level errors — correct and resubmit, or remove the invalid encounter(s). |\n\nEncounter-level and episode-level codes (`AIR-I-1000`, `AIR-W-1001`, `AIR-I-1002`, `AIR-I-1003`, `AIR-E-0102`) appear in `claimDetails.encounters[].information.code` and `claimDetails.encounters[].episodes[].information.code`. See [AIR Integration](/air) for the full list.\n","tags":["recordEncounter"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Record Encounter_Record Encounter_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"informationProvider":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaInformationProvider"},"individual":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividual","description":"The patient receiving the vaccinations. Required for the Add mode; not required when the request is a Confirm with `claimId`."},"encounters":{"type":"array","items":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItems"},"description":"One or more encounters (visits). Up to 10 per request. Each can carry up to 5 episodes."},"claimId":{"type":"string","description":"Set this on a Confirm request to the `claimId` returned by the initial Add response. Omit on Add requests."}},"required":["informationProvider","encounters"]}}}}}},"/AIR/v1.1/schedule/catchup":{"post":{"operationId":"Planned Catch-up Date","summary":"Planned Catch-up Date","description":"Record a planned catch-up date for an individual under 20 who is on a vaccination catch-up schedule. AIR sets the date as **today + 6 months** or the individual's **20th birthday**, whichever is earlier, and returns it in `catchupDate`.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### When to use this\n\nRecording a planned catch-up gives the individual an *up-to-date* immunisation status **for family assistance payments only**, for the duration of the catch-up period. It does **not** mark the individual up-to-date for clinical purposes — their AIR immunisation status stays *not up to date* until every scheduled catch-up vaccination is recorded.\n\nOnly one catch-up can ever be recorded per individual. Resubmitting returns `AIR-W-1010` with the existing date.\n\n#### Not for general catch-up tracking\n\nThis is **not** the right endpoint to mark that an individual is on a vaccination catch-up schedule. For that, use the *Additional Vaccines Required* indicator (a special-risk-group flag, separate endpoint).\n\n#### Acknowledgement text\n\nServices Australia (NOI) requires the provider to read and agree to a fixed acknowledgement before submitting. Display this text in your interface verbatim:\n\n> Select this if you would like to commence a planned catch up for the individual as you:\n>\n> - were unable to administer all overdue vaccines today; or\n> - are waiting on results to support testing of natural immunity; or\n> - need to order in additional required vaccines.\n>\n> Please note an individual can only ever have one catch up schedule recorded on the AIR.\n>\n> You should not select this if:\n>\n> - you have vaccinated the individual and they are no longer overdue for any vaccines, or\n> - you feel the parent/guardian does not intend to vaccinate the individual.\n\n#### Date format\n\nDate fields use **DDMMYYYY** with no separators (e.g. `24022011`).\n\n#### Status Codes\n\nTop-level outcomes for this endpoint:\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1009` | Catch-up date successfully recorded. `catchupDate` returned. |\n| `AIR-W-1010` | Catch-up already exists for the individual. The existing `catchupDate` is returned. |\n| `AIR-W-1011` | A catch-up exists but has expired. The expired `catchupDate` is returned. |\n| `AIR-E-1005` | Validation errors. See `errors[]`. Common case: individual is over 20 (`AIR-E-1047`). |\n| `AIR-E-1006` | Unexpected error. Retry shortly. |\n","tags":["plannedCatchUp"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Planned Catch-up_Planned Catch-up Date_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individual":{"$ref":"#/components/schemas/AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividual","description":"The patient the catch-up is being recorded for. Must be under 20 — over-20s return `AIR-E-1047`."},"informationProvider":{"$ref":"#/components/schemas/AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individual","informationProvider"]}}}}}},"/AIR/v1.1/individual/details":{"post":{"operationId":"Identify Individual","summary":"Identify Individual","description":"Look up an individual on the Australian Immunisation Register (AIR), match by Medicare card, IHI, and personal details, and receive their AIR record together with an opaque `individualIdentifier` for use in subsequent history and update calls.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Individual Identifier\n\nOn a successful match, AIR returns `individualDetails.individualIdentifier` — an opaque, encrypted token unique to the individual.\n\n<Note>\n  Treat `individualIdentifier` as opaque. Don't display it to end users, log it in customer-facing analytics, or store it anywhere that might leak. Reuse it on every subsequent AIR call for the same individual (history, exemption, indicator updates).\n</Note>\n\nIdentifiers are not portable across providers — each information provider gets a different token for the same individual.\n\n#### Minimum identification requirements\n\nAIR matches against four field combinations, evaluated in order. The first one that uniquely identifies an individual wins; remaining fields are ignored.\n\n| Type | Field | 1 | 2 | 3 | 4 |\n|---|---|---|---|---|---|\n| MedicareCard | `medicareCardNumber` | ✓ | | | |\n| PersonalDetails | `dateOfBirth` | ✓ | ✓ | ✓ | ✓ |\n| PersonalDetails | `lastName` | ✓ | ✓ | ✓ | ✓ |\n| PersonalDetails | `firstName` | | ✓ | ✓ | |\n| Address | `postCode` | ✓ | ✓ | | |\n| IHI | `ihiNumber` | ✓ | | | |\n| PersonalDetails | `onlyNameIndicator` | ✓ | | | ✓ |\n\nScenario 4 covers individuals with only one name (no `firstName`). Submitting too little returns `AIR-E-1026` (*insufficient information*).\n\nRecommended: send Scenario 1 or Scenario 3 — Medicare card or IHI alongside personal details gives the best match.\n\n#### Date format\n\nDate fields use **DDMMYYYY** with no separators (e.g. `18042016`).\n\n#### End-date code\n\nAIR returns `individualDetails.endDateCode` when the individual has restrictions on their record.\n\n| `endDateCode` | Meaning | Related code |\n|---|---|---|\n| `ALL` | Record may not be active, but viewable and partially updatable. | `AIR-W-1062` |\n| `LIMITED` | Details cannot be viewed; some updates (including recording new encounters) are still allowed. | `AIR-W-1059` |\n| `NONE` | Details cannot be viewed and record cannot be updated. | `AIR-E-1058` |\n\n<Note>\n  Don't display `endDateCode` to end users — it's an internal AIR signal. Use it to drive UI state (read-only, partial-update, full-access) but show the human-readable consequence to the user, not the code itself.\n</Note>\n\n#### Status Codes\n\nTop-level outcomes for this endpoint:\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Individual matched. `individualDetails` returned. |\n| `AIR-W-1062` | Matched, but with `endDateCode: ALL` — record partially restricted. |\n| `AIR-W-1059` | Matched, but with `endDateCode: LIMITED` — details not viewable. |\n| `AIR-E-1005` | Validation errors. Common: `AIR-E-1026` insufficient info, `AIR-E-1035` not found. |\n| `AIR-E-1058` | `endDateCode: NONE` — record cannot be viewed or updated. |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Identify Individual_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individual":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividual","description":"Identification details. See the *Minimum identification requirements* table in the operation description for valid combinations."},"informationProvider":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individual","informationProvider"]}}}}}},"/AIR/v1.3/individual/immunisation-history/details":{"post":{"operationId":"Immunisation History Details","summary":"Immunisation History Details","description":"Retrieve an individual's full immunisation history from the Australian Immunisation Register (AIR) — recorded encounters with episode detail, plus the list of vaccines currently due.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call. The identifier is opaque and bound to your information provider.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### What's returned\n\n- `immunisationDetails.dueList` — vaccines due, by disease, with the next due date.\n- `immunisationDetails.encounters` — recorded encounters with episode details, in submission order. Each episode includes `editable` and `actionRequiredIndicator` flags so you can present a correction workflow when the individual's `actionRequiredIndicator` is `true`.\n\n#### Date format\n\nDate fields use **DDMMYYYY** with no separators (e.g. `18042016`).\n\n#### Status Codes\n\nTop-level outcomes for this endpoint:\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Request was successfully processed. `immunisationDetails` returned (may be empty if no history). |\n| `AIR-W-1059` | Individual's record has `endDateCode: LIMITED` — details cannot be viewed. |\n| `AIR-E-1005` | Validation errors. Common: `AIR-E-1061` invalid or expired identifier. |\n| `AIR-E-1058` | Individual's record cannot be viewed or updated. |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Immunisation History Details_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call. Bound to your information provider — do not display to end users."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format. Must match the individual matched by `individualIdentifier`."},"informationProvider":{"$ref":"#/components/schemas/AirV13IndividualImmunisationHistoryDetailsPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","informationProvider"]}}}}}},"/AIR/v1/individual/medical-contraindication/history":{"post":{"operationId":"Medical Contraindication History","summary":"Medical Contraindication History","description":"Retrieve the individual's recorded medical contraindications — vaccines they should not receive, with the type (temporary or permanent), the reason, and any anaphylaxis date.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call. If `medContraindicationIndicator` on that response is `false`, this endpoint returns success with no list field.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Date format\n\nDate fields use **DDMMYYYY** with no separators.\n\n#### Status Codes\n\nTop-level outcomes for this endpoint:\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Request was successfully processed. `medContraindicationList` returned (omitted entirely when no contraindications are recorded). |\n| `AIR-E-1005` | Validation errors (e.g. `AIR-E-1061` invalid or expired identifier). |\n| `AIR-E-1058` | Individual's record cannot be viewed or updated. |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Medical Contraindication History_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format. Must match the individual matched by `individualIdentifier`."},"informationProvider":{"$ref":"#/components/schemas/AirV1IndividualMedicalContraindicationHistoryPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","informationProvider"]}}}}}},"/AIR/v1/individual/natural-immunity/history":{"post":{"operationId":"Natural Immunity History","summary":"Natural Immunity History","description":"Retrieve the individual's recorded natural immunities — diseases they're assessed as immune to, with notification, lab test, and diagnosis dates.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call. If `naturalImmunityIndicator` on that response is `false`, this endpoint returns success with no list field.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Date format\n\nDate fields use **DDMMYYYY** with no separators.\n\n#### Status Codes\n\nTop-level outcomes for this endpoint:\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Request was successfully processed. `naturalImmunityList` returned (omitted entirely when no records exist). |\n| `AIR-E-1005` | Validation errors (e.g. `AIR-E-1061` invalid or expired identifier). |\n| `AIR-E-1058` | Individual's record cannot be viewed or updated. |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Natural Immunity History_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format. Must match the individual matched by `individualIdentifier`."},"informationProvider":{"$ref":"#/components/schemas/AirV1IndividualNaturalImmunityHistoryPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","informationProvider"]}}}}}},"/AIR/v1/individual/vaccine-trial/history":{"post":{"operationId":"Vaccine Trial History","summary":"Vaccine Trial History","description":"Retrieve vaccine trials the individual is participating in or has participated in, with the antigen code, dose, and trial period.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call. If `vaccineTrialIndicator` on that response is `false`, this endpoint returns success with no list field.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Date format\n\nDate fields use **DDMMYYYY** with no separators.\n\n#### Status Codes\n\nTop-level outcomes for this endpoint:\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Request was successfully processed. `vaccineTrialList` returned (omitted entirely when no records exist). |\n| `AIR-E-1005` | Validation errors (e.g. `AIR-E-1061` invalid or expired identifier). |\n| `AIR-E-1058` | Individual's record cannot be viewed or updated. |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Vaccine Trial History_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format. Must match the individual matched by `individualIdentifier`."},"informationProvider":{"$ref":"#/components/schemas/AirV1IndividualVaccineTrialHistoryPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","informationProvider"]}}}}}},"/AIR/v1/individual/additional-vaccine-indicator/add":{"post":{"operationId":"Add Additional Vaccine Indicator","summary":"Add Additional Vaccine Indicator","description":"Add an *Additional Vaccines Required* indicator to an individual's AIR record. The indicator flags individuals who may need extra vaccines per the Australian Immunisation Handbook for special risk groups (Indigenous, chronic conditions, low birth weight, preterm infants).\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Acknowledgement text\n\nServices Australia (NOI) requires the provider to acknowledge a fixed statement before the indicator is added. Display this verbatim and pass `acknowledgement: true` only when the provider confirms:\n\n> Use this indicator for individuals who may require additional vaccines. Consult the Australian Immunisation Handbook for advice and recommendations when vaccinating **special risk groups**. By adding or removing this indicator, you acknowledge the individual has given consent to update their record.\n\nSending `acknowledgement: false` returns `AIR-E-1065`.\n\n#### Status Codes\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Indicator successfully added. |\n| `AIR-E-1005` | Validation errors. Common: `AIR-E-1065` (acknowledgement not set), `AIR-E-1061` (invalid identifier). |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Add Additional Vaccine Indicator_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format."},"acknowledgement":{"type":"boolean","description":"Must be `true`. Set only after the provider has read and agreed to the acknowledgement text above. `false` returns `AIR-E-1065`."},"informationProvider":{"$ref":"#/components/schemas/AirV1IndividualAdditionalVaccineIndicatorAddPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","acknowledgement","informationProvider"]}}}}}},"/AIR/v1/individual/additional-vaccine-indicator/remove":{"post":{"operationId":"Remove Additional Vaccine Indicator","summary":"Remove Additional Vaccine Indicator","description":"Remove the *Additional Vaccines Required* indicator from an individual's AIR record. Mirror of [Add Additional Vaccine Indicator](/api-reference/air/individual-details/add-additional-vaccine-indicator) — same request shape, same acknowledgement requirement, removes rather than adds.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Acknowledgement text\n\nDisplay the same acknowledgement text as for Add, and pass `acknowledgement: true` only after the provider confirms. `false` returns `AIR-E-1065`.\n\n#### Status Codes\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Indicator successfully removed. |\n| `AIR-E-1005` | Validation errors (e.g. `AIR-E-1065`, `AIR-E-1061`). |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Remove Additional Vaccine Indicator_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format."},"acknowledgement":{"type":"boolean","description":"Must be `true`. `false` returns `AIR-E-1065`."},"informationProvider":{"$ref":"#/components/schemas/AirV1IndividualAdditionalVaccineIndicatorRemovePostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","acknowledgement","informationProvider"]}}}}}},"/AIR/v1/individual/indigenous-status/update":{"post":{"operationId":"Indigenous Status Update","summary":"Indigenous Status Update","description":"Record an individual's Indigenous status directly on AIR. The status drives clinical schedule decisions (additional vaccines under the National Immunisation Program for Aboriginal and Torres Strait Islander people) and won't be overridden by Medicare.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call. AIR determines whether the update is allowed at the time of the call.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Consent\n\nSeek consent from the individual at the time of the vaccination encounter before recording their Indigenous status on AIR.\n\n#### Status Codes\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Status successfully updated. |\n| `AIR-E-1005` | Validation errors (e.g. `AIR-E-1061` invalid identifier, `AIR-E-1067` action not permitted for this record). |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Indigenous Status Update_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format."},"indigenousStatus":{"type":"boolean","description":"`true` if the individual identifies as Aboriginal or Torres Strait Islander; `false` otherwise."},"informationProvider":{"$ref":"#/components/schemas/AirV1IndividualIndigenousStatusUpdatePostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","indigenousStatus","informationProvider"]}}}}}},"/AIR/v1/individual/immunisation-history/statement":{"post":{"operationId":"Immunisation History Statement","summary":"Immunisation History Statement","description":"Generate the individual's official AIR immunisation history statement as a PDF. The response carries the PDF as a base64-encoded string in `immunisationHistoryStatement.fileContent`.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### What's in the statement\n\nThe PDF shows every vaccine recorded on AIR (including overseas vaccines reported to the individual's provider), assessed up-to-date status for under-7s and 14–19-year-olds, and any planned catch-up dates.\n\n#### Decoding the PDF\n\nBase64-decode `fileContent` into bytes and write them to a `.pdf` file. The result is a Services Australia-issued statement suitable for the individual to keep or print.\n\n#### Status Codes\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Statement generated. `fileContent` returned. |\n| `AIR-E-1005` | Validation errors (e.g. `AIR-E-1061` invalid identifier). |\n| `AIR-E-1058` | Individual's record cannot be viewed. |\n| `AIR-E-1078` | Statement cannot be generated or viewed at this time. |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Immunisation History Statement_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format."},"informationProvider":{"$ref":"#/components/schemas/AirV1IndividualImmunisationHistoryStatementPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","informationProvider"]}}}}}},"/AIR/v1.3/encounter/update":{"post":{"operationId":"Update Encounter","summary":"Update Encounter","description":"Update a single encounter previously submitted via [Record Encounter](/api-reference/air/record-encounter/record-encounter). Use this to correct mistakes — wrong batch, wrong dose, wrong vaccine — for encounters your information provider originally submitted.\n\nIdentifies the encounter to update by `claimId` + `claimSeqNum` + `immEncSeqNum` (returned from Record Encounter or visible in [Immunisation History Details](/api-reference/air/individual-details/immunisation-history-details)). Only encounters where `editable: true` in the history response can be updated by your provider.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Date format\n\nDate fields use **DDMMYYYY** with no separators.\n\n#### Fields you can update\n\nSend the encounter's full new state — AIR replaces the existing encounter wholesale. Include all episodes, even unchanged ones; omitting an episode removes it.\n\nThe episode-level and encounter-level fields are the same as on [Record Encounter](/api-reference/air/record-encounter/record-encounter) (vaccine code, dose, batch, type, route, antenatal indicator, overseas flag, etc.). The vaccine-mandatory rules also apply.\n\n#### Status Codes\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Update successful. The updated `encounter` is returned. |\n| `AIR-E-1005` | Validation errors (e.g. `AIR-E-1061` invalid identifier, `AIR-E-1052` encounter not found, `AIR-E-1064` not authorised to update). |\n","tags":["individualDetails"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Individual Details_Update Encounter_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format."},"encounter":{"$ref":"#/components/schemas/AirV13EncounterUpdatePostRequestBodyContentApplicationJsonSchemaEncounter"},"informationProvider":{"$ref":"#/components/schemas/AirV13EncounterUpdatePostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","encounter","informationProvider"]}}}}}},"/AIR/v1/individual/medical-contraindication/record":{"post":{"operationId":"Record Medical Contraindication","summary":"Record Medical Contraindication","description":"Record a medical contraindication for an individual — a permanent or temporary reason a specific vaccine should not be administered. Assessed only by a general practitioner, paediatrician, public health physician, infectious diseases physician, or clinical immunologist.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call. The information provider must be authorised for `MEDCON` (check via [Authorisation](/api-reference/air/authorisation/authorisation)) — unauthorised providers return `AIR-E-1063`.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Date format\n\nDate fields use **DDMMYYYY** with no separators.\n\n#### Status Codes\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Contraindication recorded. |\n| `AIR-E-1005` | Validation errors. Common: `AIR-E-1063` provider not authorised, `AIR-E-1048` invalid reason for vaccine, `AIR-E-1083` contraindication for this disease already recorded. |\n","tags":["medicalExemptions"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Medical Exemptions_Record Medical Contraindication_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format."},"contraindication":{"$ref":"#/components/schemas/AirV1IndividualMedicalContraindicationRecordPostRequestBodyContentApplicationJsonSchemaContraindication"},"informationProvider":{"$ref":"#/components/schemas/AirV1IndividualMedicalContraindicationRecordPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","contraindication","informationProvider"]}}}}}},"/AIR/v1/individual/natural-immunity/record":{"post":{"operationId":"Record Natural Immunity","summary":"Record Natural Immunity","description":"Record a natural immunity for an individual — a disease they've contracted and are now immune to. Assessed only by a general practitioner, paediatrician, public health physician, infectious diseases physician, or clinical immunologist.\n\nRequires an `individualIdentifier` from a prior [Identify Individual](/api-reference/air/individual-details/identify-individual) call. The information provider must be authorised for `NATIMM` (check via [Authorisation](/api-reference/air/authorisation/authorisation)) — unauthorised providers return `AIR-E-1063`.\n\nFor shared response patterns and the full status-code list, see [AIR Integration](/air).\n\n#### Eligible diseases\n\nPer the AIR spec, natural immunity can be recorded for: `HEP` (Hepatitis), `MEA` (Measles), `MUM` (Mumps), `QAX` (Q fever), `RUB` (Rubella), `VAR` (Varicella).\n\n#### Date format\n\nDate fields use **DDMMYYYY** with no separators.\n\n#### Status Codes\n\n| Code | Meaning |\n|---|---|\n| `AIR-I-1100` | Immunity recorded. |\n| `AIR-E-1005` | Validation errors. Common: `AIR-E-1063` provider not authorised, `AIR-E-1049` immunity for this disease already recorded. |\n","tags":["medicalExemptions"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Medical Exemptions_Record Natural Immunity_Response_200"}}}}},"requestBody":{"content":{"application/json":{"schema":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque token from a prior Identify Individual call."},"individualDateOfBirth":{"type":"string","description":"DDMMYYYY format."},"immunity":{"$ref":"#/components/schemas/AirV1IndividualNaturalImmunityRecordPostRequestBodyContentApplicationJsonSchemaImmunity"},"informationProvider":{"$ref":"#/components/schemas/AirV1IndividualNaturalImmunityRecordPostRequestBodyContentApplicationJsonSchemaInformationProvider"}},"required":["individualIdentifier","individualDateOfBirth","immunity","informationProvider"]}}}}}},"/AIR/v1/refdata/vaccine":{"get":{"operationId":"Vaccines","summary":"Vaccines","description":"List every vaccine recognised by AIR with its full metadata — antigens, category, funding type, route, batch/type/antenatal mandates, dose limits, validity dates.\n\nOptionally filter by `vaccineCategoryCode` (e.g. `FLU`, `NIP`, `COV19`, `NONST`) to narrow the result to one category.\n\nFor shared response patterns see [AIR Integration](/air).\n","tags":["referenceData"],"parameters":[{"name":"vaccineCategoryCode","in":"query","description":"Optional. Filter to a single category (e.g. `FLU`, `NIP`, `COV19`, `NONST`). See the [Vaccine Categories](/api-reference/air/reference-data/vaccine-categories) lookup for valid values.","required":false,"schema":{"type":"string"}},{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Vaccines_Response_200"}}}}}}},"/AIR/v1/refdata/vaccine/{vaccineCode}":{"get":{"operationId":"Vaccine by Code","summary":"Vaccine by Code","description":"Look up a single vaccine by its AIR code. Returns the same shape as the [Vaccines](/api-reference/air/reference-data/vaccines) list endpoint, scoped to one entry.\n","tags":["referenceData"],"parameters":[{"name":"vaccineCode","in":"path","description":"AIR vaccine code (e.g. `BCG`, `BEXO`, `BOOST`).","required":true,"schema":{"type":"string"}},{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Vaccine by Code_Response_200"}}}}}}},"/AIR/v1/refdata/vaccineCategory":{"get":{"operationId":"Vaccine Categories","summary":"Vaccine Categories","description":"List all AIR vaccine categories used to group vaccines (NIP, COVID-19, Influenza, Non-standard). Use the `vaccineCategoryCode` value as a filter on the [Vaccines](/api-reference/air/reference-data/vaccines) lookup.\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Vaccine Categories_Response_200"}}}}}}},"/AIR/v1/refdata/vaccineFundingType":{"get":{"operationId":"Vaccine Funding Types","summary":"Vaccine Funding Types","description":"List the funding types AIR uses to classify how a vaccine was funded (NIP, Other, Antenatal, Private/State, etc.).\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Vaccine Funding Types_Response_200"}}}}}}},"/AIR/v1/refdata/vaccineType":{"get":{"operationId":"Vaccine Types","summary":"Vaccine Types","description":"List the AIR vaccine type values used on encounter episodes (`NIP`, `OTH`).\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Vaccine Types_Response_200"}}}}}}},"/AIR/v1/refdata/routeOfAdministration":{"get":{"operationId":"Routes of Administration","summary":"Routes of Administration","description":"List the AIR route of administration codes used on encounter episodes (`PO` Oral, `SC` Subcutaneous, `ID` Intradermal, `IM` Intramuscular, `NS` Nasal).\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Routes of Administration_Response_200"}}}}}}},"/AIR/v1/refdata/antigen":{"get":{"operationId":"Antigens","summary":"Antigens","description":"List every antigen recognised by AIR with its name, maximum dose, and whether natural immunity can be recorded against it.\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Antigens_Response_200"}}}}}}},"/AIR/v1/refdata/antigen/{antigenCode}":{"get":{"operationId":"Antigen by Code","summary":"Antigen by Code","description":"Look up a single antigen by its AIR code. Returns the same shape as the [Antigens](/api-reference/air/reference-data/antigens) list endpoint, scoped to one entry.\n","tags":["referenceData"],"parameters":[{"name":"antigenCode","in":"path","description":"AIR antigen code (e.g. `CAC`, `HEP`, `FLU`).","required":true,"schema":{"type":"string"}},{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Antigen by Code_Response_200"}}}}}}},"/AIR/v1/refdata/country":{"get":{"operationId":"Countries","summary":"Countries","description":"List ICAO country/region codes that AIR accepts for the `countryCode` field on overseas-administered encounters. `ZZZ` is the \"Unknown\" sentinel.\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Countries_Response_200"}}}}}}},"/AIR/v1/refdata/gender":{"get":{"operationId":"Genders","summary":"Genders","description":"List the AIR gender values accepted on individual records (`F` Female, `M` Male, `X` Non-binary). Empty-string entries are returned for backwards compatibility — submit them only if AIR returns them on an existing individual.\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Genders_Response_200"}}}}}}},"/AIR/v1/refdata/age/mandatory/antenatalIndicator":{"get":{"operationId":"Antenatal Age Range","summary":"Antenatal Age Range","description":"Return the age range (in years) within which the `antenatalIndicator` field is mandatory on a Record Encounter request — currently female individuals aged 10–65 receiving certain vaccines.\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Antenatal Age Range_Response_200"}}}}}}},"/AIR/v1/refdata/vaccine/mandatory/vaccineBatch":{"get":{"operationId":"Mandatory Vaccine Batch","summary":"Mandatory Vaccine Batch","description":"List the vaccines for which `vaccineBatch` is mandatory on a [Record Encounter](/api-reference/air/record-encounter/record-encounter) episode (when the information provider is also the immunisation provider).\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Mandatory Vaccine Batch_Response_200"}}}}}}},"/AIR/v1/refdata/vaccine/mandatory/routeOfAdministration":{"get":{"operationId":"Mandatory Route of Administration","summary":"Mandatory Route of Administration","description":"List the vaccines for which `routeOfAdministration` is mandatory on a [Record Encounter](/api-reference/air/record-encounter/record-encounter) episode (when the information provider is also the immunisation provider).\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Mandatory Route of Administration_Response_200"}}}}}}},"/AIR/v1/refdata/vaccine/mandatory/vaccineType":{"get":{"operationId":"Mandatory Vaccine Type","summary":"Mandatory Vaccine Type","description":"List the vaccines for which `vaccineType` is mandatory on a [Record Encounter](/api-reference/air/record-encounter/record-encounter) episode (when the information provider is also the immunisation provider).\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Mandatory Vaccine Type_Response_200"}}}}}}},"/AIR/v1/refdata/vaccine/mandatory/antenatalIndicator":{"get":{"operationId":"Mandatory Antenatal Indicator","summary":"Mandatory Antenatal Indicator","description":"List the vaccines for which `antenatalIndicator` is mandatory on a [Record Encounter](/api-reference/air/record-encounter/record-encounter) episode (combined with the age range from [Antenatal Age Range](/api-reference/air/reference-data/antenatal-age-range)).\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Mandatory Antenatal Indicator_Response_200"}}}}}}},"/AIR/v1/refdata/vaccine/allowable/medicalContraindication":{"get":{"operationId":"Allowable Medical Contraindication","summary":"Allowable Medical Contraindication","description":"List the vaccines that can have a medical contraindication recorded against them via [Record Medical Contraindication](/api-reference/air/medical-exemptions/record-medical-contraindication).\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Allowable Medical Contraindication_Response_200"}}}}}}},"/AIR/v1/refdata/antigen/allowable/naturalImmunity":{"get":{"operationId":"Allowable Natural Immunity","summary":"Allowable Natural Immunity","description":"List the antigens for which natural immunity can be recorded via [Record Natural Immunity](/api-reference/air/medical-exemptions/record-natural-immunity). Currently: `HEP`, `MEA`, `MUM`, `QAX`, `RUB`, `VAR`.\n","tags":["referenceData"],"parameters":[{"name":"x-api-key","in":"header","required":true,"schema":{"type":"string"}}],"responses":{"200":{"description":"OK","content":{"application/json":{"schema":{"$ref":"#/components/schemas/AIR_Reference Data_Allowable Natural Immunity_Response_200"}}}}}}}},"servers":[{"url":"https://api.rebateright.com.au","description":"Production"},{"url":"https://test-api.rebateright.com.au","description":"Test"}],"components":{"schemas":{"MBS_Get MBS Item_Response_200":{"type":"object","properties":{"Group":{"type":"string"},"Category":{"type":"string"},"SubGroup":{"type":["string","null"]},"DerivedFee":{"description":"Any type"},"ItemNumber":{"type":"string"},"BenefitType":{"type":"string"},"Description":{"type":"string"},"ScheduleFee":{"type":"string"},"ItemStartDate":{"type":"string","format":"date"},"EligibleAgeRange":{"type":["string","null"]},"EligiblePatientSex":{"description":"Any type"},"ReferralRequirements":{"type":["string","null"]},"ScheduleFeeStartDate":{"type":"string","format":"date"},"ClaimHistoryLimitation":{"type":["string","null"]}},"required":["Group","Category","ItemNumber","BenefitType","Description","ScheduleFee","ItemStartDate","ScheduleFeeStartDate"],"title":"MBS_Get MBS Item_Response_200"},"MedicareItemsGetResponsesContentApplicationJsonSchemaMedicareItemsItems":{"type":"object","properties":{"ItemNumber":{"type":"string","description":"MBS item number (the integrator-facing identifier)."},"Description":{"type":"string","description":"Official MBS item description text."},"Category":{"type":"string","description":"MBS category (top-level grouping, e.g. `1` for Professional Attendances)."},"Group":{"type":"string","description":"MBS group within the category (e.g. `A1`)."},"SubGroup":{"type":"string","description":"MBS sub-group within the group; absent when the item is not sub-grouped."},"BenefitType":{"type":"string","description":"Benefit tier for the item (for example `_100`, `_75_85`, `_75_100`)."},"ScheduleFee":{"type":"string","description":"Current schedule fee in dollars as a decimal string (e.g. `43.90`). Absent for items priced via `DerivedFee`."},"ScheduleFeeStartDate":{"type":"string","format":"date","description":"Date the current `ScheduleFee` took effect."},"DerivedFee":{"type":"string","description":"Derivation formula used when the fee is derived from another item; present instead of `ScheduleFee` for such items."},"ItemStartDate":{"type":"string","format":"date","description":"Date the MBS item was introduced."},"ClaimHistoryLimitation":{"type":["string","null"],"description":"Frequency-of-service limit for the item, derived from the MBS rules and item notes (for example, \"applicable not more than once in a 12 month period\"). Absent when the item has no frequency limit."},"EligiblePatientSex":{"type":["string","null"],"description":"Patient sex the item is restricted to. Present only when the item is sex-restricted."},"EligibleAgeRange":{"type":["string","null"],"description":"Patient age range the item is restricted to. Present only when the item is age-restricted."},"ReferralRequirements":{"type":["string","null"],"description":"Referral requirement note for the item. Present only when a referral is required."}},"required":["ItemNumber","Description","Category","Group","BenefitType","ItemStartDate"],"title":"MedicareItemsGetResponsesContentApplicationJsonSchemaMedicareItemsItems"},"MBS_Get All MBS Items_Response_200":{"type":"object","properties":{"ItemsCount":{"type":"integer","description":"Number of items returned in `MedicareItems`. On a paged response this is the size of the page you received, which on the last page can be smaller than `PageSize`."},"TotalCount":{"type":"integer","description":"Number of items matching the request before paging, across every page. Present only on a paged response. Divide by `PageSize` and round up for the page count."},"PageNumber":{"type":"integer","description":"The `pageNumber` that produced this response. Present only on a paged response."},"PageSize":{"type":"integer","description":"The `pageSize` that produced this response. Present only on a paged response."},"MedicareItems":{"type":"array","items":{"$ref":"#/components/schemas/MedicareItemsGetResponsesContentApplicationJsonSchemaMedicareItemsItems"},"description":"The MBS items for this request. One entry per item number."}},"required":["ItemsCount","MedicareItems"],"title":"MBS_Get All MBS Items_Response_200"},"MBS_Benefit Calculator_Response_200":{"type":"object","properties":{"ItemNumber":{"type":"string","description":"The item that was priced, such as `\"5010\"`, echoed back with the default applied if you omitted it."},"PatientsSeen":{"type":"integer","description":"The patient count used, with the default applied if you omitted it."},"InHospitalTreatment":{"type":"boolean","description":"The setting the calculation used."},"ScheduleFee":{"type":["string","null"],"description":"The MBS schedule fee per patient, in whole dollars and cents such as `\"53.35\"`. It is `null` when the fee could not be determined."},"Benefit":{"type":["string","null"],"description":"What Medicare pays per patient, in whole dollars and cents such as `\"53.35\"`. It is `null` when the benefit could not be calculated, and `Reason` says why."},"TotalBenefit":{"type":["string","null"],"description":"`Benefit` multiplied by `PatientsSeen`: what Medicare pays across the whole occasion. It is `null` whenever `Benefit` is."},"Reason":{"type":"string","description":"How the amounts were worked out, in one sentence you can show as it is. Never parse it, because the wording changes."},"ReasonCode":{"type":"string","description":"A code for that reason, for analytics only.\n\n| Code | Meaning |\n|---|---|\n| `Calculated` | The fee and benefit were calculated. |\n| `InvalidRequest` | A request value failed validation; `Reason` says which. |\n| `ItemNotFound` | The item number is not in the current MBS. |\n| `ScheduleFeeNotAvailable` | The item exists but its fee is not available in the MBS data. |\n| `FeeDependsOnOtherServices` | The item's fee is derived from details this calculator does not have, such as the other services performed or the time taken. `Reason` quotes the schedule's own rule. |\n| `BenefitNotDetermined` | The fee is known but the benefit percentage could not be determined. |\n\nNew codes appear as coverage grows and are not a breaking change.\n"}},"required":["ItemNumber","PatientsSeen","InHospitalTreatment","ScheduleFee","Benefit","TotalBenefit","Reason","ReasonCode"],"title":"MBS_Benefit Calculator_Response_200"},"MbsChangesGetResponsesContentApplicationJsonSchemaChangedCounts":{"type":"object","properties":{"OldTotalItems":{"type":"integer","description":"Total MBS items in the previous release."},"NewTotalItems":{"type":"integer","description":"Total MBS items in the current release."},"AddedItems":{"type":"integer","description":"Items present in the current release but not the previous one."},"RemovedItems":{"type":"integer","description":"Items present in the previous release but not the current one."},"ModifiedItems":{"type":"integer","description":"Items present in both releases with at least one changed field."},"ModifiedItemsByEachField":{"type":"object","additionalProperties":{"type":"integer"},"description":"Count of modified items broken down by field. Keyed by field name — for example `ScheduleFee`, `ScheduleFeeStartDate`, `Description`, `DerivedFee`, `BenefitType`, `ClaimHistoryLimitation`."}},"description":"How many items changed between the two releases.","title":"MbsChangesGetResponsesContentApplicationJsonSchemaChangedCounts"},"MbsChangesGetResponsesContentApplicationJsonSchemaChangedItemNumbers":{"type":"object","properties":{"AddedItems":{"type":"array","items":{"type":"string"},"description":"Item numbers added in the current release."},"RemovedItems":{"type":"array","items":{"type":"string"},"description":"Item numbers removed in the current release."},"ModifiedItems":{"type":"array","items":{"type":"string"},"description":"Item numbers with at least one changed field."},"ModifiedItemsByEachField":{"type":"object","additionalProperties":{"type":"array","items":{"type":"string"}},"description":"Modified item numbers broken down by field, keyed by field name."}},"description":"The item numbers behind `ChangedCounts`, grouped the same way.","title":"MbsChangesGetResponsesContentApplicationJsonSchemaChangedItemNumbers"},"MbsItem":{"type":"object","properties":{"ItemNumber":{"type":"string","description":"MBS item number (the integrator-facing identifier)."},"Description":{"type":"string","description":"Official MBS item description text."},"Category":{"type":"string","description":"MBS category (top-level grouping, e.g. `1` for Professional Attendances)."},"Group":{"type":"string","description":"MBS group within the category (e.g. `A1`)."},"SubGroup":{"type":["string","null"],"description":"MBS sub-group within the group; `null` when the item is not sub-grouped."},"BenefitType":{"type":"string","description":"Benefit tier for the item (for example `_100`, `_85`, `_75_85`)."},"ScheduleFee":{"type":["string","null"],"description":"Schedule fee in dollars as a decimal string (e.g. `489.90`); `null` for items priced via `DerivedFee`."},"ScheduleFeeStartDate":{"type":["string","null"],"format":"date","description":"Date the current `ScheduleFee` took effect."},"DerivedFee":{"type":["string","null"],"description":"Derivation formula used when the fee is derived from another item; present instead of `ScheduleFee` for such items."},"ClaimHistoryLimitation":{"type":["string","null"],"description":"Claim-frequency limitation RebateRight derives from the description; `null` when the item has none."},"EligiblePatientSex":{"type":["string","null"],"description":"Patient sex the item is restricted to, when applicable; `null` when unrestricted."},"EligibleAgeRange":{"type":["string","null"],"description":"Patient age range the item is restricted to, in plain English; `null` when unrestricted."},"ReferralRequirements":{"type":["string","null"],"description":"Referral requirement RebateRight derives from the description; `null` when the item needs no referral."},"ItemStartDate":{"type":"string","format":"date","description":"Date the MBS item was introduced."}},"required":["ItemNumber","Description"],"description":"A full MBS item record.","title":"MbsItem"},"FieldChange":{"type":"object","properties":{"FieldName":{"type":"string","description":"The field that changed (for example `ScheduleFee`, `Description`, `ClaimHistoryLimitation`)."},"OldValue":{"type":"string","description":"The value in the previous release. An empty string when the field was previously unset."},"NewValue":{"type":"string","description":"The value in the current release."}},"required":["FieldName","OldValue","NewValue"],"description":"One field's old and new value.","title":"FieldChange"},"ModifiedItem":{"type":"object","properties":{"ItemNumber":{"type":"string","description":"MBS item number that changed."},"Changes":{"type":"array","items":{"$ref":"#/components/schemas/FieldChange"},"description":"One entry per field that changed on this item."}},"required":["ItemNumber","Changes"],"description":"A single item that changed between releases.","title":"ModifiedItem"},"MbsChangesGetResponsesContentApplicationJsonSchemaChangedItems":{"type":"object","properties":{"AddedItems":{"type":"array","items":{"$ref":"#/components/schemas/MbsItem"},"description":"Items added in the current release, in full."},"RemovedItems":{"type":"array","items":{"$ref":"#/components/schemas/MbsItem"},"description":"Items removed in the current release, in full, as they appeared in the previous release."},"ModifiedItems":{"type":"array","items":{"$ref":"#/components/schemas/ModifiedItem"},"description":"Items changed between releases, each with a field-by-field old/new list."}},"description":"The full detail behind the comparison.","title":"MbsChangesGetResponsesContentApplicationJsonSchemaChangedItems"},"MBS_Get MBS Changes_Response_200":{"type":"object","properties":{"Title":{"type":"string","description":"Human-readable summary line naming the release this comparison describes."},"ChangedCounts":{"$ref":"#/components/schemas/MbsChangesGetResponsesContentApplicationJsonSchemaChangedCounts","description":"How many items changed between the two releases."},"ChangedItemNumbers":{"$ref":"#/components/schemas/MbsChangesGetResponsesContentApplicationJsonSchemaChangedItemNumbers","description":"The item numbers behind `ChangedCounts`, grouped the same way."},"ChangedItems":{"$ref":"#/components/schemas/MbsChangesGetResponsesContentApplicationJsonSchemaChangedItems","description":"The full detail behind the comparison."}},"required":["Title","ChangedCounts","ChangedItemNumbers","ChangedItems"],"title":"MBS_Get MBS Changes_Response_200"},"Providers_Servicing Provider Eligibility_Response_200":{"type":"object","properties":{"IsEligible":{"type":"boolean","description":"Whether the provider is eligible to perform and claim the item."},"Reason":{"type":"string","description":"Plain-language explanation of the eligibility decision, naming the matching or eligible specialties, the MBS group or item rule applied, and any \"verify separately\" note."}},"required":["IsEligible","Reason"],"title":"Providers_Servicing Provider Eligibility_Response_200"},"VerifyPatientPostRequestBodyContentApplicationJsonSchemaPatientSex":{"type":"string","enum":["1","2","3","9"],"description":"Patient sex (Services Australia coding). Medicare does not fail verification on a sex mismatch\nalone and does not report a correction for this field.\n\n| Code | Meaning |\n|---|---|\n| `1` | Male |\n| `2` | Female |\n| `3` | Other |\n| `9` | Not stated / inadequately described |\n","title":"VerifyPatientPostRequestBodyContentApplicationJsonSchemaPatientSex"},"Medicare Eligibility_Patient Verification_Response_200":{"type":"object","properties":{"Verified":{"type":["boolean","null"],"description":"Tri-state outcome: `true` (**`patient verified`**) if the patient's details are verified with Medicare, `false` (**`details don't match`**) if the details you hold don't match Medicare's current record, `null` (**`cannot determine`**) if the details couldn't be checked against Medicare's record. `Reason` explains which, and **Reading the result** above covers what to do with each."},"Reason":{"type":"string","description":"Human-readable explanation of the outcome, partly passthrough from Medicare; display it exactly as returned."},"ReasonCode":{"type":"string","description":"Machine-readable label for this outcome. Always present.\n\n**Use it for analytics and grouping, not for branching.** The codes are refined over\ntime as RebateRight's coverage grows, so treat them as an open set and handle\nunfamiliar values gracefully. Branch on `Verified`, which is stable.\n"},"CorrectSex":{"type":["string","null"],"description":"Always `null` — Medicare does not report corrections to sex."},"CorrectGivenName":{"type":["string","null"],"description":"Corrected given name when Medicare's records differ and the given name is the only field wrong; `null` otherwise."},"CorrectFamilyName":{"type":["string","null"],"description":"Always `null` — Medicare does not report corrections to family name."},"CorrectDateOfBirth":{"type":["string","null"],"description":"Always `null` — Medicare signals a DOB mismatch in `Reason` but does not return the correct value."},"CorrectMedicareNumber":{"type":["string","null"],"description":"Corrected 10-digit Medicare card number when Medicare has re-issued the card; `null` otherwise."},"CorrectMedicareReferenceNumber":{"type":["string","null"],"description":"Corrected IRN when the IRN was the only field wrong, or when a new Medicare card has been issued; `null` otherwise."}},"required":["Verified","Reason","ReasonCode"],"description":"Patient-verification result.","title":"Medicare Eligibility_Patient Verification_Response_200"},"CalculateRebatePostRequestBodyContentApplicationJsonSchemaPatientSex":{"type":"string","enum":["1","2","3","9"],"description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|---|---|\n| `1` | Male |\n| `2` | Female |\n| `3` | Other |\n| `9` | Not stated / inadequately described |\n\nOn a sex-restricted item, `9` returns `IsEligible: null`, since the restriction can't be\nchecked without a recorded sex.\n","title":"CalculateRebatePostRequestBodyContentApplicationJsonSchemaPatientSex"},"CalculateRebatePostRequestBodyContentApplicationJsonSchemaMedicareItemsItems":{"type":"object","properties":{"ItemNumber":{"type":"string","description":"Numeric MBS item number (`1`–`99999`, up to 5 digits)."},"ChargeAmount":{"type":"string","description":"Optional. Overrides the charge sent to Medicare for this item, expressed in **whole cents** as a numeric string (`100`–`999999`, no decimal, no spaces — `$1.00` is `\"100\"`, `$150.00` is `\"15000\"`). Minimum `\"100\"` (`$1.00`). When omitted, RebateRight supplies a high default so eligibility isn't masked by under-charging."},"MedicalEventId":{"type":"string","description":"Optional. Groups items into the same medical event (same provider, same visit). Items sharing a value are sent to Medicare under one medical event; items with no `MedicalEventId` each become their own event. Useful for coning and same-day-rule evaluation."},"FieldQuantity":{"type":"string","description":"Optional. Service quantity passed to Medicare as `fieldQuantity`. Leave unset for single-service items."},"NumberOfPatientsSeen":{"type":"string","description":"Optional. Number of patients seen for a group attendance item (`1`–`99`)."},"NotNormalAftercare":{"type":"boolean","description":"Optional. Set to `true` to flag the service as **not normal aftercare** (sends `aftercareOverrideInd` = `Y` to Medicare). Use only when the aftercare rule genuinely doesn't apply."},"MoreThanOnceOnSameDay":{"type":"boolean","description":"Optional. Set to `true` to override Medicare's duplicate-service rule when the same item legitimately happens more than once on the same day (sends `duplicateServiceOverrideInd` = `Y`)."},"IgnoreItemRestrictions":{"type":"boolean","description":"Optional. Overrides Medicare's item-restriction rule (`restrictionOverrideInd`). `true` sends `Y`, `false` sends `N`; omit to let Medicare apply the default."},"IgnoreTimeDependantRestrictions":{"type":"boolean","description":"Optional. Overrides Medicare's time-dependant restriction rule (`timeDependantOverrideInd`). `true` sends `Y`, `false` sends `N`; omit to let Medicare apply the default."},"NonMBSItem":{"type":"boolean","description":"Optional. Set to `true` to indicate the item is not an MBS-coded item, which suppresses the `serviceCodeTypeCode` = `C` flag on the Medicare payload."}},"required":["ItemNumber"],"description":"A single MBS item to evaluate.\n\nOnly `ItemNumber` is required. The remaining fields are **optional service overrides** used when\nintegrators need precise control over how the item is sent to Medicare or to group multiple items\ninto the same medical event — ignore them all if you don't need that control.\n","title":"CalculateRebatePostRequestBodyContentApplicationJsonSchemaMedicareItemsItems"},"CalculateRebatePostResponsesContentApplicationJsonSchemaPatientVerification":{"type":"object","properties":{"Verified":{"type":["boolean","null"],"description":"| `Verified` | Result | Meaning |\n|---|---|---|\n| `true` | **`patient verified`** | Patient details verified with Medicare. |\n| `false` | **`details don't match`** | The details you hold don't match Medicare's current record. Correct the patient's record before claiming. |\n| `null` | **`cannot determine`** | The details couldn't be checked against Medicare's record. `Reason` says what stopped it. |\n\nSame three values as `IsEligible`, and **`cannot determine`** means the same\nthing on both. A Medicare error reads `null`, never `false`. **`patient verified`**\ncovers the fields Medicare checks, not every field you sent — it does not check\nfamily name or sex, so those can still differ.\n"},"Reason":{"type":"string","description":"Human-readable explanation of the check outcome — Medicare's determination, or the validation failure when the Medicare call never ran."},"ReasonCode":{"type":"string","description":"Machine-readable label for this outcome. Always present.\n\n**Use it for analytics and grouping, not for branching.** The codes are refined\nover time as RebateRight's coverage grows, so treat them as an open set and\nhandle unfamiliar values gracefully. Branch on `Verified`, which is stable.\n"},"CorrectSex":{"type":["string","null"],"description":"Always `null` — Medicare does not report corrections to sex."},"CorrectGivenName":{"type":["string","null"],"description":"Corrected given name when Medicare's records differ and the given name is the only field wrong; `null` otherwise."},"CorrectFamilyName":{"type":["string","null"],"description":"Always `null` — Medicare does not report corrections to family name."},"CorrectDateOfBirth":{"type":["string","null"],"description":"Always `null` — Medicare signals a date-of-birth mismatch in `Reason` but does not return the correct value."},"CorrectMedicareNumber":{"type":["string","null"],"description":"Corrected 10-digit Medicare card number when Medicare has re-issued the card; `null` otherwise."},"CorrectMedicareReferenceNumber":{"type":["string","null"],"description":"Corrected IRN when the IRN was the only field wrong, or when a new Medicare card has been issued; `null` otherwise."}},"required":["Verified","Reason","ReasonCode"],"description":"Did Medicare recognise this patient? Always present. Same outcome as the [Patient Verification](/api-reference/medicare-eligibility/patient-verification) endpoint, which documents the corrections in full.","title":"CalculateRebatePostResponsesContentApplicationJsonSchemaPatientVerification"},"CalculateRebatePostResponsesContentApplicationJsonSchemaRebatesItemsChecksItems":{"type":"object","properties":{"Title":{"type":"string","description":"Stable check category, suitable for grouping or display (for example `Patient age`, `Referrer eligibility`, `Servicing provider`, or `Frequency of service`). Titles stay constant even as the underlying `Reason` and `ReasonCode` evolve."},"IsEligible":{"type":["boolean","null"],"description":"Tri-state result for this check, same shape as the item-level answer:\n\n| `IsEligible` | Result | Meaning |\n|---|---|---|\n| `true` | **`eligible`** | The check found the item eligible. |\n| `false` | **`not eligible`** | The check found the item not eligible. |\n| `null` | **`cannot determine`** | `Reason` says what this check needed — for example a referrer-restricted item with no `ReferrerProviderNumber` supplied. |\n"},"Reason":{"type":"string","description":"Plain-language finding for this specific check. For a not-eligible or undetermined check, this is the same wording that reaches the item-level `Reason`. Partly passthrough from Services Australia: display it to staff or patients exactly as returned and don't parse it; the wording is refined over time."},"ReasonCode":{"type":"string","description":"Machine-readable label for this check's outcome. Always present.\n\n**Use it for analytics and grouping, not for branching.** The codes are\nrefined over time as RebateRight's coverage grows, so treat them as an open\nset and handle unfamiliar values gracefully. Branch on `IsEligible`, which\nis stable.\n"}},"required":["Title","IsEligible","Reason","ReasonCode"],"title":"CalculateRebatePostResponsesContentApplicationJsonSchemaRebatesItemsChecksItems"},"CalculateRebatePostResponsesContentApplicationJsonSchemaRebatesItems":{"type":"object","properties":{"ItemNumber":{"type":"string","description":"Echo of the submitted MBS item number."},"IsEligible":{"type":["boolean","null"],"description":"Can the patient claim this item: `true`, `false`, or `null` when it couldn't be\ndetermined. Branch on all three.\n\nIt follows the item's checks: `false` if any check found it not eligible, otherwise\n`null` if any couldn't be determined, otherwise `true`. `Checks` shows which.\n"},"Reason":{"type":"string","description":"One plain sentence explaining the answer, for display exactly as returned. It comes from the first check that didn't clear the item, or confirms eligibility when they all cleared. It's a convenience for surfaces showing one line per item; read `Checks` for the full picture."},"ReasonCode":{"type":"string","description":"Machine-readable label for this outcome, taken from the same check as `Reason`.\nAlways present.\n\n**Use it for analytics and grouping, not for branching.** The codes are refined\nover time as RebateRight's coverage grows, so treat them as an open set and\nhandle unfamiliar values gracefully. Branch on `IsEligible`, which is stable.\n"},"Benefit":{"type":"string","description":"Medicare benefit payable for this item, as a **dollar decimal string** (for example `\"20.05\"`). `\"0\"` when no benefit is payable. Dollars, not cents; RebateRight's Bulk Bill reports use cents."},"ItemScheduleFee":{"type":["string","null"],"description":"MBS schedule fee for this item at `DateOfService`, as a **dollar decimal string** (for example `\"452.05\"`). `null` when no fee could be established; an unknown item that Medicare still assessed returns `\"0\"`."},"Checks":{"type":"array","items":{"$ref":"#/components/schemas/CalculateRebatePostResponsesContentApplicationJsonSchemaRebatesItemsChecksItems"},"description":"One entry per check that ran on this item. This is the structured way to read an outcome: iterate it to see what each check found, instead of parsing the item's `Reason`."}},"required":["ItemNumber","IsEligible","Reason","ReasonCode","Benefit","ItemScheduleFee","Checks"],"title":"CalculateRebatePostResponsesContentApplicationJsonSchemaRebatesItems"},"Medicare Eligibility_Eligibility Check_Response_200":{"type":"object","properties":{"PatientVerification":{"$ref":"#/components/schemas/CalculateRebatePostResponsesContentApplicationJsonSchemaPatientVerification","description":"Did Medicare recognise this patient? Always present. Same outcome as the [Patient Verification](/api-reference/medicare-eligibility/patient-verification) endpoint, which documents the corrections in full."},"Rebates":{"type":"array","items":{"$ref":"#/components/schemas/CalculateRebatePostResponsesContentApplicationJsonSchemaRebatesItems"},"description":"One entry per item you sent, on every response. Match entries by `ItemNumber` rather than by position, since rules that weigh items against each other (such as coning) can reorder them. If you sent the same item twice, the duplicates keep their relative order."},"Reason":{"type":"string","description":"Legacy summary field, kept for backward compatibility. New integrations can ignore it and read `PatientVerification` and `Rebates` instead."}},"required":["PatientVerification","Rebates","Reason"],"description":"Eligibility result. On validation failure, `PatientVerification.Verified` is `null`, `IsEligible` is `null` on every `Rebates` entry, and the failure is described in `PatientVerification.Reason` and in each entry's `Reason`.","title":"Medicare Eligibility_Eligibility Check_Response_200"},"EligibilityDisclaimerPostRequestBodyContentApplicationJsonSchemaMedicareItemsItems":{"type":"object","properties":{"ItemNumber":{"type":"string","description":"MBS item number."},"ChargeAmount":{"type":"string","description":"Amount charged to the patient as a decimal string (e.g. `100.00`)."},"ItemScheduleFee":{"type":"string","description":"Schedule fee for the item as returned by `/CalculateRebate` (`ItemScheduleFee`)."},"Benefit":{"type":"string","description":"Medicare benefit amount as returned by `/CalculateRebate` (`Benefit`)."},"MedicareExplanationCode":{"type":"string","description":"Medicare explanation code for the item (shown in the Medicare Explanation Code column)."}},"required":["ItemNumber"],"title":"EligibilityDisclaimerPostRequestBodyContentApplicationJsonSchemaMedicareItemsItems"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode":{"type":"string","enum":["O"],"description":"Must be `O` for general services.","title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd":{"type":"string","enum":["Y"],"description":"Set to `Y` when the services were rendered to an admitted patient. Requires `facilityId`. Omit otherwise.","title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","pattern":"^[0-9]{6}[0-9A-Z][A-Z]$","minLength":8,"maxLength":8,"description":"Medicare-issued 8-character provider number (for example `2447781L`). A 6-digit stem, one practice-location character, then a check character."}},"required":["providerNumber"],"description":"The provider who rendered the services in this claim. One servicing provider per claim.","title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","pattern":"^[0-9]{6}[0-9A-Z][A-Z]$","minLength":8,"maxLength":8,"description":"Medicare-issued 8-character provider number, in the same format as `serviceProvider.providerNumber`."}},"required":["providerNumber"],"description":"Optional. The provider who receives the benefit, when that is not the servicing provider.\n\nThe payee provider's 6-digit stem must differ from the servicing provider's. Omit this object entirely when the servicing provider is paid.\n","title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be `Y`, confirming the patient assigned their Medicare benefit through pre-assignment or post-assignment. Your software must show this to the user before it can submit the claim.","title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity":{"type":"object","properties":{"givenName":{"type":"string","pattern":"^[A-Za-z0-9]+([ '\\-][A-Za-z0-9]+)*$","minLength":1,"maxLength":40,"description":"First given name as it appears on the Medicare card. Letters, digits, spaces, apostrophes, and hyphens only, with no space before or after an apostrophe or hyphen.\n\nFor patients who have only one name, put that name in `familyName` and set this field to the literal string `Onlyname`.\n"},"familyName":{"type":"string","pattern":"^[A-Za-z0-9]+([ '\\-][A-Za-z0-9]+)*$","minLength":1,"maxLength":40,"description":"Family name as it appears on the Medicare card, with the same character rules as `givenName`. For patients who have only one name, put that name here."},"dateOfBirth":{"type":"string","format":"date","description":"Patient date of birth (`YYYY-MM-DD`). Must not be in the future, must not be after `medicalEventDate`, and must be within the last 130 years."}},"required":["givenName","familyName","dateOfBirth"],"title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","pattern":"^[0-9]{9}[1-9]$","minLength":10,"maxLength":10,"description":"The patient's 10-digit Medicare card number. The first 9 digits must satisfy the Medicare card check-digit routine, and the 10th digit is the card issue number, which cannot be zero."},"memberRefNumber":{"type":"string","pattern":"^[1-9]$","minLength":1,"maxLength":1,"description":"Individual Reference Number (IRN) from the patient's Medicare card, a single digit from 1 to 9 identifying the family member."}},"required":["memberNumber","memberRefNumber"],"title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"medicare":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare"}},"required":["identity","medicare"],"title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd":{"type":"string","enum":["Y"],"description":"Set to `Y` when you are certain the service falls outside another provider's aftercare period. Omit otherwise.","title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd":{"type":"string","enum":["Y"],"description":"Set to `Y` for a legitimate repeat of the same item on the same date. Requires `medicalEventTime` on this medical event, or `text` on this service. Omit otherwise.","title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd":{"type":"string","enum":["Y"],"description":"Set to `Y` when the multiple-procedure rule does not apply, for example services on different body regions. Requires `text` on this service. Omit otherwise.","title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode":{"type":"string","enum":["SP","NR","NC"],"description":"Reason a restricted item is legitimately claimed. Omit unless one applies.\n\n| Code | Meaning |\n| --- | --- |\n| `SP` | Separate sites |\n| `NR` | Not related |\n| `NC` | Not for comparison |\n","title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","pattern":"^[0-9A-Za-z]{4}$","minLength":4,"maxLength":4,"description":"Your identifier for this service, echoed by Medicare on any per-service error.\n\n**Exactly four** alphanumeric characters, unique across the whole claim rather than within the event. `0001`, `C001`, and `AC68` are all valid. Note that this differs from `medicalEvent.id`, which is two digits and must be sequential.\n"},"itemNumber":{"type":"string","pattern":"^0*[1-9][0-9]{0,4}$","minLength":1,"maxLength":5,"description":"MBS item number being claimed, from 1 to 99999. Leading zeros are accepted, spaces are not."},"chargeAmount":{"type":"string","pattern":"^0*[1-9][0-9]{2,6}$","minLength":3,"maxLength":7,"description":"Amount charged for this service, **in cents**, as a string. `\"15000\"` is $150.00. A decimal value such as `\"150.00\"` is rejected.\n\nFrom `\"100\"` ($1.00) to `\"9999999\"`. Leading zeros are accepted.\n"},"text":{"type":"string","pattern":"^[A-Za-z0-9@#$%+=:;,.\\-]+( [A-Za-z0-9@#$%+=:;,.\\-]+)*$","minLength":1,"maxLength":50,"description":"Supporting information for this service line, required by some items (for example specified procedural services) and by `multipleProcedureOverrideInd`.\n\nUp to 50 characters. Letters, digits, spaces, and `@ # $ % + = : ; , . -` only, with no leading or trailing space.\n"},"timeDuration":{"type":"string","pattern":"^(00[1-9]|0[1-9][0-9]|[1-9][0-9]{2})$","minLength":3,"maxLength":3,"description":"Duration of the service in whole minutes, zero-padded to three digits, from `001` to `999`. Required by items whose descriptor is time-based, such as hyperbaric therapy.\n\nCannot be combined with `fieldQuantity`, `lspNumber`, or `numberOfPatientsSeen`.\n"},"numberOfPatientsSeen":{"type":"string","pattern":"^([1-9]|[1-9][0-9])$","minLength":1,"maxLength":2,"description":"Number of patients seen, from 1 to 99. Required only by group-therapy items whose descriptor specifies a patient count. Cannot be combined with `fieldQuantity`, `lspNumber`, or `timeDuration`."},"fieldQuantity":{"type":"string","pattern":"^([1-9]|[1-9][0-9])$","minLength":1,"maxLength":2,"description":"Number of treatment fields, from 1 to 99. Used by radiation oncology items. Cannot be combined with `numberOfPatientsSeen` or `timeDuration`."},"lspNumber":{"type":"string","pattern":"^0*[1-9][0-9]{0,5}$","minLength":1,"maxLength":6,"description":"Location Specific Practice Number (LSPN) for the site where a diagnostic imaging service was rendered, from 1 to 999999.\n\nAll services in one medical event must carry the same LSPN. Cannot be combined with `numberOfPatientsSeen` or `timeDuration`.\n"},"aftercareOverrideInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd","description":"Set to `Y` when you are certain the service falls outside another provider's aftercare period. Omit otherwise."},"duplicateServiceOverrideInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd","description":"Set to `Y` for a legitimate repeat of the same item on the same date. Requires `medicalEventTime` on this medical event, or `text` on this service. Omit otherwise."},"multipleProcedureOverrideInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd","description":"Set to `Y` when the multiple-procedure rule does not apply, for example services on different body regions. Requires `text` on this service. Omit otherwise."},"restrictiveOverrideCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode","description":"Reason a restricted item is legitimately claimed. Omit unless one applies.\n\n| Code | Meaning |\n| --- | --- |\n| `SP` | Separate sites |\n| `NR` | Not related |\n| `NC` | Not for comparison |\n"}},"required":["id","itemNumber","chargeAmount"],"title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","pattern":"^(0[1-9]|[1-7][0-9]|80)$","minLength":2,"maxLength":2,"description":"Your number for this medical event, echoed by Medicare on any per-event error so you can match messages back to the originating event.\n\nExactly two digits. Numbering **must start at `01` and increase by one** for each event in the claim, with no gaps and no repeats. `01`, `02`, `03` is valid; `01`, `03` is rejected.\n"},"authorisationDate":{"type":"string","format":"date","description":"Date the patient assigned their benefit (`YYYY-MM-DD`). Must not be in the future, and must not be before `medicalEventDate`."},"createDateTime":{"type":"string","format":"date-time","description":"Timestamp when your software created this claim record, in **Australian local time with the UTC offset** (for example `2026-08-14T10:30:00+10:00`).\n\nA UTC `Z` value is rejected, as is a value with no offset. Must not be in the future, and must not be before the medical event's date and time.\n"},"medicalEventDate":{"type":"string","format":"date","description":"Date the services were rendered (`YYYY-MM-DD`). Must not be in the future, and is subject to the claim-age limits above."},"medicalEventTime":{"type":"string","pattern":"^\\d{2}:\\d{2}:\\d{2}[+-]\\d{2}:\\d{2}$","description":"Optional. Time the services were rendered, with **seconds and an Australian UTC offset** (`HH:mm:ss±HH:mm`). `10:00` and `10:00:00` are both rejected.\n\nRequired when a service in this event sets `duplicateServiceOverrideInd` without its own `text`. The combined date and time must not be in the future.\n"},"submissionAuthorityInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd","description":"Must be `Y`, confirming the patient assigned their Medicare benefit through pre-assignment or post-assignment. Your software must show this to the user before it can submit the claim."},"patient":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"description":"Services rendered in this medical event (maximum 14)."}},"required":["id","authorisationDate","createDateTime","medicalEventDate","submissionAuthorityInd","patient","service"],"title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaim":{"type":"object","properties":{"serviceTypeCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode","description":"Must be `O` for general services."},"hospitalInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd","description":"Set to `Y` when the services were rendered to an admitted patient. Requires `facilityId`. Omit otherwise."},"facilityId":{"type":"string","pattern":"^[0-9]{7}[A-Z]$","minLength":8,"maxLength":8,"description":"Identifier for the hospital where the services were rendered. Required when `hospitalInd` is `Y`.\n\nEight characters: a 6-digit stem, one numeric location character, then a check character. Pad with leading zeros if your stored value is shorter.\n"},"serviceProvider":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider","description":"The provider who rendered the services in this claim. One servicing provider per claim."},"payeeProvider":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider","description":"Optional. The provider who receives the benefit, when that is not the servicing provider.\n\nThe payee provider's 6-digit stem must differ from the servicing provider's. Omit this object entirely when the servicing provider is paid.\n"},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"description":"Medical events in this claim (maximum 80). Each event groups one patient's services on a single date."}},"required":["serviceTypeCode","serviceProvider","medicalEvent"],"title":"MedicareBulkbillstoreforwardGeneralV1PostRequestBodyContentApplicationJsonSchemaClaim"},"Medicare Claiming_Bulk Bill Claim_Bulk Bill Claim — General_Response_200":{"type":"object","properties":{"claimId":{"type":"string","description":"Claim identifier assigned by Medicare. Use it to retrieve the Processing Report once the claim has been assessed.\n\nSix characters: a prefix, four digits, then `@`. The prefix is a letter for services rendered out of hospital (`F3848@`) and `#` for services rendered to an admitted patient (`#9876@`).\n\nA claim ID is unique per lodgement date and payee provider, so two claims lodged on the same date for different payee providers at one location can share it.\n"},"status":{"type":"string","description":"Transmission status. `SUCCESS` on a successful submission."},"correlationId":{"type":"string","description":"Unique identifier for the request, for support tracing. Matches the `correlationId` you supplied, or the one RebateRight generated for you."}},"required":["claimId","status","correlationId"],"title":"Medicare Claiming_Bulk Bill Claim_Bulk Bill Claim — General_Response_200"},"MedicareBulkbillstoreforwardGeneralV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems":{"type":"object","properties":{"code":{"type":"string","description":"Medicare reason code. See the error-code table above, or the [Services Australia lookup tool](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code) for codes not listed there."},"severity":{"type":"string","description":"Severity of this message (for example `Error`, `Warning`)."},"reason":{"type":"string","description":"Human-readable error message. Includes the offending value and points to the faulting medical event and service by id where applicable. Display it to your user as supplied, without truncating or rewording it."}},"required":["code","severity","reason"],"title":"MedicareBulkbillstoreforwardGeneralV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"PostMedicareBulkbillstoreforwardGeneralV1RequestBadRequestError0":{"type":"object","properties":{"highestSeverity":{"type":"string","description":"Highest severity across all messages (for example `Error`, `Warning`)."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardGeneralV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"description":"One entry per failed check, across every medical event in the claim. Each message identifies the faulting medical event, and where relevant the service, in its `reason` text."},"correlationId":{"type":"string","description":"Echo of the request's `correlationId`, for support tracing."}},"required":["highestSeverity","serviceMessage","correlationId"],"title":"PostMedicareBulkbillstoreforwardGeneralV1RequestBadRequestError0"},"PostMedicareBulkbillstoreforwardGeneralV1RequestBadRequestError1":{"type":"object","properties":{"code":{"type":"integer","description":"Numeric gateway error code, raised by the request-schema or routing layer rather than by a Medicare business rule."},"codeType":{"type":"string","description":"Gateway error category. For example `DHSEIN` for JSON-schema validation failures such as missing required properties or wrong types."},"message":{"type":"string","description":"Human-readable validation summary."},"correlationId":{"type":"string","description":"Echo of the request's `correlationId` when supplied, otherwise a generated one for this call."}},"required":["code","codeType","message","correlationId"],"title":"PostMedicareBulkbillstoreforwardGeneralV1RequestBadRequestError1"},"PostMedicareBulkbillstoreforwardGeneralV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PostMedicareBulkbillstoreforwardGeneralV1RequestBadRequestError0"},{"$ref":"#/components/schemas/PostMedicareBulkbillstoreforwardGeneralV1RequestBadRequestError1"}],"title":"PostMedicareBulkbillstoreforwardGeneralV1RequestBadRequestError"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode":{"type":"string","enum":["S"],"description":"Must be `S` for specialist, allied health, or diagnostic imaging services.","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd":{"type":"string","enum":["Y"],"description":"Set to `Y` when the services were rendered to an admitted patient. Requires `facilityId`, and is itself required when any `referralOverrideCode` is `H`. Omit otherwise.","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","pattern":"^[0-9]{6}[0-9A-Z][A-Z]$","minLength":8,"maxLength":8,"description":"Medicare-issued 8-character provider number (for example `2447791K`). A 6-digit stem, one practice-location character, then a check character."}},"required":["providerNumber"],"description":"The provider who rendered the services in this claim. One servicing provider per claim.","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","pattern":"^[0-9]{6}[0-9A-Z][A-Z]$","minLength":8,"maxLength":8,"description":"Medicare-issued 8-character provider number, in the same format as `serviceProvider.providerNumber`."}},"required":["providerNumber"],"description":"Optional. The provider who receives the benefit, when that is not the servicing provider.\n\nThe payee provider's 6-digit stem must differ from the servicing provider's. Omit this object entirely when the servicing provider is paid.\n","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be `Y`, confirming the patient assigned their Medicare benefit through pre-assignment or post-assignment. Your software must show this to the user before it can submit the claim.","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode":{"type":"string","enum":["H","L","E","N"],"description":"Why no referral document accompanies this medical event. Use instead of `referral`, never alongside it.\n\n| Code | Meaning |\n| --- | --- |\n| `H` | Hospital. Requires `hospitalInd` of `Y` and a `facilityId` |\n| `L` | Referral lost, stolen, or destroyed |\n| `E` | Emergency |\n| `N` | Referral not required |\n","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode":{"type":"string","enum":["S","D"],"description":"What kind of referral this is.\n\n| Code | Meaning | Period fields |\n| --- | --- | --- |\n| `S` | Specialist or allied health referral | `periodCode` required |\n| `D` | Diagnostic imaging request | `periodCode` and `period` must be omitted |\n","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralPeriodCode":{"type":"string","enum":["S","N","I"],"description":"How long the referral runs. Required when `typeCode` is `S`, and must be omitted when `typeCode` is `D`.\n\n| Code | Meaning |\n| --- | --- |\n| `S` | Standard. 12 months from a general practitioner, 3 months from a specialist |\n| `N` | Non-standard. The referrer set the length, which you send in `period` |\n| `I` | Indefinite, for specified chronic conditions |\n\nThis is a single letter. The standard periods above are what `S` means, not values you send.\n","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralPeriodCode"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider":{"type":"object","properties":{"providerNumber":{"type":"string","pattern":"^[0-9]{6}[0-9A-Z][A-Z]$","minLength":8,"maxLength":8,"description":"Medicare-issued 8-character provider number of the referring practitioner."}},"required":["providerNumber"],"description":"The referring practitioner. Their 6-digit stem must differ from the servicing provider's.","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral":{"type":"object","properties":{"issueDate":{"type":"string","format":"date","description":"Date the referral was issued (`YYYY-MM-DD`). Must not be in the future, must be on or before `medicalEventDate`, and must be on or after the patient's date of birth."},"typeCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode","description":"What kind of referral this is.\n\n| Code | Meaning | Period fields |\n| --- | --- | --- |\n| `S` | Specialist or allied health referral | `periodCode` required |\n| `D` | Diagnostic imaging request | `periodCode` and `period` must be omitted |\n"},"periodCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralPeriodCode","description":"How long the referral runs. Required when `typeCode` is `S`, and must be omitted when `typeCode` is `D`.\n\n| Code | Meaning |\n| --- | --- |\n| `S` | Standard. 12 months from a general practitioner, 3 months from a specialist |\n| `N` | Non-standard. The referrer set the length, which you send in `period` |\n| `I` | Indefinite, for specified chronic conditions |\n\nThis is a single letter. The standard periods above are what `S` means, not values you send.\n"},"period":{"type":"string","pattern":"^([1-9]|[1-8][0-9]|9[0-8])$","minLength":1,"maxLength":2,"description":"Length of a non-standard referral **in months**, from 1 to 98.\n\nSend this only when `periodCode` is `N`, and omit it for every other `periodCode`. `0`, `00`, and `99` are rejected.\n"},"provider":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider","description":"The referring practitioner. Their 6-digit stem must differ from the servicing provider's."}},"required":["issueDate","typeCode","provider"],"description":"Referral details. Supply this, or `referralOverrideCode`, or a `selfDeemedCode` on a service line. See the referral requirement above.","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity":{"type":"object","properties":{"givenName":{"type":"string","pattern":"^[A-Za-z0-9]+([ '\\-][A-Za-z0-9]+)*$","minLength":1,"maxLength":40,"description":"First given name as it appears on the Medicare card. Letters, digits, spaces, apostrophes, and hyphens only, with no space before or after an apostrophe or hyphen.\n\nFor patients who have only one name, put that name in `familyName` and set this field to the literal string `Onlyname`.\n"},"familyName":{"type":"string","pattern":"^[A-Za-z0-9]+([ '\\-][A-Za-z0-9]+)*$","minLength":1,"maxLength":40,"description":"Family name as it appears on the Medicare card, with the same character rules as `givenName`. For patients who have only one name, put that name here."},"dateOfBirth":{"type":"string","format":"date","description":"Patient date of birth (`YYYY-MM-DD`). Must not be in the future, must not be after `medicalEventDate`, and must be within the last 130 years."}},"required":["givenName","familyName","dateOfBirth"],"title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","pattern":"^[0-9]{9}[1-9]$","minLength":10,"maxLength":10,"description":"The patient's 10-digit Medicare card number. The first 9 digits must satisfy the Medicare card check-digit routine, and the 10th digit is the card issue number, which cannot be zero."},"memberRefNumber":{"type":"string","pattern":"^[1-9]$","minLength":1,"maxLength":1,"description":"Individual Reference Number (IRN) from the patient's Medicare card, a single digit from 1 to 9 identifying the family member."}},"required":["memberNumber","memberRefNumber"],"title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"medicare":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare"}},"required":["identity","medicare"],"title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode":{"type":"string","enum":["SD","SS"],"description":"Use instead of a referral when the provider deems the service themselves. Cannot be combined with `referralOverrideCode`.\n\n| Code | Meaning |\n| --- | --- |\n| `SD` | Self deemed |\n| `SS` | Substituted service |\n","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd":{"type":"string","enum":["Y"],"description":"Set to `Y` when you are certain the service falls outside another provider's aftercare period. Omit otherwise.","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd":{"type":"string","enum":["Y"],"description":"Set to `Y` for a legitimate repeat of the same item on the same date. Requires `medicalEventTime` on this medical event, or `text` on this service. Omit otherwise.","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd":{"type":"string","enum":["Y"],"description":"Set to `Y` when the multiple-procedure rule does not apply, for example services on different body regions. Requires `text` on this service. Omit otherwise.","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode":{"type":"string","enum":["SP","NR","NC"],"description":"Reason a restricted item is legitimately claimed. Omit unless one applies.\n\n| Code | Meaning |\n| --- | --- |\n| `SP` | Separate sites |\n| `NR` | Not related |\n| `NC` | Not for comparison |\n","title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","pattern":"^[0-9A-Za-z]{4}$","minLength":4,"maxLength":4,"description":"Your identifier for this service, echoed by Medicare on any per-service error.\n\n**Exactly four** alphanumeric characters, unique across the whole claim rather than within the event. `0001`, `C001`, and `AC68` are all valid. Note that this differs from `medicalEvent.id`, which is two digits and must be sequential.\n"},"itemNumber":{"type":"string","pattern":"^0*[1-9][0-9]{0,4}$","minLength":1,"maxLength":5,"description":"MBS item number being claimed, from 1 to 99999. Leading zeros are accepted, spaces are not."},"chargeAmount":{"type":"string","pattern":"^0*[1-9][0-9]{2,6}$","minLength":3,"maxLength":7,"description":"Amount charged for this service, **in cents**, as a string. `\"15075\"` is $150.75. A decimal value such as `\"150.75\"` is rejected.\n\nFrom `\"100\"` ($1.00) to `\"9999999\"`. Leading zeros are accepted.\n"},"text":{"type":"string","pattern":"^[A-Za-z0-9@#$%+=:;,.\\-]+( [A-Za-z0-9@#$%+=:;,.\\-]+)*$","minLength":1,"maxLength":50,"description":"Supporting information for this service line, required by many specialist items (for example a consultation-type descriptor) and by `multipleProcedureOverrideInd`.\n\nUp to 50 characters. Letters, digits, spaces, and `@ # $ % + = : ; , . -` only, with no leading or trailing space.\n"},"selfDeemedCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode","description":"Use instead of a referral when the provider deems the service themselves. Cannot be combined with `referralOverrideCode`.\n\n| Code | Meaning |\n| --- | --- |\n| `SD` | Self deemed |\n| `SS` | Substituted service |\n"},"timeDuration":{"type":"string","pattern":"^(00[1-9]|0[1-9][0-9]|[1-9][0-9]{2})$","minLength":3,"maxLength":3,"description":"Duration of the service in whole minutes, zero-padded to three digits, from `001` to `999`. Required by items whose descriptor is time-based, such as some attendance and mental-health items.\n\nCannot be combined with `fieldQuantity`, `lspNumber`, or `numberOfPatientsSeen`.\n"},"numberOfPatientsSeen":{"type":"string","pattern":"^([1-9]|[1-9][0-9])$","minLength":1,"maxLength":2,"description":"Number of patients seen, from 1 to 99. Required only by group-therapy items whose descriptor specifies a patient count. Cannot be combined with `fieldQuantity`, `lspNumber`, or `timeDuration`."},"fieldQuantity":{"type":"string","pattern":"^([1-9]|[1-9][0-9])$","minLength":1,"maxLength":2,"description":"Number of treatment fields, from 1 to 99. Used by radiation oncology items. Cannot be combined with `numberOfPatientsSeen` or `timeDuration`."},"lspNumber":{"type":"string","pattern":"^0*[1-9][0-9]{0,5}$","minLength":1,"maxLength":6,"description":"Location Specific Practice Number (LSPN) for the site where a diagnostic imaging service was rendered, from 1 to 999999.\n\nAll services in one medical event must carry the same LSPN. Cannot be combined with `numberOfPatientsSeen` or `timeDuration`.\n"},"aftercareOverrideInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd","description":"Set to `Y` when you are certain the service falls outside another provider's aftercare period. Omit otherwise."},"duplicateServiceOverrideInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd","description":"Set to `Y` for a legitimate repeat of the same item on the same date. Requires `medicalEventTime` on this medical event, or `text` on this service. Omit otherwise."},"multipleProcedureOverrideInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd","description":"Set to `Y` when the multiple-procedure rule does not apply, for example services on different body regions. Requires `text` on this service. Omit otherwise."},"restrictiveOverrideCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode","description":"Reason a restricted item is legitimately claimed. Omit unless one applies.\n\n| Code | Meaning |\n| --- | --- |\n| `SP` | Separate sites |\n| `NR` | Not related |\n| `NC` | Not for comparison |\n"}},"required":["id","itemNumber","chargeAmount"],"title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","pattern":"^(0[1-9]|[1-7][0-9]|80)$","minLength":2,"maxLength":2,"description":"Your number for this medical event, echoed by Medicare on any per-event error so you can match messages back to the originating event.\n\nExactly two digits. Numbering **must start at `01` and increase by one** for each event in the claim, with no gaps and no repeats. `01`, `02`, `03` is valid; `01`, `03` is rejected.\n"},"authorisationDate":{"type":"string","format":"date","description":"Date the patient assigned their benefit (`YYYY-MM-DD`). Must not be in the future, and must not be before `medicalEventDate`."},"createDateTime":{"type":"string","format":"date-time","description":"Timestamp when your software created this claim record, in **Australian local time with the UTC offset** (for example `2026-08-14T08:30:00+10:00`).\n\nA UTC `Z` value is rejected, as is a value with no offset. Must not be in the future, and must not be before the medical event's date and time.\n"},"medicalEventDate":{"type":"string","format":"date","description":"Date the services were rendered (`YYYY-MM-DD`). Must not be in the future, and is subject to the claim-age limits above."},"medicalEventTime":{"type":"string","pattern":"^\\d{2}:\\d{2}:\\d{2}[+-]\\d{2}:\\d{2}$","description":"Optional. Time the services were rendered, with **seconds and an Australian UTC offset** (`HH:mm:ss±HH:mm`). `08:30` and `08:30:00` are both rejected.\n\nRequired when a service in this event sets `duplicateServiceOverrideInd` without its own `text`. The combined date and time must not be in the future.\n"},"submissionAuthorityInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd","description":"Must be `Y`, confirming the patient assigned their Medicare benefit through pre-assignment or post-assignment. Your software must show this to the user before it can submit the claim."},"referralOverrideCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode","description":"Why no referral document accompanies this medical event. Use instead of `referral`, never alongside it.\n\n| Code | Meaning |\n| --- | --- |\n| `H` | Hospital. Requires `hospitalInd` of `Y` and a `facilityId` |\n| `L` | Referral lost, stolen, or destroyed |\n| `E` | Emergency |\n| `N` | Referral not required |\n"},"referral":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral","description":"Referral details. Supply this, or `referralOverrideCode`, or a `selfDeemedCode` on a service line. See the referral requirement above."},"patient":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"description":"Services rendered in this medical event (maximum 14)."}},"required":["id","authorisationDate","createDateTime","medicalEventDate","submissionAuthorityInd","patient","service"],"title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaim":{"type":"object","properties":{"serviceTypeCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode","description":"Must be `S` for specialist, allied health, or diagnostic imaging services."},"hospitalInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd","description":"Set to `Y` when the services were rendered to an admitted patient. Requires `facilityId`, and is itself required when any `referralOverrideCode` is `H`. Omit otherwise."},"facilityId":{"type":"string","pattern":"^[0-9]{7}[A-Z]$","minLength":8,"maxLength":8,"description":"Identifier for the hospital where the services were rendered. Required when `hospitalInd` is `Y`.\n\nEight characters: a 6-digit stem, one numeric location character, then a check character. Pad with leading zeros if your stored value is shorter.\n"},"serviceProvider":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider","description":"The provider who rendered the services in this claim. One servicing provider per claim."},"payeeProvider":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider","description":"Optional. The provider who receives the benefit, when that is not the servicing provider.\n\nThe payee provider's 6-digit stem must differ from the servicing provider's. Omit this object entirely when the servicing provider is paid.\n"},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"description":"Medical events in this claim (maximum 80). Each event groups one patient's services on a single date."}},"required":["serviceTypeCode","serviceProvider","medicalEvent"],"title":"MedicareBulkbillstoreforwardSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaim"},"Medicare Claiming_Bulk Bill Claim_Bulk Bill Claim — Specialist_Response_200":{"type":"object","properties":{"claimId":{"type":"string","description":"Claim identifier assigned by Medicare. Use it to retrieve the Processing Report once the claim has been assessed.\n\nSix characters: a prefix, four digits, then `@`. The prefix is a letter for services rendered out of hospital (`F3849@`) and `#` for services rendered to an admitted patient (`#9876@`).\n\nA claim ID is unique per lodgement date and payee provider, so two claims lodged on the same date for different payee providers at one location can share it.\n"},"status":{"type":"string","description":"Transmission status. `SUCCESS` on a successful submission."},"correlationId":{"type":"string","description":"Unique identifier for the request, for support tracing. Matches the `correlationId` you supplied, or the one RebateRight generated for you."}},"required":["claimId","status","correlationId"],"title":"Medicare Claiming_Bulk Bill Claim_Bulk Bill Claim — Specialist_Response_200"},"MedicareBulkbillstoreforwardSpecialistV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems":{"type":"object","properties":{"code":{"type":"string","description":"Medicare reason code. See the error-code table above, or the [Services Australia lookup tool](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code) for codes not listed there."},"severity":{"type":"string","description":"Severity of this message (for example `Error`, `Warning`)."},"reason":{"type":"string","description":"Human-readable error message. Includes the offending value and points to the faulting medical event and service by id where applicable. Display it to your user as supplied, without truncating or rewording it."}},"required":["code","severity","reason"],"title":"MedicareBulkbillstoreforwardSpecialistV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"PostMedicareBulkbillstoreforwardSpecialistV1RequestBadRequestError0":{"type":"object","properties":{"highestSeverity":{"type":"string","description":"Highest severity across all messages (for example `Error`, `Warning`)."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardSpecialistV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"description":"One entry per failed check, across every medical event in the claim. Each message identifies the faulting medical event, and where relevant the service, in its `reason` text."},"correlationId":{"type":"string","description":"Echo of the request's `correlationId`, for support tracing."}},"required":["highestSeverity","serviceMessage","correlationId"],"title":"PostMedicareBulkbillstoreforwardSpecialistV1RequestBadRequestError0"},"PostMedicareBulkbillstoreforwardSpecialistV1RequestBadRequestError1":{"type":"object","properties":{"code":{"type":"integer","description":"Numeric gateway error code, raised by the request-schema or routing layer rather than by a Medicare business rule."},"codeType":{"type":"string","description":"Gateway error category. For example `DHSEIN` for JSON-schema validation failures such as missing required properties or wrong types."},"message":{"type":"string","description":"Human-readable validation summary."},"correlationId":{"type":"string","description":"Echo of the request's `correlationId` when supplied, otherwise a generated one for this call."}},"required":["code","codeType","message","correlationId"],"title":"PostMedicareBulkbillstoreforwardSpecialistV1RequestBadRequestError1"},"PostMedicareBulkbillstoreforwardSpecialistV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PostMedicareBulkbillstoreforwardSpecialistV1RequestBadRequestError0"},{"$ref":"#/components/schemas/PostMedicareBulkbillstoreforwardSpecialistV1RequestBadRequestError1"}],"title":"PostMedicareBulkbillstoreforwardSpecialistV1RequestBadRequestError"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode":{"type":"string","enum":["P"],"description":"Must be `P` for pathology services.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd":{"type":"string","enum":["Y"],"description":"Set to `Y` when the services were rendered to an admitted patient. Requires `facilityId`, and is itself required when any service sets `s4b3ExemptInd`. Omit otherwise.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","pattern":"^[0-9]{6}[0-9A-Z][A-Z]$","minLength":8,"maxLength":8,"description":"Medicare-issued 8-character provider number (for example `2447781L`). A 6-digit stem, one practice-location character, then a check character."}},"required":["providerNumber"],"description":"The approved pathology practitioner who rendered the services in this claim. One servicing provider per claim.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","pattern":"^[0-9]{6}[0-9A-Z][A-Z]$","minLength":8,"maxLength":8,"description":"Medicare-issued 8-character provider number, in the same format as `serviceProvider.providerNumber`."}},"required":["providerNumber"],"description":"Optional. The provider who receives the benefit, when that is not the servicing provider.\n\nThe payee provider's 6-digit stem must differ from the servicing provider's. Omit this object entirely when the servicing provider is paid.\n","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be `Y`, confirming the patient assigned their Medicare benefit through pre-assignment or post-assignment. Your software must show this to the user before it can submit the claim.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode":{"type":"string","enum":["N"],"description":"Set to `N` when no pathology request is required. Use instead of `referral`, never alongside it, and never with `selfDeemedCode`.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode":{"type":"string","enum":["P"],"description":"Must be `P` for pathology requests. `periodCode` and `period` do not apply and must be omitted.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider":{"type":"object","properties":{"providerNumber":{"type":"string","pattern":"^[0-9]{6}[0-9A-Z][A-Z]$","minLength":8,"maxLength":8,"description":"Medicare-issued 8-character provider number of the requesting practitioner."}},"required":["providerNumber"],"description":"The requesting practitioner. Their 6-digit stem must differ from the servicing provider's.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral":{"type":"object","properties":{"issueDate":{"type":"string","format":"date","description":"Date the request was issued (`YYYY-MM-DD`). Must not be in the future, must be on or before `medicalEventDate`, and must be on or after the patient's date of birth."},"typeCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode","description":"Must be `P` for pathology requests. `periodCode` and `period` do not apply and must be omitted."},"provider":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider","description":"The requesting practitioner. Their 6-digit stem must differ from the servicing provider's."}},"required":["issueDate","typeCode","provider"],"description":"Pathology request details. Supply this, or `referralOverrideCode` of `N`, or a `selfDeemedCode` of `SD` on a service line. See the referral requirement above.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity":{"type":"object","properties":{"givenName":{"type":"string","pattern":"^[A-Za-z0-9]+([ '\\-][A-Za-z0-9]+)*$","minLength":1,"maxLength":40,"description":"First given name as it appears on the Medicare card. Letters, digits, spaces, apostrophes, and hyphens only, with no space before or after an apostrophe or hyphen.\n\nFor patients who have only one name, put that name in `familyName` and set this field to the literal string `Onlyname`.\n"},"familyName":{"type":"string","pattern":"^[A-Za-z0-9]+([ '\\-][A-Za-z0-9]+)*$","minLength":1,"maxLength":40,"description":"Family name as it appears on the Medicare card, with the same character rules as `givenName`. For patients who have only one name, put that name here."},"dateOfBirth":{"type":"string","format":"date","description":"Patient date of birth (`YYYY-MM-DD`). Must not be in the future, must not be after `medicalEventDate`, and must be within the last 130 years."}},"required":["givenName","familyName","dateOfBirth"],"title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","pattern":"^[0-9]{9}[1-9]$","minLength":10,"maxLength":10,"description":"The patient's 10-digit Medicare card number. The first 9 digits must satisfy the Medicare card check-digit routine, and the 10th digit is the card issue number, which cannot be zero."},"memberRefNumber":{"type":"string","pattern":"^[1-9]$","minLength":1,"maxLength":1,"description":"Individual Reference Number (IRN) from the patient's Medicare card, a single digit from 1 to 9 identifying the family member."}},"required":["memberNumber","memberRefNumber"],"title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"medicare":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare"}},"required":["identity","medicare"],"title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRule3ExemptInd":{"type":"string","enum":["Y"],"description":"Set to `Y` to claim **Rule 3** exemption, the pathology coning rule for multiple services on one day. Requires `medicalEventTime` on this medical event, and cannot be combined with `s4b3ExemptInd`. Omit otherwise.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRule3ExemptInd"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsS4B3ExemptInd":{"type":"string","enum":["Y"],"description":"Set to `Y` to claim **Section 4B(3)** exemption. Omit otherwise.\n\nRequires `hospitalInd` of `Y`, and requires `collectionDateTime` and `accessionDateTime` on **every** service in this medical event. The event must also carry a pathology request, a `referralOverrideCode` of `N`, or a `selfDeemedCode` of `SD`. Cannot be combined with `rule3ExemptInd`.\n","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsS4B3ExemptInd"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode":{"type":"string","enum":["SD"],"description":"Set to `SD` to self-deem the service, instead of sending a request. `SS` is not permitted for pathology, and this cannot be combined with `referralOverrideCode`.","title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","pattern":"^[0-9A-Za-z]{4}$","minLength":4,"maxLength":4,"description":"Your identifier for this service, echoed by Medicare on any per-service error.\n\n**Exactly four** alphanumeric characters, unique across the whole claim rather than within the event. `0001`, `C001`, and `AC68` are all valid. Note that this differs from `medicalEvent.id`, which is two digits and must be sequential.\n"},"itemNumber":{"type":"string","pattern":"^0*[1-9][0-9]{0,4}$","minLength":1,"maxLength":5,"description":"MBS pathology item number being claimed, from 1 to 99999. Leading zeros are accepted, spaces are not."},"chargeAmount":{"type":"string","pattern":"^0*[1-9][0-9]{2,6}$","minLength":3,"maxLength":7,"description":"Amount charged for this service, **in cents**, as a string. `\"15075\"` is $150.75. A decimal value such as `\"150.75\"` is rejected.\n\nFrom `\"100\"` ($1.00) to `\"9999999\"`. Leading zeros are accepted.\n"},"collectionDateTime":{"type":"string","format":"date-time","description":"When the specimen was collected, in Australian local time with the UTC offset.\n\nMust not be after `accessionDateTime`, must not be before the patient's date of birth, and must not be before the request's `issueDate`. If you send either this or `accessionDateTime`, send both.\n"},"accessionDateTime":{"type":"string","format":"date-time","description":"When the laboratory accessioned the specimen, in Australian local time with the UTC offset.\n\nMust not be in the future, must not be after the medical event's date and time, and must not be after `createDateTime`. If you send either this or `collectionDateTime`, send both.\n"},"scpId":{"type":"string","pattern":"^[0-9A-Z]{3,5}$","minLength":3,"maxLength":5,"description":"Specimen Collection Point identifier, 3 to 5 characters, letters or digits, with no spaces. Cannot be all zeros.\n\nOnly accepted when the medical event carries a pathology request, a `referralOverrideCode` of `N`, or a `selfDeemedCode` of `SD`.\n"},"rule3ExemptInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRule3ExemptInd","description":"Set to `Y` to claim **Rule 3** exemption, the pathology coning rule for multiple services on one day. Requires `medicalEventTime` on this medical event, and cannot be combined with `s4b3ExemptInd`. Omit otherwise."},"s4b3ExemptInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsS4B3ExemptInd","description":"Set to `Y` to claim **Section 4B(3)** exemption. Omit otherwise.\n\nRequires `hospitalInd` of `Y`, and requires `collectionDateTime` and `accessionDateTime` on **every** service in this medical event. The event must also carry a pathology request, a `referralOverrideCode` of `N`, or a `selfDeemedCode` of `SD`. Cannot be combined with `rule3ExemptInd`.\n"},"selfDeemedCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode","description":"Set to `SD` to self-deem the service, instead of sending a request. `SS` is not permitted for pathology, and this cannot be combined with `referralOverrideCode`."},"text":{"type":"string","pattern":"^[A-Za-z0-9@#$%+=:;,.\\-]+( [A-Za-z0-9@#$%+=:;,.\\-]+)*$","minLength":1,"maxLength":50,"description":"Optional supporting information for this service line.\n\nUp to 50 characters. Letters, digits, spaces, and `@ # $ % + = : ; , . -` only, with no leading or trailing space.\n"}},"required":["id","itemNumber","chargeAmount"],"title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","pattern":"^(0[1-9]|[1-7][0-9]|80)$","minLength":2,"maxLength":2,"description":"Your number for this medical event, echoed by Medicare on any per-event error so you can match messages back to the originating event.\n\nExactly two digits. Numbering **must start at `01` and increase by one** for each event in the claim, with no gaps and no repeats. `01`, `02`, `03` is valid; `01`, `03` is rejected.\n"},"authorisationDate":{"type":"string","format":"date","description":"Date the patient assigned their benefit (`YYYY-MM-DD`). Must not be in the future, and must not be before `medicalEventDate`."},"createDateTime":{"type":"string","format":"date-time","description":"Timestamp when your software created this claim record, in **Australian local time with the UTC offset** (for example `2026-08-14T08:30:00+10:00`).\n\nA UTC `Z` value is rejected, as is a value with no offset. Must not be in the future, must not be before the medical event's date and time, and must not be before any `accessionDateTime` in the event.\n"},"medicalEventDate":{"type":"string","format":"date","description":"Date the services were rendered (`YYYY-MM-DD`). Must not be in the future, and is subject to the claim-age limits above."},"medicalEventTime":{"type":"string","pattern":"^\\d{2}:\\d{2}:\\d{2}[+-]\\d{2}:\\d{2}$","description":"Optional. Time the services were rendered, with **seconds and an Australian UTC offset** (`HH:mm:ss±HH:mm`). `07:00` and `07:00:00` are both rejected.\n\nRequired when any service in this event sets `rule3ExemptInd`. The combined date and time must not be in the future.\n"},"submissionAuthorityInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd","description":"Must be `Y`, confirming the patient assigned their Medicare benefit through pre-assignment or post-assignment. Your software must show this to the user before it can submit the claim."},"referralOverrideCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode","description":"Set to `N` when no pathology request is required. Use instead of `referral`, never alongside it, and never with `selfDeemedCode`."},"referral":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral","description":"Pathology request details. Supply this, or `referralOverrideCode` of `N`, or a `selfDeemedCode` of `SD` on a service line. See the referral requirement above."},"patient":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"description":"Services rendered in this medical event (maximum 14)."}},"required":["id","authorisationDate","createDateTime","medicalEventDate","submissionAuthorityInd","patient","service"],"title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaim":{"type":"object","properties":{"serviceTypeCode":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode","description":"Must be `P` for pathology services."},"hospitalInd":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd","description":"Set to `Y` when the services were rendered to an admitted patient. Requires `facilityId`, and is itself required when any service sets `s4b3ExemptInd`. Omit otherwise."},"facilityId":{"type":"string","pattern":"^[0-9]{7}[A-Z]$","minLength":8,"maxLength":8,"description":"Identifier for the hospital where the services were rendered. Required when `hospitalInd` is `Y`.\n\nEight characters: a 6-digit stem, one numeric location character, then a check character. Pad with leading zeros if your stored value is shorter.\n"},"serviceProvider":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider","description":"The approved pathology practitioner who rendered the services in this claim. One servicing provider per claim."},"payeeProvider":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider","description":"Optional. The provider who receives the benefit, when that is not the servicing provider.\n\nThe payee provider's 6-digit stem must differ from the servicing provider's. Omit this object entirely when the servicing provider is paid.\n"},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"description":"Medical events in this claim (maximum 80). Each event groups one patient's services on a single date."}},"required":["serviceTypeCode","serviceProvider","medicalEvent"],"title":"MedicareBulkbillstoreforwardPathologyV1PostRequestBodyContentApplicationJsonSchemaClaim"},"Medicare Claiming_Bulk Bill Claim_Bulk Bill Claim — Pathology_Response_200":{"type":"object","properties":{"claimId":{"type":"string","description":"Claim identifier assigned by Medicare. Use it to retrieve the Processing Report once the claim has been assessed.\n\nSix characters: a prefix, four digits, then `@`. The prefix is a letter for services rendered out of hospital (`F3850@`) and `#` for services rendered to an admitted patient (`#9876@`).\n\nA claim ID is unique per lodgement date and payee provider, so two claims lodged on the same date for different payee providers at one location can share it.\n"},"status":{"type":"string","description":"Transmission status. `SUCCESS` on a successful submission."},"correlationId":{"type":"string","description":"Unique identifier for the request, for support tracing. Matches the `correlationId` you supplied, or the one RebateRight generated for you."}},"required":["claimId","status","correlationId"],"title":"Medicare Claiming_Bulk Bill Claim_Bulk Bill Claim — Pathology_Response_200"},"MedicareBulkbillstoreforwardPathologyV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems":{"type":"object","properties":{"code":{"type":"string","description":"Medicare reason code. See the error-code table above, or the [Services Australia lookup tool](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code) for codes not listed there."},"severity":{"type":"string","description":"Severity of this message (for example `Error`, `Warning`)."},"reason":{"type":"string","description":"Human-readable error message. Includes the offending value and points to the faulting medical event and service by id where applicable. Display it to your user as supplied, without truncating or rewording it."}},"required":["code","severity","reason"],"title":"MedicareBulkbillstoreforwardPathologyV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"PostMedicareBulkbillstoreforwardPathologyV1RequestBadRequestError0":{"type":"object","properties":{"highestSeverity":{"type":"string","description":"Highest severity across all messages (for example `Error`, `Warning`)."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillstoreforwardPathologyV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"description":"One entry per failed check, across every medical event in the claim. Each message identifies the faulting medical event, and where relevant the service, in its `reason` text."},"correlationId":{"type":"string","description":"Echo of the request's `correlationId`, for support tracing."}},"required":["highestSeverity","serviceMessage","correlationId"],"title":"PostMedicareBulkbillstoreforwardPathologyV1RequestBadRequestError0"},"PostMedicareBulkbillstoreforwardPathologyV1RequestBadRequestError1":{"type":"object","properties":{"code":{"type":"integer","description":"Numeric gateway error code, raised by the request-schema or routing layer rather than by a Medicare business rule."},"codeType":{"type":"string","description":"Gateway error category. For example `DHSEIN` for JSON-schema validation failures such as missing required properties or wrong types."},"message":{"type":"string","description":"Human-readable validation summary."},"correlationId":{"type":"string","description":"Echo of the request's `correlationId` when supplied, otherwise a generated one for this call."}},"required":["code","codeType","message","correlationId"],"title":"PostMedicareBulkbillstoreforwardPathologyV1RequestBadRequestError1"},"PostMedicareBulkbillstoreforwardPathologyV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PostMedicareBulkbillstoreforwardPathologyV1RequestBadRequestError0"},{"$ref":"#/components/schemas/PostMedicareBulkbillstoreforwardPathologyV1RequestBadRequestError1"}],"title":"PostMedicareBulkbillstoreforwardPathologyV1RequestBadRequestError"},"MedicareBulkbillpaymentreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Payee provider number as transmitted on the original claim. Pad with leading zeros if there are between 3 and 7 characters before the check digit."}},"required":["providerNumber"],"description":"Payee provider from the original claim transmission; use the same values as on that claim.","title":"MedicareBulkbillpaymentreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider"},"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaStatus":{"type":"string","enum":["COMPLETE","REPORT_NOT_AVAILABLE","REPORT_NOT_READY","REPORT_NOT_FOUND","REPORT_EXPIRED"],"description":"Outcome of the report request. When **status** is **COMPLETE**, monetary fields on related objects are\nin cents as string numerics and account numbers are typically masked.\n\n| Value | Meaning |\n|-------|---------|\n| COMPLETE | Report returned with payment-run data |\n| REPORT_NOT_AVAILABLE | Claim finalised but no payment to make |\n| REPORT_NOT_READY | Report not ready yet — retry later |\n| REPORT_NOT_FOUND | Report not found |\n| REPORT_EXPIRED | Report has expired |\n","title":"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaStatus"},"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentRun":{"type":"object","properties":{"runDate":{"type":"string","format":"date","description":"Payment run date (`YYYY-MM-DD`) — the date the agency requested the RBA to make the deposit."},"runNumber":{"type":"string","description":"Payment run identifier assigned by Medicare for this deposit cycle."}},"required":["runDate","runNumber"],"description":"Present when `status` is `COMPLETE`. Identifies the payment run that included this claim.","title":"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentRun"},"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfoAccountInfo":{"type":"object","properties":{"accountName":{"type":"string","description":"Account name on record for the EFT deposit (may be truncated)."},"accountNumber":{"type":"string","description":"Masked account number — only the last 4 digits are returned, prefixed with asterisks (for example `*****3357`)."},"bsbCode":{"type":"string","description":"BSB identifying the branch where the payee provider's account is held."}},"required":["accountName","accountNumber","bsbCode"],"description":"Payee provider's financial-institution account details, with the account number masked.","title":"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfoAccountInfo"},"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfo":{"type":"object","properties":{"accountInfo":{"$ref":"#/components/schemas/MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfoAccountInfo","description":"Payee provider's financial-institution account details, with the account number masked."},"depositAmount":{"type":"string","description":"Total Medicare benefit deposited into the payee provider's account for all claims in the payment run, in **cents** as a decimal string."}},"required":["accountInfo","depositAmount"],"description":"Present when `status` is `COMPLETE`. Masked bank / EFT details and the deposit amount; monetary values are in **cents** as decimal strings.","title":"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfo"},"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaClaimSummaryItems":{"type":"object","properties":{"benefit":{"type":"string","description":"Total Medicare benefit paid for all services in the claim, in **cents** as a decimal string."},"chargeAmount":{"type":"string","description":"Total amount charged for all services in the claim, in **cents** as a decimal string."},"claimId":{"type":"string","description":"Unique claim identifier assigned by Medicare on assessment (for example `E7062@`)."},"lodgementDate":{"type":"string","format":"date","description":"Date Medicare received the original claim (`YYYY-MM-DD`)."},"transactionId":{"type":"string","description":"Unique identifier of the original claim request, retained throughout the life of the claim."}},"required":["benefit","chargeAmount","claimId","lodgementDate","transactionId"],"title":"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaClaimSummaryItems"},"Medicare Claiming_Bulk Bill Claim_Bulk Bill Payment Report_Response_200":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaStatus","description":"Outcome of the report request. When **status** is **COMPLETE**, monetary fields on related objects are\nin cents as string numerics and account numbers are typically masked.\n\n| Value | Meaning |\n|-------|---------|\n| COMPLETE | Report returned with payment-run data |\n| REPORT_NOT_AVAILABLE | Claim finalised but no payment to make |\n| REPORT_NOT_READY | Report not ready yet — retry later |\n| REPORT_NOT_FOUND | Report not found |\n| REPORT_EXPIRED | Report has expired |\n"},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request."},"paymentRun":{"$ref":"#/components/schemas/MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentRun","description":"Present when `status` is `COMPLETE`. Identifies the payment run that included this claim."},"paymentInfo":{"$ref":"#/components/schemas/MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfo","description":"Present when `status` is `COMPLETE`. Masked bank / EFT details and the deposit amount; monetary values are in **cents** as decimal strings."},"claimSummary":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaClaimSummaryItems"},"description":"Present when `status` is `COMPLETE`. One row per claim included in the payment run (not only the claim you queried)."}},"required":["status","correlationId"],"description":"Payment report result. Payment-run fields appear when `status` is `COMPLETE`.","title":"Medicare Claiming_Bulk Bill Claim_Bulk Bill Payment Report_Response_200"},"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems":{"type":"object","properties":{"code":{"type":"string","description":"Medicare error code."},"severity":{"type":"string","description":"Severity for this message (e.g. `Error`)."},"reason":{"type":"string","description":"Human-readable explanation."}},"required":["code","severity","reason"],"title":"MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"PostMedicareBulkbillpaymentreportV1RequestBadRequestError0":{"type":"object","properties":{"highestSeverity":{"type":"string","description":"Highest severity across all messages (typically `Error`)."},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request, for support tracing."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillpaymentreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"description":"One or more validation or business-rule messages from Medicare."}},"required":["highestSeverity","correlationId","serviceMessage"],"title":"PostMedicareBulkbillpaymentreportV1RequestBadRequestError0"},"PostMedicareBulkbillpaymentreportV1RequestBadRequestError1":{"type":"object","properties":{"code":{"type":"integer","description":"Numeric gateway or request-schema error code."},"codeType":{"type":"string","description":"Gateway error category (for example `DHSEIN` for JSON schema validation)."},"message":{"type":"string","description":"Human-readable validation summary."},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request when supplied; may be generated for this call when omitted upstream."}},"required":["code","codeType","message","correlationId"],"title":"PostMedicareBulkbillpaymentreportV1RequestBadRequestError1"},"PostMedicareBulkbillpaymentreportV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PostMedicareBulkbillpaymentreportV1RequestBadRequestError0"},{"$ref":"#/components/schemas/PostMedicareBulkbillpaymentreportV1RequestBadRequestError1"}],"title":"PostMedicareBulkbillpaymentreportV1RequestBadRequestError"},"MedicareBulkbillprocessingreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Payee provider number as transmitted on the original claim. Pad with leading zeros if there are between 3 and 7 characters before the check digit."}},"required":["providerNumber"],"description":"Payee provider from the original claim transmission; use the same values as on that claim.","title":"MedicareBulkbillprocessingreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaStatus":{"type":"string","enum":["COMPLETE","REPORT_NOT_READY","REPORT_NOT_FOUND","REPORT_EXPIRED"],"description":"Outcome of the report request.\n\n| Value | Meaning |\n|-------|---------|\n| COMPLETE | Report returned with claim assessment data |\n| REPORT_NOT_READY | Report not ready yet — retry later |\n| REPORT_NOT_FOUND | Report not found |\n| REPORT_EXPIRED | Report has expired |\n","title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaStatus"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Provider number (stem, location, and check digit)."}},"required":["providerNumber"],"description":"Servicing provider on the assessed claim.","title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentServiceProvider"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMembership":{"type":"object","properties":{"memberNumber":{"type":"string","description":"Patient's Medicare Card Number as recorded with Medicare at the time of the claim."},"memberRefNumber":{"type":"string","description":"Patient's Medicare Reference Number (IRN) as recorded with Medicare in the original claim."}},"required":["memberNumber","memberRefNumber"],"title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMembership"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMember":{"type":"object","properties":{"familyName":{"type":"string","description":"Patient's family name as identified or corrected at the time of assessment."},"givenName":{"type":"string","description":"Patient's first given name as recorded with Medicare."}},"required":["familyName","givenName"],"title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMember"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientStatus":{"type":"object","properties":{"code":{"type":"integer","description":"Code identifying the problem with the Medicare card details supplied.\n\n| Code | Meaning |\n|------|---------|\n| `8023` | Patient identification amended |\n| `8024` | Patient Medicare Issue number changed |\n| `8025` | Patient Medicare Number changed |\n| `8026` | Patient card used will expire shortly |\n| `8027` | Patient card expired. Future services may be rejected |\n| `8028` | Old Medicare issue number for patient. Future services may be rejected |\n"},"text":{"type":"string","description":"Human-readable explanation of the `code` — additional information to assist with service assessment."}},"description":"Present when Medicare had to correct or flag the card details supplied on the original claim.","title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientStatus"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatient":{"type":"object","properties":{"currentMembership":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMembership"},"currentMember":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMember"},"status":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientStatus","description":"Present when Medicare had to correct or flag the card details supplied on the original claim."}},"required":["currentMembership","currentMember"],"description":"Patient as held by Medicare when the claim was assessed; structure may include further membership fields.","title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatient"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","description":"Service line identifier within the claim (for example `0001`)."},"itemNumber":{"type":"string","description":"MBS item number against which the Medicare benefit was assessed (may be padded)."},"assessmentCode":{"type":"string","description":"Medicare assessment reason code for this service line. Use the [Services Australia lookup tool](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code) to map it to a human-readable description."},"benefitPaid":{"type":"string","description":"Benefit assessed as payable for this service line, in cents as a string numeric."},"chargeAmount":{"type":"string","description":"Amount charged for this service line, in cents as a string numeric."},"numberOfPatientsSeen":{"type":"string","description":"Number of patients seen for the service in a group attendance scenario (`1`–`99`)."}},"required":["id","itemNumber","benefitPaid","chargeAmount"],"title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsServiceItems"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","description":"Medical event identifier within the claim (for example `01`)."},"eventDate":{"type":"string","description":"Date of service for the medical event, as submitted in the original claim (ISO 8601 calendar date)."},"patient":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatient","description":"Patient as held by Medicare when the claim was assessed; structure may include further membership fields."},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsServiceItems"},"description":"Service lines within this medical event (up to 14 per medical event)."}},"required":["id","eventDate","patient","service"],"title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItems"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessment":{"type":"object","properties":{"claimId":{"type":"string","description":"Unique claim identifier assigned by Medicare on assessment (for example `E7062@`)."},"benefitPaid":{"type":"string","description":"Total Medicare benefit paid across all services in the claim, in cents as a string numeric."},"chargeAmount":{"type":"string","description":"Total amount charged across all services in the claim, in cents as a string numeric."},"serviceProvider":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentServiceProvider","description":"Servicing provider on the assessed claim."},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItems"},"description":"Assessed medical events for the claim (up to 80 per claim)."}},"required":["claimId","benefitPaid","chargeAmount","serviceProvider","medicalEvent"],"description":"Present when `status` is `COMPLETE`. Assessment snapshot for the claim; Medicare may include additional properties beyond those listed.","title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessment"},"Medicare Claiming_Bulk Bill Claim_Bulk Bill Processing Report_Response_200":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaStatus","description":"Outcome of the report request.\n\n| Value | Meaning |\n|-------|---------|\n| COMPLETE | Report returned with claim assessment data |\n| REPORT_NOT_READY | Report not ready yet — retry later |\n| REPORT_NOT_FOUND | Report not found |\n| REPORT_EXPIRED | Report has expired |\n"},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request."},"claimAssessment":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessment","description":"Present when `status` is `COMPLETE`. Assessment snapshot for the claim; Medicare may include additional properties beyond those listed."}},"required":["status","correlationId"],"description":"Processing report result. Additional properties appear when `status` is `COMPLETE`.","title":"Medicare Claiming_Bulk Bill Claim_Bulk Bill Processing Report_Response_200"},"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems":{"type":"object","properties":{"code":{"type":"string","description":"Medicare error code."},"severity":{"type":"string","description":"Severity for this message (e.g. `Error`)."},"reason":{"type":"string","description":"Human-readable explanation."}},"required":["code","severity","reason"],"title":"MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"PostMedicareBulkbillprocessingreportV1RequestBadRequestError0":{"type":"object","properties":{"highestSeverity":{"type":"string","description":"Highest severity across all messages (typically `Error`)."},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request, for support tracing."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareBulkbillprocessingreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"description":"One or more validation or business-rule messages from Medicare."}},"required":["highestSeverity","correlationId","serviceMessage"],"title":"PostMedicareBulkbillprocessingreportV1RequestBadRequestError0"},"PostMedicareBulkbillprocessingreportV1RequestBadRequestError1":{"type":"object","properties":{"code":{"type":"integer","description":"Numeric gateway or request-schema error code."},"codeType":{"type":"string","description":"Gateway error category (for example `DHSEIN` for JSON schema validation)."},"message":{"type":"string","description":"Human-readable validation summary."},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request when supplied; may be generated for this call when omitted upstream."}},"required":["code","codeType","message","correlationId"],"title":"PostMedicareBulkbillprocessingreportV1RequestBadRequestError1"},"PostMedicareBulkbillprocessingreportV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PostMedicareBulkbillprocessingreportV1RequestBadRequestError0"},{"$ref":"#/components/schemas/PostMedicareBulkbillprocessingreportV1RequestBadRequestError1"}],"title":"PostMedicareBulkbillprocessingreportV1RequestBadRequestError"},"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaServiceStream":{"type":"string","enum":["general","pathology","diagnosticImaging"],"description":"The service stream. It selects the assignor's statement, the date-column label, and the\ndescription-column label printed on every page of this request.\n\n| Value | Statement (future tense) | Date column | Description column |\n|-------|--------------------------|-------------|--------------------|\n| `general` | …the health professional who will render the service(s). | Date of service | Basic service description |\n| `pathology` | …the approved pathology practitioner who will render the requested pathology service(s)… | Date of specimen collection | Description of service |\n| `diagnosticImaging` | …the diagnostic imaging provider who will render the requested diagnostic imaging service(s)… | Date of imaging procedure | Description of service |\n\nA specialist or allied-health attendance uses `general`. Pathology Group P9 (simple in-rooms\ntests) also uses `general`, the way Services Australia defines the streams.\n","title":"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaServiceStream"},"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"The servicing provider's Medicare provider number, printed under **Details of the professional**."}},"required":["providerNumber"],"title":"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaServiceProvider"},"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaAssignmentsItemsPatient":{"type":"object","properties":{"givenName":{"type":"string","description":"The patient's given name. Printed as part of the patient (assignor) name."},"familyName":{"type":"string","description":"The patient's family name."}},"required":["givenName","familyName"],"title":"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaAssignmentsItemsPatient"},"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaAssignmentsItemsServicesItems":{"type":"object","properties":{"serviceDate":{"type":"string","format":"date","description":"The expected service date, labelled date of service, specimen collection, or\nimaging procedure according to `serviceStream`.\n"},"description":{"type":"string","description":"Your plain-language description of the service to be rendered, the **basic service\ndescription**. Pre-assignment prints this in place of an MBS item number, because the\nexact item is often not known before the service. RebateRight prints it exactly as\nsupplied; it is not validated against the MBS.\n"}},"required":["serviceDate","description"],"title":"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaAssignmentsItemsServicesItems"},"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaAssignmentsItems":{"type":"object","properties":{"dateOfAssignment":{"type":"string","format":"date","description":"The date the patient enters into the agreement. Printed as the **assignment date**."},"assignorIsPatient":{"type":"boolean","description":"Whether the person assigning the benefit is the patient. Prints **Yes** or **No**. Omit it\nto print a **Yes / No** choice for completion by hand.\n"},"patient":{"$ref":"#/components/schemas/AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaAssignmentsItemsPatient"},"services":{"type":"array","items":{"$ref":"#/components/schemas/AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaAssignmentsItemsServicesItems"},"description":"The services to be rendered under this assignment. Each prints as one row."}},"required":["dateOfAssignment","patient","services"],"title":"AoBPreAssignmentPostRequestBodyContentApplicationJsonSchemaAssignmentsItems"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode":{"type":"string","enum":["O","S","P"],"description":"The claim's Medicare service type. Must match the service type of the associated bulk bill\nclaim.\n\n| Code | Service type |\n|------|--------------|\n| `O` | General (out-of-hospital) |\n| `S` | Specialist, allied health, or diagnostic imaging |\n| `P` | Pathology |\n\nWith each medical event's `referral.typeCode`, this selects the form. See\n**How the form is chosen** above.\n","title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string"}},"required":["providerNumber"],"title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode":{"type":"string","enum":["P","D","S"],"description":"Referral service type.\n\n| Code | Meaning |\n|------|---------|\n| `P` | Pathology |\n| `D` | Diagnostic imaging |\n| `S` | Specialist (including allied health) |\n","title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral":{"type":"object","properties":{"typeCode":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode","description":"Referral service type.\n\n| Code | Meaning |\n|------|---------|\n| `P` | Pathology |\n| `D` | Diagnostic imaging |\n| `S` | Specialist (including allied health) |\n"}},"description":"Present for specialist (`serviceTypeCode: S`) and pathology (`serviceTypeCode: P`)\nclaims. Its `typeCode` distinguishes diagnostic imaging from other specialist\nservices when the form is selected. See **How the form is chosen** above.\n","title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be `Y`. Confirms that the Medicare benefit has been assigned by the patient through pre-assignment or post-assignment. Must be displayed to the user to enable claim submission.","title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity":{"type":"object","properties":{"givenName":{"type":"string","description":"Printed on the PDF as the patient / assignor name. For single-name patients, set this to the literal string `ONLYNAME`."},"familyName":{"type":"string"},"dateOfBirth":{"type":"string","format":"date"}},"required":["givenName","familyName","dateOfBirth"],"title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare":{"type":"object","properties":{"memberNumber":{"type":"string"},"memberRefNumber":{"type":"string"}},"required":["memberNumber","memberRefNumber"],"title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"medicare":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientMedicare"}},"required":["identity","medicare"],"title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string"},"itemNumber":{"type":"string"},"chargeAmount":{"type":"string"},"aftercareOverrideInd":{"type":"string"}},"required":["id","itemNumber","chargeAmount","aftercareOverrideInd"],"title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems":{"type":"object","properties":{"id":{"type":"string"},"authorisationDate":{"type":"string","format":"date","description":"Printed on the PDF as the **assignment date**."},"createDateTime":{"type":"string","format":"date-time"},"medicalEventDate":{"type":"string","format":"date","description":"Printed on the PDF in the date column appropriate to the service stream (date of service, specimen collection, or imaging procedure)."},"assignorIsPatient":{"type":"boolean","description":"Whether the person assigning the benefit is the patient. Prints **Yes** or **No**;\nomit it to print a **Yes / No** choice for completion by hand. Not part of a bulk\nbill claim. Supply it only to record the answer on the agreement.\n"},"referral":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral","description":"Present for specialist (`serviceTypeCode: S`) and pathology (`serviceTypeCode: P`)\nclaims. Its `typeCode` distinguishes diagnostic imaging from other specialist\nservices when the form is selected. See **How the form is chosen** above.\n"},"submissionAuthorityInd":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd","description":"Must be `Y`. Confirms that the Medicare benefit has been assigned by the patient through pre-assignment or post-assignment. Must be displayed to the user to enable claim submission."},"patient":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"service":{"type":"array","items":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"}}},"required":["id","authorisationDate","createDateTime","medicalEventDate","submissionAuthorityInd","patient","service"],"title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaim":{"type":"object","properties":{"serviceTypeCode":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode","description":"The claim's Medicare service type. Must match the service type of the associated bulk bill\nclaim.\n\n| Code | Service type |\n|------|--------------|\n| `O` | General (out-of-hospital) |\n| `S` | Specialist, allied health, or diagnostic imaging |\n| `P` | Pathology |\n\nWith each medical event's `referral.typeCode`, this selects the form. See\n**How the form is chosen** above.\n"},"serviceProvider":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"}}},"required":["serviceTypeCode","serviceProvider","medicalEvent"],"title":"AoBPostAssignmentPostRequestBodyContentApplicationJsonSchemaClaim"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveAccountPaidInd":{"type":"string","enum":["Y","N"],"description":"Whether the patient has paid the account in full.\n\n| Code | Meaning |\n|------|---------|\n| Y | Account paid in full |\n| N | Account unpaid |\n","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveAccountPaidInd"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be `Y`. Confirms the claimant has authorised the practice to submit on their behalf.","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveSubmissionAuthorityInd"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare-issued 8-character provider number for the servicing provider (e.g. `2447781L`)."}},"required":["providerNumber"],"description":"The provider who performed the service.","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveServiceProvider"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare-issued 8-character provider number for the payee provider."}},"required":["providerNumber"],"description":"Optional. The provider to whom the Medicare benefit is paid, if different from the servicing provider.","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePayeeProvider"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePatientIdentity":{"type":"object","properties":{"givenName":{"type":"string","description":"Patient given name (1–40 characters)."},"familyName":{"type":"string","description":"Patient family name (1–40 characters)."},"dateOfBirth":{"type":"string","format":"date","description":"Patient date of birth (`YYYY-MM-DD`)."}},"required":["givenName","familyName","dateOfBirth"],"title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePatientIdentity"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePatientMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","description":"10-digit Medicare card number. Must pass the Medicare check-digit routine."},"memberRefNumber":{"type":"string","description":"Individual reference number (IRN) — the digit next to the patient's name on the Medicare card."}},"required":["memberNumber","memberRefNumber"],"description":"Patient Medicare card details.","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePatientMedicare"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePatientIdentity"},"medicare":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePatientMedicare","description":"Patient Medicare card details."}},"required":["identity","medicare"],"description":"The patient who received the service.","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePatient"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantIdentity":{"type":"object","properties":{"givenName":{"type":"string","description":"Claimant given name (1–40 characters)."},"familyName":{"type":"string","description":"Claimant family name (1–40 characters)."},"dateOfBirth":{"type":"string","format":"date","description":"Claimant date of birth (`YYYY-MM-DD`)."}},"title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantIdentity"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","description":"10-digit Medicare card number."},"memberRefNumber":{"type":"string","description":"Claimant's individual reference number (IRN)."}},"description":"Claimant Medicare card details. Required when `identity` is supplied.","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantMedicare"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantEftDetails":{"type":"object","properties":{"accountName":{"type":"string","description":"Account holder name (1–32 characters)."},"accountNumber":{"type":"string","description":"Bank account number (1–9 digits)."},"bsbCode":{"type":"string","description":"6-digit BSB code."}},"description":"Bank account for Medicare benefit payment. Required on the first claim per claimant when `accountPaidInd` is `N`; optional to update stored details on subsequent claims.","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantEftDetails"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantResidentialAddress":{"type":"object","properties":{"addressLineOne":{"type":"string","description":"Address line 1 (1–30 characters)."},"addressLineTwo":{"type":"string","description":"Optional address line 2 (max 30 characters)."},"locality":{"type":"string","description":"Suburb or locality (1–30 characters)."},"postcode":{"type":"string","description":"4-digit Australian postcode."}},"description":"Claimant residential address. Required on the first claim per claimant; supply on subsequent claims to update Medicare's record.","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantResidentialAddress"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantContactDetails":{"type":"object","properties":{"name":{"type":"string","description":"Contact name (max 40 characters)."},"phoneNumber":{"type":"string","description":"Contact phone number."},"emailAddress":{"type":"string","description":"Contact email address."}},"description":"Optional. Claimant phone and email, used by Medicare for correspondence.","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantContactDetails"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimant":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantIdentity"},"medicare":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantMedicare","description":"Claimant Medicare card details. Required when `identity` is supplied."},"eftDetails":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantEftDetails","description":"Bank account for Medicare benefit payment. Required on the first claim per claimant when `accountPaidInd` is `N`; optional to update stored details on subsequent claims."},"residentialAddress":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantResidentialAddress","description":"Claimant residential address. Required on the first claim per claimant; supply on subsequent claims to update Medicare's record."},"contactDetails":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimantContactDetails","description":"Optional. Claimant phone and email, used by Medicare for correspondence."}},"description":"Optional. The person submitting and receiving the Medicare benefit.\n\n- Omit when the claimant is the same person as the patient.\n- Include to supply bank details (`eftDetails`) — required on the first claim per claimant so Medicare can pay by EFT.\n- Include to update the claimant's residential or contact details.\n","title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimant"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","description":"Client-assigned service identifier, unique within the event (1–4 alphanumeric characters, e.g. `0001`)."},"itemNumber":{"type":"string","description":"MBS item number (1–5 digits, optionally suffixed, e.g. `23`, `104`)."},"chargeAmount":{"type":"string","description":"Amount charged for the service, in cents as a string (e.g. `15075` for $150.75)."},"hospitalInd":{"type":"string","description":"Set to `Y` when the service was performed in a hospital. Omit otherwise."},"facilityId":{"type":"string","description":"Required when `hospitalInd` is `Y` — the hospital facility identifier."},"patientContribAmount":{"type":"string","description":"Gap contribution already paid by the patient, in cents."},"numberOfPatientsSeen":{"type":"string","description":"Number of patients seen. Required only for group-therapy MBS items that specify a patient count."},"aftercareOverrideInd":{"type":"string","description":"Set to `Y` to override the aftercare-period check when the service is not within another provider's aftercare period. Omit otherwise."},"duplicateServiceOverrideInd":{"type":"string","description":"Set to `Y` to override the same-day duplicate-service check (for legitimate multiple same-item services on the same date). Requires `medicalEventTime` to be set. Omit otherwise."},"multipleProcedureOverrideInd":{"type":"string","description":"Set to `Y` to override Medicare's multiple-procedure rule when not applicable (e.g. services on different body regions). Omit otherwise."},"restrictiveOverrideCode":{"type":"string","description":"Override code for restricted items when a legitimate clinical reason applies (consult the MBS for valid codes). Omit otherwise."},"timeDuration":{"type":"string","description":"Service duration in minutes. Required for time-based MBS items (e.g. mental-health consultations)."},"text":{"type":"string","description":"Free-text supporting information for the service line (max 50 characters)."},"fieldQuantity":{"type":"string","description":"Quantity required by certain MBS items (e.g. number of radiation fields, number of pathology tests). Consult the MBS for the item-specific meaning."},"lspNumber":{"type":"string","description":"Location-Specific Practice Number (LSPN) for diagnostic imaging or radiation oncology items that require one."},"rule3ExemptInd":{"type":"string","description":"Set to `Y` when the service is exempt from MBS Rule 3 (multiple-operation rule). Omit otherwise."},"s4b3ExemptInd":{"type":"string","description":"Set to `Y` when the service is exempt from Section 4B3. Omit otherwise."}},"required":["id","itemNumber","chargeAmount"],"title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveMedicalEventItemsServiceItems"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","description":"Client-assigned event identifier, unique within the claim (1–4 alphanumeric characters, e.g. `01`)."},"medicalEventDate":{"type":"string","format":"date","description":"Date of service for this event (`YYYY-MM-DD`). Must not be in the future."},"medicalEventTime":{"type":"string","description":"Time of service (`HHmm`, 24-hour). Required when `duplicateServiceOverrideInd` is `Y`."},"service":{"type":"array","items":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveMedicalEventItemsServiceItems"},"description":"Services rendered as part of this event."}},"required":["id","medicalEventDate","service"],"title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveMedicalEventItems"},"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractive":{"type":"object","properties":{"accountPaidInd":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveAccountPaidInd","description":"Whether the patient has paid the account in full.\n\n| Code | Meaning |\n|------|---------|\n| Y | Account paid in full |\n| N | Account unpaid |\n"},"authorisationDate":{"type":"string","format":"date","description":"Date the claim was authorised. Must not be in the future."},"submissionAuthorityInd":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveSubmissionAuthorityInd","description":"Must be `Y`. Confirms the claimant has authorised the practice to submit on their behalf."},"accountReferenceId":{"type":"string","description":"Optional. A reference used by the submitter to identify the claim. 1–9 alphanumeric characters."},"serviceProvider":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveServiceProvider","description":"The provider who performed the service."},"payeeProvider":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePayeeProvider","description":"Optional. The provider to whom the Medicare benefit is paid, if different from the servicing provider."},"patient":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractivePatient","description":"The patient who received the service."},"claimant":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveClaimant","description":"Optional. The person submitting and receiving the Medicare benefit.\n\n- Omit when the claimant is the same person as the patient.\n- Include to supply bank details (`eftDetails`) — required on the first claim per claimant so Medicare can pay by EFT.\n- Include to update the claimant's residential or contact details.\n"},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractiveMedicalEventItems"},"description":"Medical events in this claim. Each event groups one patient's services on a single date of service."}},"required":["accountPaidInd","authorisationDate","submissionAuthorityInd","serviceProvider","patient","medicalEvent"],"title":"PciwPatientClaimInteractiveRequestBodyPatientClaimInteractive"},"PciwPatientClaimInteractiveRequestBody":{"type":"object","properties":{"correlationId":{"type":"string","description":"Optional. Supply a unique transaction ID in the format `urn:uuid:{MinorId}{16 hex chars}`. If omitted, RebateRight generates one automatically."},"patientClaimInteractive":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveRequestBodyPatientClaimInteractive"}},"required":["patientClaimInteractive"],"title":"PciwPatientClaimInteractiveRequestBody"},"PciwPatientClaimInteractiveSuccessResponseStatus":{"type":"string","enum":["MEDICARE_ASSESSED","MEDICARE_PENDABLE","MEDICARE_PENDED","MEDICARE_REJECTED"],"description":"Overall claim outcome. The value drives response handling on your side:\n\n| Status | Meaning | Typical handling |\n|--------|---------|------------------|\n| `MEDICARE_ASSESSED` | Claim assessed by Medicare. One or more services have a `benefitPaid` and an `assessmentCode` of `ASSESSED`. | Treat as paid; payment is in progress to the claimant. |\n| `MEDICARE_PENDABLE` | Claim held by your software; Medicare has not yet received it for assessment. Typically triggered by a service returning `ACCEPTABLE_ERROR` (e.g. possible duplicate). | Surface the reason to the claimant. Within 60 minutes, resubmit with the **same `correlationId`** to either (a) send it to a Medicare operator for manual assessment (→ `MEDICARE_PENDED`), or (b) auto-resolve it by adding the appropriate override indicator or service text (→ may go to `MEDICARE_ASSESSED`). |\n| `MEDICARE_PENDED` | Claim accepted by Medicare and queued for manual operator assessment. No `assessmentCode` or `benefitPaid` will follow via the API. | Record the `claimId` for reconciliation and issue the claimant a printed **Lodgement Advice** (legislatively required). Medicare notifies the claimant directly of the outcome — no downstream API notification is sent. |\n| `MEDICARE_REJECTED` | Claim rejected outright. Check `claimAssessment.error` (claim-level) or per-service `error` for the reason. | Do not resubmit without correcting the underlying issue. |\n","title":"PciwPatientClaimInteractiveSuccessResponseStatus"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentError":{"type":"object","properties":{"code":{"type":"integer","description":"Medicare reason code. Map to the user-facing description via the [Services Australia reason-code lookup](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code)."},"text":{"type":"string","description":"Medicare-provided human-readable reason (suitable for operator display)."}},"description":"**Claim-level** error returned by Medicare. Present when the claim as a whole cannot be assessed or\nwhen operator action is required on the claimant record (for example, bank details). Distinct from the\nper-service `error` inside `medicalEvent[].service[]`.\n","title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentError"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentClaimantCurrentMembership":{"type":"object","properties":{"memberNumber":{"type":"string"},"memberRefNumber":{"type":"string"}},"title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentClaimantCurrentMembership"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentClaimant":{"type":"object","properties":{"currentMembership":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessmentClaimantCurrentMembership"}},"description":"Present when Medicare has updated claimant membership details (e.g. new card issue number).","title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentClaimant"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentPatientCurrentMembership":{"type":"object","properties":{"memberNumber":{"type":"string"},"memberRefNumber":{"type":"string"}},"title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentPatientCurrentMembership"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentPatient":{"type":"object","properties":{"currentMembership":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessmentPatientCurrentMembership"}},"description":"Present when Medicare has updated patient membership details.","title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentPatient"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItemsServiceItemsAssessmentCode":{"type":"string","enum":["","ASSESSED","ACCEPTABLE_ERROR","UNACCEPTABLE_ERROR"],"description":"Per-service outcome. Absent or empty string when the claim was pended before assessment.\n\n| Code | Meaning |\n|------|---------|\n| `ASSESSED` | Service assessed and paid; `benefitPaid` is populated. |\n| `ACCEPTABLE_ERROR` | Service has an error the operator can resolve (e.g. duplicate) — the claim is typically `MEDICARE_PENDABLE`. |\n| `UNACCEPTABLE_ERROR` | Service has an error that cannot be auto-resolved — the claim is typically `MEDICARE_REJECTED`. |\n| `\"\"` (empty) | Service has not been assessed yet; the claim is held by Medicare for manual assessment (`MEDICARE_PENDED`). |\n","title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItemsServiceItemsAssessmentCode"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItemsServiceItemsError":{"type":"object","properties":{"code":{"type":"integer","description":"Medicare reason code. Map via the [Services Australia reason-code lookup](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code)."},"text":{"type":"string","description":"Medicare-provided human-readable reason."}},"description":"**Service-level** error when `assessmentCode` is `ACCEPTABLE_ERROR` or `UNACCEPTABLE_ERROR`.\nDistinct from the claim-level `error` on `claimAssessment`.\n","title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItemsServiceItemsError"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","description":"Service identifier from the request."},"itemNumber":{"type":"string","description":"MBS item number."},"chargeAmount":{"type":"string","description":"Charged amount, in cents (string)."},"assessmentCode":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItemsServiceItemsAssessmentCode","description":"Per-service outcome. Absent or empty string when the claim was pended before assessment.\n\n| Code | Meaning |\n|------|---------|\n| `ASSESSED` | Service assessed and paid; `benefitPaid` is populated. |\n| `ACCEPTABLE_ERROR` | Service has an error the operator can resolve (e.g. duplicate) — the claim is typically `MEDICARE_PENDABLE`. |\n| `UNACCEPTABLE_ERROR` | Service has an error that cannot be auto-resolved — the claim is typically `MEDICARE_REJECTED`. |\n| `\"\"` (empty) | Service has not been assessed yet; the claim is held by Medicare for manual assessment (`MEDICARE_PENDED`). |\n"},"benefitPaid":{"type":"string","description":"Medicare benefit paid for this service, in cents (string). Populated when `assessmentCode` is `ASSESSED`."},"numberOfPatientsSeen":{"type":"string","description":"Number of patients seen for group services (echoed from the request where applicable)."},"error":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItemsServiceItemsError","description":"**Service-level** error when `assessmentCode` is `ACCEPTABLE_ERROR` or `UNACCEPTABLE_ERROR`.\nDistinct from the claim-level `error` on `claimAssessment`.\n"}},"required":["id","itemNumber","chargeAmount"],"title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItemsServiceItems"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","description":"Event identifier from the request."},"eventDate":{"type":"string","format":"date","description":"Service date for this event."},"service":{"type":"array","items":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItemsServiceItems"}}},"required":["id","eventDate","service"],"title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItems"},"PciwPatientClaimInteractiveSuccessResponseClaimAssessment":{"type":"object","properties":{"claimId":{"type":"string","description":"Medicare-assigned claim identifier. Record this for later reconciliation."},"error":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessmentError","description":"**Claim-level** error returned by Medicare. Present when the claim as a whole cannot be assessed or\nwhen operator action is required on the claimant record (for example, bank details). Distinct from the\nper-service `error` inside `medicalEvent[].service[]`.\n"},"claimant":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessmentClaimant","description":"Present when Medicare has updated claimant membership details (e.g. new card issue number)."},"patient":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessmentPatient","description":"Present when Medicare has updated patient membership details."},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessmentMedicalEventItems"},"description":"Echo of the submitted medical events with per-service assessment results."}},"required":["claimId"],"description":"Medicare's assessment of the submitted claim.","title":"PciwPatientClaimInteractiveSuccessResponseClaimAssessment"},"PciwPatientClaimInteractiveSuccessResponse":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseStatus","description":"Overall claim outcome. The value drives response handling on your side:\n\n| Status | Meaning | Typical handling |\n|--------|---------|------------------|\n| `MEDICARE_ASSESSED` | Claim assessed by Medicare. One or more services have a `benefitPaid` and an `assessmentCode` of `ASSESSED`. | Treat as paid; payment is in progress to the claimant. |\n| `MEDICARE_PENDABLE` | Claim held by your software; Medicare has not yet received it for assessment. Typically triggered by a service returning `ACCEPTABLE_ERROR` (e.g. possible duplicate). | Surface the reason to the claimant. Within 60 minutes, resubmit with the **same `correlationId`** to either (a) send it to a Medicare operator for manual assessment (→ `MEDICARE_PENDED`), or (b) auto-resolve it by adding the appropriate override indicator or service text (→ may go to `MEDICARE_ASSESSED`). |\n| `MEDICARE_PENDED` | Claim accepted by Medicare and queued for manual operator assessment. No `assessmentCode` or `benefitPaid` will follow via the API. | Record the `claimId` for reconciliation and issue the claimant a printed **Lodgement Advice** (legislatively required). Medicare notifies the claimant directly of the outcome — no downstream API notification is sent. |\n| `MEDICARE_REJECTED` | Claim rejected outright. Check `claimAssessment.error` (claim-level) or per-service `error` for the reason. | Do not resubmit without correcting the underlying issue. |\n"},"correlationId":{"type":"string","description":"Echo of the request `correlationId` (or the one generated by RebateRight when the request omitted it)."},"claimAssessment":{"$ref":"#/components/schemas/PciwPatientClaimInteractiveSuccessResponseClaimAssessment","description":"Medicare's assessment of the submitted claim."}},"required":["status","correlationId","claimAssessment"],"title":"PciwPatientClaimInteractiveSuccessResponse"},"PciwMedicareServiceMessageErrorServiceMessageItems":{"type":"object","properties":{"code":{"type":"string","description":"Medicare reason code. Map to the user-facing description via the [Services Australia reason-code lookup](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code)."},"severity":{"type":"string","description":"Severity for this message (e.g. `Error`)."},"reason":{"type":"string","description":"Human-readable explanation. Includes the offending value and points to the faulting Medical Event / Service by id where applicable."}},"required":["code","severity","reason"],"title":"PciwMedicareServiceMessageErrorServiceMessageItems"},"PciwMedicareServiceMessageError":{"type":"object","properties":{"highestSeverity":{"type":"string","description":"Highest severity across all messages (typically `Error`)."},"correlationId":{"type":"string","description":"Echo of the request `correlationId` for tracing."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/PciwMedicareServiceMessageErrorServiceMessageItems"},"description":"One or more Medicare validation or business-rule messages."}},"required":["highestSeverity","correlationId","serviceMessage"],"description":"Medicare `serviceMessage` envelope. Returned when the request is structurally valid but fails a Medicare\nbusiness-rule or field-level validation (e.g. invalid card number, future date, duplicate transaction).\n","title":"PciwMedicareServiceMessageError"},"PciwDhseinErrorResponse":{"type":"object","properties":{"code":{"type":"integer","description":"Numeric gateway error code (request-schema or routing layer — not a Medicare business-rule code)."},"codeType":{"type":"string","description":"Gateway error category. For example `DHSEIN` for JSON-schema validation failures (missing required properties, wrong types)."},"message":{"type":"string","description":"Human-readable validation summary."},"correlationId":{"type":"string","description":"Echo of the request's `correlationId` when supplied; otherwise a generated one for this call."}},"required":["code","codeType","message","correlationId"],"description":"Gateway (`DHSEIN`) error envelope. Returned when the request fails JSON-schema validation at the Medicare\ngateway before reaching the business-rule layer — for example a missing required property, a wrong type, or a\nmalformed `correlationId` that cannot be parsed.\n","title":"PciwDhseinErrorResponse"},"PostMedicarePatientclaiminteractiveGeneralV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PciwMedicareServiceMessageError"},{"$ref":"#/components/schemas/PciwDhseinErrorResponse"}],"title":"PostMedicarePatientclaiminteractiveGeneralV1RequestBadRequestError"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveAccountPaidInd":{"type":"string","enum":["Y","N"],"description":"Whether the patient has paid the account in full.\n\n| Code | Meaning |\n|------|---------|\n| Y | Account paid in full |\n| N | Account unpaid |\n","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveAccountPaidInd"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be `Y`. Confirms the claimant has authorised the practice to submit on their behalf.","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveSubmissionAuthorityInd"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare-issued 8-character provider number for the servicing provider (e.g. `2447781L`)."}},"required":["providerNumber"],"description":"The provider who performed the service.","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveServiceProvider"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare-issued 8-character provider number for the payee provider."}},"required":["providerNumber"],"description":"Optional. The provider to whom the Medicare benefit is paid, if different from the servicing provider.","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePayeeProvider"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientIdentity":{"type":"object","properties":{"givenName":{"type":"string","description":"Patient given name (1–40 characters)."},"familyName":{"type":"string","description":"Patient family name (1–40 characters)."},"dateOfBirth":{"type":"string","format":"date","description":"Patient date of birth (`YYYY-MM-DD`)."}},"required":["givenName","familyName","dateOfBirth"],"title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientIdentity"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","description":"10-digit Medicare card number. Must pass the Medicare check-digit routine."},"memberRefNumber":{"type":"string","description":"Individual reference number (IRN) — the digit next to the patient's name on the Medicare card."}},"required":["memberNumber","memberRefNumber"],"description":"Patient Medicare card details.","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientMedicare"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientIdentity"},"medicare":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientMedicare","description":"Patient Medicare card details."}},"required":["identity","medicare"],"description":"The patient who received the service.","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatient"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantIdentity":{"type":"object","properties":{"givenName":{"type":"string","description":"Claimant given name (1–40 characters)."},"familyName":{"type":"string","description":"Claimant family name (1–40 characters)."},"dateOfBirth":{"type":"string","format":"date","description":"Claimant date of birth (`YYYY-MM-DD`)."}},"title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantIdentity"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","description":"10-digit Medicare card number."},"memberRefNumber":{"type":"string","description":"Claimant's individual reference number (IRN)."}},"description":"Claimant Medicare card details. Required when `identity` is supplied.","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantMedicare"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantEftDetails":{"type":"object","properties":{"accountName":{"type":"string","description":"Account holder name (1–32 characters)."},"accountNumber":{"type":"string","description":"Bank account number (1–9 digits)."},"bsbCode":{"type":"string","description":"6-digit BSB code."}},"description":"Bank account for Medicare benefit payment. Required on the first claim per claimant when `accountPaidInd` is `N`; optional to update stored details on subsequent claims.","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantEftDetails"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantResidentialAddress":{"type":"object","properties":{"addressLineOne":{"type":"string","description":"Address line 1 (1–30 characters)."},"addressLineTwo":{"type":"string","description":"Optional address line 2 (max 30 characters)."},"locality":{"type":"string","description":"Suburb or locality (1–30 characters)."},"postcode":{"type":"string","description":"4-digit Australian postcode."}},"description":"Claimant residential address. Required on the first claim per claimant; supply on subsequent claims to update Medicare's record.","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantResidentialAddress"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantContactDetails":{"type":"object","properties":{"name":{"type":"string","description":"Contact name (max 40 characters)."},"phoneNumber":{"type":"string","description":"Contact phone number."},"emailAddress":{"type":"string","description":"Contact email address."}},"description":"Optional. Claimant phone and email, used by Medicare for correspondence.","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantContactDetails"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimant":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantIdentity"},"medicare":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantMedicare","description":"Claimant Medicare card details. Required when `identity` is supplied."},"eftDetails":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantEftDetails","description":"Bank account for Medicare benefit payment. Required on the first claim per claimant when `accountPaidInd` is `N`; optional to update stored details on subsequent claims."},"residentialAddress":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantResidentialAddress","description":"Claimant residential address. Required on the first claim per claimant; supply on subsequent claims to update Medicare's record."},"contactDetails":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantContactDetails","description":"Optional. Claimant phone and email, used by Medicare for correspondence."}},"description":"Optional. The person submitting and receiving the Medicare benefit.\n\n- Omit when the claimant is the same person as the patient.\n- Include to supply bank details (`eftDetails`) — required on the first claim per claimant so Medicare can pay by EFT.\n- Include to update the claimant's residential or contact details.\n","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimant"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItemsServiceItemsSelfDeemedCode":{"type":"string","enum":["SD","SS"],"description":"Self-deemed or substituted service (when rules allow):\n\n| Code | Meaning |\n|------|---------|\n| SD | Self-deemed |\n| SS | Substituted service |\n","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItemsServiceItemsSelfDeemedCode"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","description":"Client-assigned service identifier, unique within the event (1–4 alphanumeric characters, e.g. `0001`)."},"itemNumber":{"type":"string","description":"MBS item number (1–5 digits, optionally suffixed, e.g. `23`, `104`)."},"chargeAmount":{"type":"string","description":"Amount charged for the service, in cents as a string (e.g. `15075` for $150.75)."},"hospitalInd":{"type":"string","description":"Set to `Y` when the service was performed in a hospital. Omit otherwise."},"facilityId":{"type":"string","description":"Required when `hospitalInd` is `Y` — the hospital facility identifier."},"patientContribAmount":{"type":"string","description":"Gap contribution already paid by the patient, in cents."},"numberOfPatientsSeen":{"type":"string","description":"Number of patients seen. Required only for group-therapy MBS items that specify a patient count."},"aftercareOverrideInd":{"type":"string","description":"Set to `Y` to override the aftercare-period check when the service is not within another provider's aftercare period. Omit otherwise."},"duplicateServiceOverrideInd":{"type":"string","description":"Set to `Y` to override the same-day duplicate-service check (for legitimate multiple same-item services on the same date). Requires `medicalEventTime` to be set. Omit otherwise."},"multipleProcedureOverrideInd":{"type":"string","description":"Set to `Y` to override Medicare's multiple-procedure rule when not applicable (e.g. services on different body regions). Omit otherwise."},"restrictiveOverrideCode":{"type":"string","description":"Override code for restricted items when a legitimate clinical reason applies (consult the MBS for valid codes). Omit otherwise."},"timeDuration":{"type":"string","description":"Service duration in minutes. Required for time-based MBS items (e.g. mental-health consultations)."},"text":{"type":"string","description":"Free-text supporting information for the service line (max 50 characters)."},"fieldQuantity":{"type":"string","description":"Quantity required by certain MBS items (e.g. number of radiation fields, number of pathology tests). Consult the MBS for the item-specific meaning."},"lspNumber":{"type":"string","description":"Location-Specific Practice Number (LSPN) for diagnostic imaging or radiation oncology items that require one."},"rule3ExemptInd":{"type":"string","description":"Set to `Y` when the service is exempt from MBS Rule 3 (multiple-operation rule). Omit otherwise."},"s4b3ExemptInd":{"type":"string","description":"Set to `Y` when the service is exempt from Section 4B3. Omit otherwise."},"selfDeemedCode":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItemsServiceItemsSelfDeemedCode","description":"Self-deemed or substituted service (when rules allow):\n\n| Code | Meaning |\n|------|---------|\n| SD | Self-deemed |\n| SS | Substituted service |\n"}},"required":["id","itemNumber","chargeAmount"],"title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItemsServiceItems"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","description":"Client-assigned event identifier, unique within the claim (1–4 alphanumeric characters, e.g. `01`)."},"medicalEventDate":{"type":"string","format":"date","description":"Date of service for this event (`YYYY-MM-DD`). Must not be in the future."},"medicalEventTime":{"type":"string","description":"Time of service (`HHmm`, 24-hour). Required when `duplicateServiceOverrideInd` is `Y`."},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItemsServiceItems"},"description":"Services rendered as part of this event."}},"required":["id","medicalEventDate","service"],"title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItems"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Referring or requesting provider number; must differ from the servicing provider."}},"required":["providerNumber"],"title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralProvider"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralTypeCode":{"type":"string","enum":["D","S"],"description":"Referral / request type (exactly one value per referral):\n\n| Code | Meaning |\n|------|---------|\n| D | Diagnostic imaging request |\n| S | Specialist or allied health referral |\n","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralTypeCode"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralPeriodCode":{"type":"string","enum":["S","N","I"],"description":"Required when **typeCode** is **S**. Referral period type:\n\n| Code | Meaning |\n|------|---------|\n| S | Standard period |\n| N | Non-standard — you must also send **period** (months) |\n| I | Indefinite |\n","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralPeriodCode"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferral":{"type":"object","properties":{"provider":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralProvider"},"issueDate":{"type":"string","format":"date","description":"Referral issue date; not in the future or before patient DOB."},"typeCode":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralTypeCode","description":"Referral / request type (exactly one value per referral):\n\n| Code | Meaning |\n|------|---------|\n| D | Diagnostic imaging request |\n| S | Specialist or allied health referral |\n"},"periodCode":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralPeriodCode","description":"Required when **typeCode** is **S**. Referral period type:\n\n| Code | Meaning |\n|------|---------|\n| S | Standard period |\n| N | Non-standard — you must also send **period** (months) |\n| I | Indefinite |\n"},"period":{"type":"string","description":"Required when **periodCode** is **N** — number of months allowed (1–98)."}},"description":"Specialist or diagnostic imaging referral. Mutually exclusive with **referralOverrideCode** when\nyou are sending an override instead of a referral object.\n","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferral"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralOverrideCode":{"type":"string","enum":["H","L","E","N"],"description":"Use when there is no standard referral. Cannot be combined with a **referral** object in the same\nrequest.\n\n| Code | Meaning |\n|------|---------|\n| H | Hospital |\n| L | Lost referral |\n| E | Emergency |\n| N | Not required |\n","title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralOverrideCode"},"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractive":{"type":"object","properties":{"accountPaidInd":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveAccountPaidInd","description":"Whether the patient has paid the account in full.\n\n| Code | Meaning |\n|------|---------|\n| Y | Account paid in full |\n| N | Account unpaid |\n"},"authorisationDate":{"type":"string","format":"date","description":"Date the claim was authorised. Must not be in the future."},"submissionAuthorityInd":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveSubmissionAuthorityInd","description":"Must be `Y`. Confirms the claimant has authorised the practice to submit on their behalf."},"accountReferenceId":{"type":"string","description":"Optional. A reference used by the submitter to identify the claim. 1–9 alphanumeric characters."},"serviceProvider":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveServiceProvider","description":"The provider who performed the service."},"payeeProvider":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePayeeProvider","description":"Optional. The provider to whom the Medicare benefit is paid, if different from the servicing provider."},"patient":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatient","description":"The patient who received the service."},"claimant":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimant","description":"Optional. The person submitting and receiving the Medicare benefit.\n\n- Omit when the claimant is the same person as the patient.\n- Include to supply bank details (`eftDetails`) — required on the first claim per claimant so Medicare can pay by EFT.\n- Include to update the claimant's residential or contact details.\n"},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItems"},"description":"Medical events in this claim. Each event groups one patient's services on a single date of service."},"referral":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferral","description":"Specialist or diagnostic imaging referral. Mutually exclusive with **referralOverrideCode** when\nyou are sending an override instead of a referral object.\n"},"referralOverrideCode":{"$ref":"#/components/schemas/MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralOverrideCode","description":"Use when there is no standard referral. Cannot be combined with a **referral** object in the same\nrequest.\n\n| Code | Meaning |\n|------|---------|\n| H | Hospital |\n| L | Lost referral |\n| E | Emergency |\n| N | Not required |\n"}},"required":["accountPaidInd","authorisationDate","submissionAuthorityInd","serviceProvider","patient","medicalEvent"],"title":"MedicarePatientclaiminteractiveSpecialistV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractive"},"PostMedicarePatientclaiminteractiveSpecialistV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PciwMedicareServiceMessageError"},{"$ref":"#/components/schemas/PciwDhseinErrorResponse"}],"title":"PostMedicarePatientclaiminteractiveSpecialistV1RequestBadRequestError"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveAccountPaidInd":{"type":"string","enum":["Y","N"],"description":"Whether the patient has paid the account in full.\n\n| Code | Meaning |\n|------|---------|\n| Y | Account paid in full |\n| N | Account unpaid |\n","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveAccountPaidInd"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be `Y`. Confirms the claimant has authorised the practice to submit on their behalf.","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveSubmissionAuthorityInd"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare-issued 8-character provider number for the servicing provider (e.g. `2447781L`)."}},"required":["providerNumber"],"description":"The provider who performed the service.","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveServiceProvider"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare-issued 8-character provider number for the payee provider."}},"required":["providerNumber"],"description":"Optional. The provider to whom the Medicare benefit is paid, if different from the servicing provider.","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePayeeProvider"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientIdentity":{"type":"object","properties":{"givenName":{"type":"string","description":"Patient given name (1–40 characters)."},"familyName":{"type":"string","description":"Patient family name (1–40 characters)."},"dateOfBirth":{"type":"string","format":"date","description":"Patient date of birth (`YYYY-MM-DD`)."}},"required":["givenName","familyName","dateOfBirth"],"title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientIdentity"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","description":"10-digit Medicare card number. Must pass the Medicare check-digit routine."},"memberRefNumber":{"type":"string","description":"Individual reference number (IRN) — the digit next to the patient's name on the Medicare card."}},"required":["memberNumber","memberRefNumber"],"description":"Patient Medicare card details.","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientMedicare"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientIdentity"},"medicare":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatientMedicare","description":"Patient Medicare card details."}},"required":["identity","medicare"],"description":"The patient who received the service.","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatient"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantIdentity":{"type":"object","properties":{"givenName":{"type":"string","description":"Claimant given name (1–40 characters)."},"familyName":{"type":"string","description":"Claimant family name (1–40 characters)."},"dateOfBirth":{"type":"string","format":"date","description":"Claimant date of birth (`YYYY-MM-DD`)."}},"title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantIdentity"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","description":"10-digit Medicare card number."},"memberRefNumber":{"type":"string","description":"Claimant's individual reference number (IRN)."}},"description":"Claimant Medicare card details. Required when `identity` is supplied.","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantMedicare"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantEftDetails":{"type":"object","properties":{"accountName":{"type":"string","description":"Account holder name (1–32 characters)."},"accountNumber":{"type":"string","description":"Bank account number (1–9 digits)."},"bsbCode":{"type":"string","description":"6-digit BSB code."}},"description":"Bank account for Medicare benefit payment. Required on the first claim per claimant when `accountPaidInd` is `N`; optional to update stored details on subsequent claims.","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantEftDetails"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantResidentialAddress":{"type":"object","properties":{"addressLineOne":{"type":"string","description":"Address line 1 (1–30 characters)."},"addressLineTwo":{"type":"string","description":"Optional address line 2 (max 30 characters)."},"locality":{"type":"string","description":"Suburb or locality (1–30 characters)."},"postcode":{"type":"string","description":"4-digit Australian postcode."}},"description":"Claimant residential address. Required on the first claim per claimant; supply on subsequent claims to update Medicare's record.","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantResidentialAddress"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantContactDetails":{"type":"object","properties":{"name":{"type":"string","description":"Contact name (max 40 characters)."},"phoneNumber":{"type":"string","description":"Contact phone number."},"emailAddress":{"type":"string","description":"Contact email address."}},"description":"Optional. Claimant phone and email, used by Medicare for correspondence.","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantContactDetails"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimant":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantIdentity"},"medicare":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantMedicare","description":"Claimant Medicare card details. Required when `identity` is supplied."},"eftDetails":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantEftDetails","description":"Bank account for Medicare benefit payment. Required on the first claim per claimant when `accountPaidInd` is `N`; optional to update stored details on subsequent claims."},"residentialAddress":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantResidentialAddress","description":"Claimant residential address. Required on the first claim per claimant; supply on subsequent claims to update Medicare's record."},"contactDetails":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimantContactDetails","description":"Optional. Claimant phone and email, used by Medicare for correspondence."}},"description":"Optional. The person submitting and receiving the Medicare benefit.\n\n- Omit when the claimant is the same person as the patient.\n- Include to supply bank details (`eftDetails`) — required on the first claim per claimant so Medicare can pay by EFT.\n- Include to update the claimant's residential or contact details.\n","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimant"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","description":"Client-assigned service identifier, unique within the event (1–4 alphanumeric characters, e.g. `0001`)."},"itemNumber":{"type":"string","description":"MBS item number (1–5 digits, optionally suffixed, e.g. `23`, `104`)."},"chargeAmount":{"type":"string","description":"Amount charged for the service, in cents as a string (e.g. `15075` for $150.75)."},"hospitalInd":{"type":"string","description":"Set to `Y` when the service was performed in a hospital. Omit otherwise."},"facilityId":{"type":"string","description":"Required when `hospitalInd` is `Y` — the hospital facility identifier."},"patientContribAmount":{"type":"string","description":"Gap contribution already paid by the patient, in cents."},"numberOfPatientsSeen":{"type":"string","description":"Number of patients seen. Required only for group-therapy MBS items that specify a patient count."},"aftercareOverrideInd":{"type":"string","description":"Set to `Y` to override the aftercare-period check when the service is not within another provider's aftercare period. Omit otherwise."},"duplicateServiceOverrideInd":{"type":"string","description":"Set to `Y` to override the same-day duplicate-service check (for legitimate multiple same-item services on the same date). Requires `medicalEventTime` to be set. Omit otherwise."},"multipleProcedureOverrideInd":{"type":"string","description":"Set to `Y` to override Medicare's multiple-procedure rule when not applicable (e.g. services on different body regions). Omit otherwise."},"restrictiveOverrideCode":{"type":"string","description":"Override code for restricted items when a legitimate clinical reason applies (consult the MBS for valid codes). Omit otherwise."},"timeDuration":{"type":"string","description":"Service duration in minutes. Required for time-based MBS items (e.g. mental-health consultations)."},"text":{"type":"string","description":"Free-text supporting information for the service line (max 50 characters)."},"fieldQuantity":{"type":"string","description":"Quantity required by certain MBS items (e.g. number of radiation fields, number of pathology tests). Consult the MBS for the item-specific meaning."},"lspNumber":{"type":"string","description":"Location-Specific Practice Number (LSPN) for diagnostic imaging or radiation oncology items that require one."},"rule3ExemptInd":{"type":"string","description":"Set to `Y` when the service is exempt from MBS Rule 3 (multiple-operation rule). Omit otherwise."},"s4b3ExemptInd":{"type":"string","description":"Set to `Y` when the service is exempt from Section 4B3. Omit otherwise."},"scpId":{"type":"string","description":"Specialist Collection Point ID for pathology services."},"selfDeemedCode":{"type":"string","description":"Pathology self-deeming (when rules allow). **SS** is not valid for pathology on this\nendpoint.\n\n| Code | Meaning |\n|------|---------|\n| SD | Self-deemed additional tests |\n"},"collectionDateTime":{"type":"string","description":"Date and time the specimen was collected."},"accessionDateTime":{"type":"string","description":"Date and time the specimen was accessioned."}},"required":["id","itemNumber","chargeAmount"],"title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItemsServiceItems"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","description":"Client-assigned event identifier, unique within the claim (1–4 alphanumeric characters, e.g. `01`)."},"medicalEventDate":{"type":"string","format":"date","description":"Date of service for this event (`YYYY-MM-DD`). Must not be in the future."},"medicalEventTime":{"type":"string","description":"Time of service (`HHmm`, 24-hour). Required when `duplicateServiceOverrideInd` is `Y`."},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItemsServiceItems"},"description":"Services rendered as part of this event."}},"required":["id","medicalEventDate","service"],"title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItems"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Requesting provider Medicare number."}},"required":["providerNumber"],"title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralProvider"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralTypeCode":{"type":"string","enum":["P"],"description":"Request type for pathology (must be **P**):\n\n| Code | Meaning |\n|------|---------|\n| P | Pathology request |\n","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralTypeCode"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferral":{"type":"object","properties":{"provider":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralProvider"},"issueDate":{"type":"string","format":"date","description":"Request issue date; must not be in the future or before the patient date of birth."},"typeCode":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralTypeCode","description":"Request type for pathology (must be **P**):\n\n| Code | Meaning |\n|------|---------|\n| P | Pathology request |\n"}},"description":"Pathology request. Mutually exclusive with **referralOverrideCode** when you are using an override\ninstead of a referral object.\n","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferral"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralOverrideCode":{"type":"string","enum":["N"],"description":"Use **N** when a pathology referral is not required. Cannot be combined with a **referral** object\nin the same request.\n\n| Code | Meaning |\n|------|---------|\n| N | Not required |\n","title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralOverrideCode"},"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractive":{"type":"object","properties":{"accountPaidInd":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveAccountPaidInd","description":"Whether the patient has paid the account in full.\n\n| Code | Meaning |\n|------|---------|\n| Y | Account paid in full |\n| N | Account unpaid |\n"},"authorisationDate":{"type":"string","format":"date","description":"Date the claim was authorised. Must not be in the future."},"submissionAuthorityInd":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveSubmissionAuthorityInd","description":"Must be `Y`. Confirms the claimant has authorised the practice to submit on their behalf."},"accountReferenceId":{"type":"string","description":"Optional. A reference used by the submitter to identify the claim. 1–9 alphanumeric characters."},"serviceProvider":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveServiceProvider","description":"The provider who performed the service."},"payeeProvider":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePayeeProvider","description":"Optional. The provider to whom the Medicare benefit is paid, if different from the servicing provider."},"patient":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractivePatient","description":"The patient who received the service."},"claimant":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveClaimant","description":"Optional. The person submitting and receiving the Medicare benefit.\n\n- Omit when the claimant is the same person as the patient.\n- Include to supply bank details (`eftDetails`) — required on the first claim per claimant so Medicare can pay by EFT.\n- Include to update the claimant's residential or contact details.\n"},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveMedicalEventItems"},"description":"Medical events in this claim. Each event groups one patient's services on a single date of service."},"referral":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferral","description":"Pathology request. Mutually exclusive with **referralOverrideCode** when you are using an override\ninstead of a referral object.\n"},"referralOverrideCode":{"$ref":"#/components/schemas/MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractiveReferralOverrideCode","description":"Use **N** when a pathology referral is not required. Cannot be combined with a **referral** object\nin the same request.\n\n| Code | Meaning |\n|------|---------|\n| N | Not required |\n"}},"required":["accountPaidInd","authorisationDate","submissionAuthorityInd","serviceProvider","patient","medicalEvent"],"title":"MedicarePatientclaiminteractivePathologyV1PostRequestBodyContentApplicationJsonSchemaPatientClaimInteractive"},"PostMedicarePatientclaiminteractivePathologyV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PciwMedicareServiceMessageError"},{"$ref":"#/components/schemas/PciwDhseinErrorResponse"}],"title":"PostMedicarePatientclaiminteractivePathologyV1RequestBadRequestError"},"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeletePatientIdentity":{"type":"object","properties":{"givenName":{"type":"string","minLength":1,"maxLength":40,"description":"Patient first given name (1–40 characters). If the patient has **only one legal name**, put\nthat name in **familyName** and set **givenName** to the literal **`Onlyname`** (this exact\nspelling is required by Medicare for single-name patients).\n\nAllowed characters: letters A–Z / a–z, digits 0–9, space, apostrophe `'`, hyphen `-`; at least\none letter or digit; no leading/trailing spaces around apostrophes, hyphens, or other spaces.\n"},"familyName":{"type":"string","minLength":1,"maxLength":40,"description":"Patient family name (1–40 characters). Single-name rule: use **`Onlyname`** in **givenName**\nas above.\n\nSame character and spacing rules as **givenName**.\n"}},"required":["givenName","familyName"],"description":"Legal name fields — lengths and character rules below.","title":"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeletePatientIdentity"},"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeletePatientMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","pattern":"^[0-9]{10}$","minLength":10,"maxLength":10,"description":"10-digit Medicare card number. The first nine digits must satisfy Medicare’s **check digit**\nrules for card numbers. The **10th** digit is the **card issue number** printed on the card and\nmust be **1–9** — it must **not** be `0`.\n"},"memberRefNumber":{"type":"string","pattern":"^[1-9]$","minLength":1,"maxLength":1,"description":"**Individual Reference Number (IRN)** on the card — exactly **one** digit, **1–9**, never **`0`**.\n"}},"required":["memberNumber","memberRefNumber"],"description":"Medicare card on the original claim (must match).","title":"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeletePatientMedicare"},"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeletePatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeletePatientIdentity","description":"Legal name fields — lengths and character rules below."},"medicare":{"$ref":"#/components/schemas/MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeletePatientMedicare","description":"Medicare card on the original claim (must match)."}},"required":["identity","medicare"],"description":"Patient on the original claim (must match what was transmitted).","title":"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeletePatient"},"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeleteReasonCode":{"type":"string","enum":["001","002","003","004","005","006","007"],"description":"Required three-digit reason code. Medicare only accepts the values below; anything else typically\nreturns **`9202`** with a message that lists the allowed codes.\n\n| Code | Meaning |\n|---|---|\n| `001` | Incorrect patient selection |\n| `002` | Incorrect provider details |\n| `003` | Incorrect date of service |\n| `004` | Incorrect item number claimed |\n| `005` | Omitted text on original claim |\n| `006` | Incorrect payment type (paid / unpaid) |\n| `007` | Other |\n","title":"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeleteReasonCode"},"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDelete":{"type":"object","properties":{"patient":{"$ref":"#/components/schemas/MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeletePatient","description":"Patient on the original claim (must match what was transmitted)."},"reasonCode":{"$ref":"#/components/schemas/MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDeleteReasonCode","description":"Required three-digit reason code. Medicare only accepts the values below; anything else typically\nreturns **`9202`** with a message that lists the allowed codes.\n\n| Code | Meaning |\n|---|---|\n| `001` | Incorrect patient selection |\n| `002` | Incorrect provider details |\n| `003` | Incorrect date of service |\n| `004` | Incorrect item number claimed |\n| `005` | Omitted text on original claim |\n| `006` | Incorrect payment type (paid / unpaid) |\n| `007` | Other |\n"}},"required":["patient","reasonCode"],"description":"Patient identity and Medicare card details must match the **original** claim. **reasonCode** is required.\n","title":"MedicareSamedaydeleteV1PostRequestBodyContentApplicationJsonSchemaSameDayDelete"},"MedicareSamedaydeleteV1PostResponsesContentApplicationJsonSchemaStatus":{"type":"string","enum":["SUCCESS"],"description":"Outcome when Medicare **accepts** the same-day delete.\n\n| Value | Meaning |\n|---|---|\n| `SUCCESS` | Same-day delete processed; the claim is removed at Medicare. |\n","title":"MedicareSamedaydeleteV1PostResponsesContentApplicationJsonSchemaStatus"},"Medicare Claiming_Interactive patient claims_Same Day Delete_Response_200":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/MedicareSamedaydeleteV1PostResponsesContentApplicationJsonSchemaStatus","description":"Outcome when Medicare **accepts** the same-day delete.\n\n| Value | Meaning |\n|---|---|\n| `SUCCESS` | Same-day delete processed; the claim is removed at Medicare. |\n"},"correlationId":{"type":"string","description":"Optional echo of the request correlation id for support tracing — not always returned.\n"}},"required":["status"],"description":"On success, Medicare returns at least **`status`**. **`correlationId`** may also be present for tracing,\ndepending on the path the response took — treat it as **optional** when present.\n","title":"Medicare Claiming_Interactive patient claims_Same Day Delete_Response_200"},"MedicareSamedaydeleteV1PostResponsesContentApplicationJsonSchemaServiceMessageItems":{"type":"object","properties":{"code":{"type":"string","description":"Medicare **code** (string in JSON). You will often see the values below for same-day delete; many\nother codes exist for validation, connectivity, and internal errors.\n\n| Code | Typical situation |\n|---|---|\n| `9202` | Field, format, or business-rule rejection (wrong reason code, name, Medicare number, IRN, etc.). **Many** different `reason` strings use this same code. |\n| `9775` | **Correlation id not found** — no claim matches the id you sent, or the claim is not eligible for same-day delete (wrong day, location, status, and similar). |\n| `9646` | Example: Medicare **could not locate** the claim for delete. |\n| `9647` | Example: claim **already deleted**. |\n\n**Other codes:** always persist **`code`**, **`reason`**, and **`severity`** together and handle unknown\ncodes gracefully — Medicare does not publish a single fixed list in this API reference.\n"},"reason":{"type":"string","description":"Human-readable text from Medicare — show **unchanged** when displaying errors to end users."},"severity":{"type":"string","description":"Severity for this message (e.g. `Error`)."}},"required":["code","reason","severity"],"title":"MedicareSamedaydeleteV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"},"PostMedicareSamedaydeleteV1RequestBadRequestError":{"type":"object","properties":{"highestSeverity":{"type":"string","description":"Highest severity across all messages (typically `Error`)."},"correlationId":{"type":"string","description":"Echo of the request correlation id when supplied; may be generated for this call when omitted upstream."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareSamedaydeleteV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"},"description":"One or more Medicare validation or business-rule messages."}},"required":["highestSeverity","correlationId","serviceMessage"],"description":"Standard Medicare **`serviceMessage`** envelope (same shape as interactive patient claim errors). **`code`** is Medicare’s machine-facing\ncode; **`reason`** is the human-readable text — when you show errors to users, display **`reason`** **verbatim**\n(do not reword).\n","title":"PostMedicareSamedaydeleteV1RequestBadRequestError"},"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientIdentitySex":{"type":"string","enum":["1","2","3","9"],"description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|------|---------|\n| 1 | Male |\n| 2 | Female |\n| 3 | Other |\n| 9 | Not stated / inadequately described |\n","title":"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientIdentitySex"},"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientIdentity":{"type":"object","properties":{"dateOfBirth":{"type":"string","format":"date","description":"Cannot be a future date or more than 130 years in the past."},"familyName":{"type":"string","description":"Alphanumeric only, 1–40 characters."},"givenName":{"type":"string","description":"Alphanumeric only, 1–40 characters."},"sex":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientIdentitySex","description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|------|---------|\n| 1 | Male |\n| 2 | Female |\n| 3 | Other |\n| 9 | Not stated / inadequately described |\n"},"secondInitial":{"type":"string","maxLength":1,"description":"Patient's second name initial."}},"required":["dateOfBirth","familyName","givenName","sex"],"title":"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientIdentity"},"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientResidentialAddress":{"type":"object","properties":{"locality":{"type":"string","description":"Suburb or town name. Alphanumeric only, 1–40 characters. Do not include the state code."},"postcode":{"type":"string","description":"4-digit postcode. Must not be `0000`."}},"required":["locality","postcode"],"description":"Optional. If provided, both fields are required.","title":"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientResidentialAddress"},"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientVeteranMembership":{"type":"object","properties":{"veteranNumber":{"type":"string","description":"DVA file number. War code followed by numeric digits, no spaces (e.g. `NX901667`)."}},"description":"Include to perform a PVV verification against a known DVA file number.","title":"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientVeteranMembership"},"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientIdentity"},"residentialAddress":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientResidentialAddress","description":"Optional. If provided, both fields are required."},"veteranMembership":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatientVeteranMembership","description":"Include to perform a PVV verification against a known DVA file number."}},"required":["identity"],"title":"MedicareVeteranverificationV1PostRequestBodyContentApplicationJsonSchemaPatient"},"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatusCurrentMembership":{"type":"object","properties":{"veteranNumber":{"type":"string","description":"DVA file number. Present in PVP responses."},"entitlementCode":{"type":"string","description":"DVA card type code."}},"title":"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatusCurrentMembership"},"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatusCurrentMember":{"type":"object","properties":{"familyName":{"type":"string","description":"Name as known to DVA."},"givenName":{"type":"string","description":"Name as known to DVA."}},"description":"Present when status code is `8005`.","title":"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatusCurrentMember"},"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatusStatus":{"type":"object","properties":{"code":{"type":"integer"},"text":{"type":"string"}},"title":"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatusStatus"},"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatus":{"type":"object","properties":{"currentMembership":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatusCurrentMembership"},"currentMember":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatusCurrentMember","description":"Present when status code is `8005`."},"status":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatusStatus"}},"title":"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatus"},"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaServiceMessageItems":{"type":"object","properties":{"code":{"type":"string"},"severity":{"type":"string"},"reason":{"type":"string"}},"required":["code","severity","reason"],"title":"MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"},"DVA_Veteran Verification_Response_200":{"type":"object","properties":{"correlationId":{"type":"string"},"veteranStatus":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaVeteranStatus"},"highestSeverity":{"type":"string","description":"Present on validation errors."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"},"description":"Present on validation errors."}},"title":"DVA_Veteran Verification_Response_200"},"PostMedicareVeteranverificationV1RequestBadRequestError":{"type":"object","properties":{"highestSeverity":{"type":"string"},"correlationId":{"type":"string"},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareVeteranverificationV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"}}},"required":["highestSeverity","correlationId","serviceMessage"],"title":"PostMedicareVeteranverificationV1RequestBadRequestError"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode":{"type":"string","enum":["O"],"description":"Use **O** for general (non-specialist, non-pathology) DVA medical claims.\n\n| Code | Meaning |\n|------|---------|\n| O | General (out-of-hospital) services |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Provider number of the practitioner who rendered the service. 6-digit stem + 1 location character + 1 check digit (e.g. `2447781L`)."}},"required":["providerNumber"],"title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"6-digit stem + 1 location character + 1 check digit."}},"description":"Optional. The provider to whom the benefit will be paid, if different from the servicing provider. Must have a different provider stem (first 6 characters).","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode":{"type":"string","enum":["E","H","L","N"],"description":"Optional. Use when a service that normally needs a referral was provided without a **referral**\nobject. Do not set together with **referral**.\n\n| Code | Meaning |\n|------|---------|\n| E | Emergency |\n| H | Hospital — also requires **facilityId** and **treatmentLocationCode** **H** |\n| L | Lost referral |\n| N | Not required |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be **Y**. Confirms the claim is authorised for submission to the Department of Veterans' Affairs.\n\n| Code | Meaning |\n|------|---------|\n| Y | Authorised for submission |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsTreatmentLocationCode":{"type":"string","enum":["V","H","R"],"description":"Where the service was provided.\n\n| Code | Meaning |\n|------|---------|\n| V | Home visit (residential care, community health centre, or hostel) |\n| H | Hospital |\n| R | Rooms |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsTreatmentLocationCode"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisabilityInd":{"type":"string","enum":["Y"],"description":"Must be **Y** — service is for a condition covered by a **White Card**.\n\n| Code | Meaning |\n|------|---------|\n| Y | White Card condition |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisabilityInd"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisability":{"type":"object","properties":{"ind":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisabilityInd","description":"Must be **Y** — service is for a condition covered by a **White Card**.\n\n| Code | Meaning |\n|------|---------|\n| Y | White Card condition |\n"},"code":{"type":"string","maxLength":100,"description":"Description of the condition treated. Alphanumeric and special characters (`: ; , . -`) allowed. First character must be alpha or numeric. 1–100 characters."}},"required":["ind","code"],"title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisability"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentitySex":{"type":"string","enum":["1","2","3","9"],"description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|------|---------|\n| 1 | Male |\n| 2 | Female |\n| 3 | Other |\n| 9 | Not stated |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentitySex"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity":{"type":"object","properties":{"dateOfBirth":{"type":"string","format":"date","description":"Must not be in the future, more than 130 years in the past, or after `medicalEventDate`."},"familyName":{"type":"string","description":"1–40 characters. Alpha, numeric, spaces, apostrophes and hyphens only. If the patient has only one name, supply it here and use `*Onlyname*` in `givenName`."},"givenName":{"type":"string","description":"1–40 characters. Alpha, numeric, spaces, apostrophes and hyphens only. Use `*Onlyname*` if the patient has only one name."},"sex":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentitySex","description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|------|---------|\n| 1 | Male |\n| 2 | Female |\n| 3 | Other |\n| 9 | Not stated |\n"}},"required":["dateOfBirth","familyName","givenName","sex"],"title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientResidentialAddress":{"type":"object","properties":{"locality":{"type":"string","description":"Suburb or town. 1–40 characters. Do not include the state code as a separate value."},"postcode":{"type":"string","description":"4-digit postcode. Must not be `0000`."}},"description":"Optional. If provided, both `locality` and `postcode` are required.","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientResidentialAddress"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientVeteranMembership":{"type":"object","properties":{"veteranNumber":{"type":"string","description":"DVA file number. State code + war code + numeric digits (e.g. `NX901667`). 3–9 characters total, no spaces within the file number."}},"required":["veteranNumber"],"title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientVeteranMembership"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"residentialAddress":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientResidentialAddress","description":"Optional. If provided, both `locality` and `postcode` are required."},"veteranMembership":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientVeteranMembership"}},"required":["identity","veteranMembership"],"title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if the service was not normal aftercare.\n\n| Code | Meaning |\n|------|---------|\n| Y | Not normal aftercare |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if multiple same-day services by the same provider should be treated\nas separate. Requires **medicalEventTime** or **text**.\n\n| Code | Meaning |\n|------|---------|\n| Y | Treat as separate services |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if the multiple services rule should not apply. Requires **text**\nexplaining the reason.\n\n| Code | Meaning |\n|------|---------|\n| Y | Override multiple-services rule |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode":{"type":"string","enum":["SP","NR","NC"],"description":"Optional. Explains why restrictive rules should not apply. Requires **text**.\n\n| Code | Meaning |\n|------|---------|\n| SP | Separate sites |\n| NR | Not related |\n| NC | Not for comparison (bilateral) |\n","title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","description":"4-character alphanumeric identifier, unique within the claim (e.g. `0001`, `AC68`)."},"itemNumber":{"type":"string","description":"MBS or DVA item number. 1–5 characters. DVA-specific items are prefixed with at least one alpha character."},"chargeAmount":{"type":"string","description":"Charge in cents. Minimum `100` ($1.00). Required unless `distanceKilometres` is set."},"accountReferenceNumber":{"type":"string","description":"Optional. Invoice or medical record reference. 1–8 alphanumeric characters, no spaces."},"aftercareOverrideInd":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd","description":"Optional. Set **Y** if the service was not normal aftercare.\n\n| Code | Meaning |\n|------|---------|\n| Y | Not normal aftercare |\n"},"distanceKilometres":{"type":"string","description":"Optional. Travelling distance for home, nursing home, or hospital visits. 11–999 km. If set, only `id` and `itemNumber` may also be set on this service; at least one other non-distance service must exist in the medical event."},"duplicateServiceOverrideInd":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd","description":"Optional. Set **Y** if multiple same-day services by the same provider should be treated\nas separate. Requires **medicalEventTime** or **text**.\n\n| Code | Meaning |\n|------|---------|\n| Y | Treat as separate services |\n"},"fieldQuantity":{"type":"string","description":"Optional. Number of fields irradiated or 15-minute time blocks. Numeric 1–99. Cannot be set alongside `numberOfPatientsSeen` or `timeDuration`."},"lspNumber":{"type":"string","description":"Optional. Location Specific Practice Number for diagnostic imaging. Numeric 1–999999. All services in a medical event must share the same LSPN."},"multipleProcedureOverrideInd":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd","description":"Optional. Set **Y** if the multiple services rule should not apply. Requires **text**\nexplaining the reason.\n\n| Code | Meaning |\n|------|---------|\n| Y | Override multiple-services rule |\n"},"numberOfPatientsSeen":{"type":"string","description":"Optional. Number of patients seen (1–99). Required for group attendance items. Cannot be set alongside `timeDuration` or `fieldQuantity`."},"restrictiveOverrideCode":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode","description":"Optional. Explains why restrictive rules should not apply. Requires **text**.\n\n| Code | Meaning |\n|------|---------|\n| SP | Separate sites |\n| NR | Not related |\n| NC | Not for comparison (bilateral) |\n"},"text":{"type":"string","description":"Optional. Free text providing additional information to support claim assessment. 1–100 characters."},"timeDuration":{"type":"string","description":"Optional. Duration of service in minutes. Numeric 001–999. Cannot be set alongside `numberOfPatientsSeen` or `fieldQuantity`."}},"required":["id","itemNumber","chargeAmount"],"title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","description":"Sequential numeric identifier for this medical event within the claim. Must start at `01` and increment by 1 (e.g. `01`, `02`, `03`)."},"authorisationDate":{"type":"string","format":"date","description":"Date the claim was authorised. Must not be in the future or before `medicalEventDate`."},"createDateTime":{"type":"string","format":"date-time","description":"Date and time the medical event record was created. Must not be in the future or before `medicalEventDate`. Must be a valid Australian timezone offset (e.g. `+10:00`)."},"facilityId":{"type":"string","description":"Optional. Commonwealth Hospital Facility Provider Number. Required when `referralOverrideCode` is `H`."},"medicalEventDate":{"type":"string","format":"date","description":"Date the service was rendered. Must not be in the future or more than 2 years in the past."},"medicalEventTime":{"type":"string","description":"Optional. Time the service was rendered. Must not be in the future. Must be a valid Australian timezone offset."},"referralOverrideCode":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode","description":"Optional. Use when a service that normally needs a referral was provided without a **referral**\nobject. Do not set together with **referral**.\n\n| Code | Meaning |\n|------|---------|\n| E | Emergency |\n| H | Hospital — also requires **facilityId** and **treatmentLocationCode** **H** |\n| L | Lost referral |\n| N | Not required |\n"},"submissionAuthorityInd":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd","description":"Must be **Y**. Confirms the claim is authorised for submission to the Department of Veterans' Affairs.\n\n| Code | Meaning |\n|------|---------|\n| Y | Authorised for submission |\n"},"treatmentLocationCode":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsTreatmentLocationCode","description":"Where the service was provided.\n\n| Code | Meaning |\n|------|---------|\n| V | Home visit (residential care, community health centre, or hostel) |\n| H | Hospital |\n| R | Rooms |\n"},"acceptedDisability":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisability"},"patient":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"description":"One or more services within this medical event. Maximum 14 per medical event."}},"required":["id","authorisationDate","createDateTime","medicalEventDate","submissionAuthorityInd","treatmentLocationCode","acceptedDisability","patient","service"],"title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaim":{"type":"object","properties":{"serviceTypeCode":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode","description":"Use **O** for general (non-specialist, non-pathology) DVA medical claims.\n\n| Code | Meaning |\n|------|---------|\n| O | General (out-of-hospital) services |\n"},"serviceProvider":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"payeeProvider":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider","description":"Optional. The provider to whom the benefit will be paid, if different from the servicing provider. Must have a different provider stem (first 6 characters)."},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"description":"One or more medical events. Maximum 80 per claim."}},"required":["serviceTypeCode","serviceProvider","medicalEvent"],"title":"MedicareDvaclaimGeneralV1PostRequestBodyContentApplicationJsonSchemaClaim"},"DVA_DVA Claim — General_Response_200":{"type":"object","properties":{"claimId":{"type":"string","description":"Unique claim identifier assigned by Services Australia. Format is a letter prefix + 4 digits + `@` (e.g. `D0742@`)."},"status":{"type":"string","description":"Always `SUCCESS` on a successful submission."},"correlationId":{"type":"string"}},"title":"DVA_DVA Claim — General_Response_200"},"MedicareDvaclaimGeneralV1PostResponsesContentApplicationJsonSchemaServiceMessageItems":{"type":"object","properties":{"code":{"type":"string"},"severity":{"type":"string"},"reason":{"type":"string"}},"title":"MedicareDvaclaimGeneralV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"},"PostMedicareDvaclaimGeneralV1RequestBadRequestError":{"type":"object","properties":{"highestSeverity":{"type":"string"},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaclaimGeneralV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"}},"correlationId":{"type":"string"}},"required":["highestSeverity","serviceMessage","correlationId"],"title":"PostMedicareDvaclaimGeneralV1RequestBadRequestError"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode":{"type":"string","enum":["S"],"description":"Use **S** for specialist DVA claims.\n\n| Code | Meaning |\n|------|---------|\n| S | Specialist, allied health, or related services |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if the service was rendered within a hospital facility.\n\n| Code | Meaning |\n|------|---------|\n| Y | In-hospital |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Provider number of the practitioner who rendered the service. 6-digit stem + 1 location character + 1 check digit (e.g. `2447781L`)."}},"required":["providerNumber"],"title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"6-digit stem + 1 location character + 1 check digit."}},"description":"Optional. The provider to whom the benefit will be paid, if different from the servicing provider. Must have a different provider stem (first 6 characters).","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode":{"type":"string","enum":["E","H","L","N"],"description":"Optional. Use when a specialist service that normally needs a referral was provided without a\n**referral** object. Do not set together with **referral**.\n\n| Code | Meaning |\n|------|---------|\n| E | Emergency |\n| H | Hospital — also requires **facilityId** and **treatmentLocationCode** **H** |\n| L | Lost referral |\n| N | Not required |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be **Y**. Confirms the claim is authorised for submission to the Department of Veterans' Affairs.\n\n| Code | Meaning |\n|------|---------|\n| Y | Authorised for submission |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsTreatmentLocationCode":{"type":"string","enum":["V","H","R"],"description":"Where the service was provided.\n\n| Code | Meaning |\n|------|---------|\n| V | Home visit |\n| H | Hospital |\n| R | Rooms |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsTreatmentLocationCode"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisabilityInd":{"type":"string","enum":["Y"],"description":"Must be **Y** — service is for a condition covered by a **White Card**.\n\n| Code | Meaning |\n|------|---------|\n| Y | White Card condition |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisabilityInd"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisability":{"type":"object","properties":{"ind":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisabilityInd","description":"Must be **Y** — service is for a condition covered by a **White Card**.\n\n| Code | Meaning |\n|------|---------|\n| Y | White Card condition |\n"},"code":{"type":"string","maxLength":100,"description":"Description of the condition treated. Alphanumeric and special characters (`: ; , . -`) allowed. First character must be alpha or numeric. 1–100 characters."}},"required":["ind","code"],"title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisability"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralPeriodCode":{"type":"string","enum":["S","N","I"],"description":"Required when **typeCode** is **S**. Not used when **typeCode** is **D**.\n\n| Code | Meaning |\n|------|---------|\n| S | Standard period (12 months GP / 3 months specialist) |\n| N | Non-standard — supply **period** (months) |\n| I | Indefinite |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralPeriodCode"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode":{"type":"string","enum":["S","D"],"description":"Referral or diagnostic imaging request type.\n\n| Code | Meaning |\n|------|---------|\n| S | Specialist referral |\n| D | Diagnostic imaging request — do not send **periodCode** or **period** |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Provider number of the referring practitioner. Must differ from both service and payee providers."}},"required":["providerNumber"],"title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral":{"type":"object","properties":{"issueDate":{"type":"string","format":"date","description":"Date the referral was issued. Must not be in the future, after `medicalEventDate`, or before patient DOB."},"period":{"type":"string","description":"Optional. Non-standard referral period in months (1–98). Only set when `periodCode` is `N`."},"periodCode":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralPeriodCode","description":"Required when **typeCode** is **S**. Not used when **typeCode** is **D**.\n\n| Code | Meaning |\n|------|---------|\n| S | Standard period (12 months GP / 3 months specialist) |\n| N | Non-standard — supply **period** (months) |\n| I | Indefinite |\n"},"typeCode":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode","description":"Referral or diagnostic imaging request type.\n\n| Code | Meaning |\n|------|---------|\n| S | Specialist referral |\n| D | Diagnostic imaging request — do not send **periodCode** or **period** |\n"},"provider":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider"}},"description":"Referral or diagnostic imaging request details. Required unless `referralOverrideCode` or `selfDeemedCode` is used instead.","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentitySex":{"type":"string","enum":["1","2","3","9"],"description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|------|---------|\n| 1 | Male |\n| 2 | Female |\n| 3 | Other |\n| 9 | Not stated |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentitySex"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity":{"type":"object","properties":{"dateOfBirth":{"type":"string","format":"date","description":"Must not be in the future, more than 130 years in the past, or after `medicalEventDate`."},"familyName":{"type":"string","description":"1–40 characters. Alpha, numeric, spaces, apostrophes and hyphens only."},"givenName":{"type":"string","description":"1–40 characters. Use `*Onlyname*` if the patient has only one name."},"sex":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentitySex","description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|------|---------|\n| 1 | Male |\n| 2 | Female |\n| 3 | Other |\n| 9 | Not stated |\n"}},"required":["dateOfBirth","familyName","givenName","sex"],"title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientResidentialAddress":{"type":"object","properties":{"locality":{"type":"string","description":"Suburb or town. 1–40 characters. Do not include the state code as a separate value."},"postcode":{"type":"string","description":"4-digit postcode. Must not be `0000`."}},"description":"Optional. If provided, both fields are required.","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientResidentialAddress"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientVeteranMembership":{"type":"object","properties":{"veteranNumber":{"type":"string","description":"DVA file number (e.g. `NX901667`). 3–9 characters total."}},"required":["veteranNumber"],"title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientVeteranMembership"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"residentialAddress":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientResidentialAddress","description":"Optional. If provided, both fields are required."},"veteranMembership":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientVeteranMembership"}},"required":["identity","veteranMembership"],"title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if the service was not normal aftercare.\n\n| Code | Meaning |\n|------|---------|\n| Y | Not normal aftercare |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if same-day services by the same provider should be treated as separate.\nRequires **medicalEventTime** or **text**.\n\n| Code | Meaning |\n|------|---------|\n| Y | Treat as separate services |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if the multiple services rule should not apply. Requires **text**\nexplaining the reason.\n\n| Code | Meaning |\n|------|---------|\n| Y | Override multiple-services rule |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode":{"type":"string","enum":["SP","NR","NC"],"description":"Optional. Explains why restrictive rules should not apply. Requires **text**.\n\n| Code | Meaning |\n|------|---------|\n| SP | Separate sites |\n| NR | Not related |\n| NC | Not for comparison (bilateral) |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode":{"type":"string","enum":["SD","SS"],"description":"Optional. Cannot be set when **referralOverrideCode** is set.\n\n| Code | Meaning |\n|------|---------|\n| SD | Self deemed — additional service to a valid request |\n| SS | Substituted service |\n","title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","description":"4-character alphanumeric identifier, unique within the claim (e.g. `0001`)."},"itemNumber":{"type":"string","description":"MBS or DVA item number. 1–5 characters."},"chargeAmount":{"type":"string","description":"Charge in cents. Minimum `100` ($1.00). Required unless `distanceKilometres` is set."},"accountReferenceNumber":{"type":"string","description":"Optional. Invoice or medical record reference. 1–8 alphanumeric characters, no spaces."},"aftercareOverrideInd":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsAftercareOverrideInd","description":"Optional. Set **Y** if the service was not normal aftercare.\n\n| Code | Meaning |\n|------|---------|\n| Y | Not normal aftercare |\n"},"distanceKilometres":{"type":"string","description":"Optional. Travelling distance for home, nursing home, or hospital visits. 11–999 km. If set, only `id` and `itemNumber` may also be set on this service."},"duplicateServiceOverrideInd":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsDuplicateServiceOverrideInd","description":"Optional. Set **Y** if same-day services by the same provider should be treated as separate.\nRequires **medicalEventTime** or **text**.\n\n| Code | Meaning |\n|------|---------|\n| Y | Treat as separate services |\n"},"fieldQuantity":{"type":"string","description":"Optional. Number of fields irradiated or 15-minute time blocks. Numeric 1–99. Cannot be set alongside `numberOfPatientsSeen` or `timeDuration`."},"lspNumber":{"type":"string","description":"Optional. Location Specific Practice Number for diagnostic imaging. Numeric 1–999999. All services in a medical event must share the same LSPN."},"multipleProcedureOverrideInd":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsMultipleProcedureOverrideInd","description":"Optional. Set **Y** if the multiple services rule should not apply. Requires **text**\nexplaining the reason.\n\n| Code | Meaning |\n|------|---------|\n| Y | Override multiple-services rule |\n"},"numberOfPatientsSeen":{"type":"string","description":"Optional. Number of patients seen for group attendance items (1–99). Cannot be set alongside `timeDuration` or `fieldQuantity`."},"restrictiveOverrideCode":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRestrictiveOverrideCode","description":"Optional. Explains why restrictive rules should not apply. Requires **text**.\n\n| Code | Meaning |\n|------|---------|\n| SP | Separate sites |\n| NR | Not related |\n| NC | Not for comparison (bilateral) |\n"},"selfDeemedCode":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode","description":"Optional. Cannot be set when **referralOverrideCode** is set.\n\n| Code | Meaning |\n|------|---------|\n| SD | Self deemed — additional service to a valid request |\n| SS | Substituted service |\n"},"text":{"type":"string","description":"Optional. Free text for additional information. 1–100 characters."},"timeDuration":{"type":"string","description":"Optional. Duration of service in minutes (001–999). Cannot be set alongside `numberOfPatientsSeen` or `fieldQuantity`."}},"required":["id","itemNumber","chargeAmount"],"title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","description":"Sequential numeric identifier for this medical event. Must start at `01` and increment by 1."},"authorisationDate":{"type":"string","format":"date","description":"Date the claim was authorised. Must not be in the future or before `medicalEventDate`."},"createDateTime":{"type":"string","format":"date-time","description":"Date and time the medical event record was created. Must not be in the future or before `medicalEventDate`. Must be a valid Australian timezone offset."},"facilityId":{"type":"string","description":"Optional. Commonwealth Hospital Facility Provider Number. Required when `referralOverrideCode` is `H`."},"medicalEventDate":{"type":"string","format":"date","description":"Date the service was rendered. Must not be in the future or more than 2 years in the past."},"medicalEventTime":{"type":"string","description":"Optional. Time the service was rendered. Must not be in the future. Must be a valid Australian timezone offset."},"referralOverrideCode":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode","description":"Optional. Use when a specialist service that normally needs a referral was provided without a\n**referral** object. Do not set together with **referral**.\n\n| Code | Meaning |\n|------|---------|\n| E | Emergency |\n| H | Hospital — also requires **facilityId** and **treatmentLocationCode** **H** |\n| L | Lost referral |\n| N | Not required |\n"},"submissionAuthorityInd":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd","description":"Must be **Y**. Confirms the claim is authorised for submission to the Department of Veterans' Affairs.\n\n| Code | Meaning |\n|------|---------|\n| Y | Authorised for submission |\n"},"treatmentLocationCode":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsTreatmentLocationCode","description":"Where the service was provided.\n\n| Code | Meaning |\n|------|---------|\n| V | Home visit |\n| H | Hospital |\n| R | Rooms |\n"},"acceptedDisability":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisability"},"referral":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral","description":"Referral or diagnostic imaging request details. Required unless `referralOverrideCode` or `selfDeemedCode` is used instead."},"patient":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"description":"One or more services. Maximum 14 per medical event."}},"required":["id","authorisationDate","createDateTime","medicalEventDate","submissionAuthorityInd","treatmentLocationCode","acceptedDisability","patient","service"],"title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaim":{"type":"object","properties":{"serviceTypeCode":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode","description":"Use **S** for specialist DVA claims.\n\n| Code | Meaning |\n|------|---------|\n| S | Specialist, allied health, or related services |\n"},"hospitalInd":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd","description":"Optional. Set **Y** if the service was rendered within a hospital facility.\n\n| Code | Meaning |\n|------|---------|\n| Y | In-hospital |\n"},"serviceProvider":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"payeeProvider":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider","description":"Optional. The provider to whom the benefit will be paid, if different from the servicing provider. Must have a different provider stem (first 6 characters)."},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"description":"One or more medical events. Maximum 80 per claim."}},"required":["serviceTypeCode","serviceProvider","medicalEvent"],"title":"MedicareDvaclaimSpecialistV1PostRequestBodyContentApplicationJsonSchemaClaim"},"DVA_DVA Claim — Specialist_Response_200":{"type":"object","properties":{"claimId":{"type":"string","description":"Unique claim identifier assigned by Services Australia (e.g. `D0745@`)."},"status":{"type":"string","description":"Always `SUCCESS` on a successful submission."},"correlationId":{"type":"string"}},"title":"DVA_DVA Claim — Specialist_Response_200"},"MedicareDvaclaimSpecialistV1PostResponsesContentApplicationJsonSchemaServiceMessageItems":{"type":"object","properties":{"code":{"type":"string"},"severity":{"type":"string"},"reason":{"type":"string"}},"title":"MedicareDvaclaimSpecialistV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"},"PostMedicareDvaclaimSpecialistV1RequestBadRequestError":{"type":"object","properties":{"highestSeverity":{"type":"string"},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaclaimSpecialistV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"}},"correlationId":{"type":"string"}},"required":["highestSeverity","serviceMessage","correlationId"],"title":"PostMedicareDvaclaimSpecialistV1RequestBadRequestError"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode":{"type":"string","enum":["P"],"description":"Use **P** for pathology DVA claims.\n\n| Code | Meaning |\n|------|---------|\n| P | Pathology services |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if the service was rendered within a hospital facility.\n\n| Code | Meaning |\n|------|---------|\n| Y | In-hospital |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Provider number of the practitioner who rendered the service. 6-digit stem + 1 location character + 1 check digit (e.g. `2447781L`)."}},"required":["providerNumber"],"title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"6-digit stem + 1 location character + 1 check digit."}},"description":"Optional. The provider to whom the benefit will be paid, if different from the servicing provider. Must have a different provider stem (first 6 characters).","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode":{"type":"string","enum":["N"],"description":"Use **N** when no pathology referral is supplied. Do not set together with **referral**.\n\n| Code | Meaning |\n|------|---------|\n| N | Referral not required |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd":{"type":"string","enum":["Y"],"description":"Must be **Y**. Confirms the claim is authorised for submission to the Department of Veterans' Affairs.\n\n| Code | Meaning |\n|------|---------|\n| Y | Authorised for submission |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisabilityInd":{"type":"string","enum":["Y"],"description":"Must be **Y** — service is for a condition covered by a **White Card**.\n\n| Code | Meaning |\n|------|---------|\n| Y | White Card condition |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisabilityInd"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisability":{"type":"object","properties":{"ind":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisabilityInd","description":"Must be **Y** — service is for a condition covered by a **White Card**.\n\n| Code | Meaning |\n|------|---------|\n| Y | White Card condition |\n"},"code":{"type":"string","maxLength":100,"description":"Description of the condition treated. Alphanumeric and special characters (`: ; , . -`) allowed. First character must be alpha or numeric. 1–100 characters."}},"required":["ind","code"],"title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisability"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode":{"type":"string","enum":["P"],"description":"Must be **P** on the pathology request.\n\n| Code | Meaning |\n|------|---------|\n| P | Pathology request |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Provider number of the requesting practitioner. Must differ from both service and payee providers."}},"required":["providerNumber"],"title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral":{"type":"object","properties":{"issueDate":{"type":"string","format":"date","description":"Date the request was issued. Must not be in the future, after `medicalEventDate`, or before patient DOB."},"typeCode":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralTypeCode","description":"Must be **P** on the pathology request.\n\n| Code | Meaning |\n|------|---------|\n| P | Pathology request |\n"},"provider":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralProvider"}},"description":"Pathology request details. Required unless `referralOverrideCode` or `selfDeemedCode` is used instead.","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentitySex":{"type":"string","enum":["1","2","3","9"],"description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|------|---------|\n| 1 | Male |\n| 2 | Female |\n| 3 | Other |\n| 9 | Not stated |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentitySex"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity":{"type":"object","properties":{"dateOfBirth":{"type":"string","format":"date","description":"Must not be in the future, more than 130 years in the past, or after `medicalEventDate`."},"familyName":{"type":"string","description":"1–40 characters. Alpha, numeric, spaces, apostrophes and hyphens only."},"givenName":{"type":"string","description":"1–40 characters. Alpha, numeric, spaces, apostrophes and hyphens only. Use `*Onlyname*` if the patient has only one name."},"sex":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentitySex","description":"Patient sex (Services Australia coding).\n\n| Code | Meaning |\n|------|---------|\n| 1 | Male |\n| 2 | Female |\n| 3 | Other |\n| 9 | Not stated |\n"}},"required":["dateOfBirth","familyName","givenName","sex"],"title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientResidentialAddress":{"type":"object","properties":{"locality":{"type":"string","description":"Suburb or town. 1–40 characters. Do not include the state code as a separate value."},"postcode":{"type":"string","description":"4-digit postcode. Must not be `0000`."}},"description":"Optional. If provided, both fields are required.","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientResidentialAddress"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientVeteranMembership":{"type":"object","properties":{"veteranNumber":{"type":"string","description":"DVA file number (e.g. `NX901667`). 3–9 characters total, no spaces within the file number."}},"description":"Optional for pathology claims.","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientVeteranMembership"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientIdentity"},"residentialAddress":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientResidentialAddress","description":"Optional. If provided, both fields are required."},"veteranMembership":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatientVeteranMembership","description":"Optional for pathology claims."}},"required":["identity"],"title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode":{"type":"string","enum":["SD"],"description":"Optional. Self-deemed additional tests by a consultant physician. Cannot be set when\n**referralOverrideCode** is set.\n\n| Code | Meaning |\n|------|---------|\n| SD | Self deemed — additional service to a valid request |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRule3ExemptInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if the service is exempt from MBS Rule 3. Requires **medicalEventTime**.\nCannot be set together with **s4b3ExemptInd**.\n\n| Code | Meaning |\n|------|---------|\n| Y | Rule 3 exempt |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRule3ExemptInd"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsS4B3ExemptInd":{"type":"string","enum":["Y"],"description":"Optional. Set **Y** if exempt from S4b3 assessing requirements. Requires **hospitalInd**\n**Y** on the claim and both **collectionDateTime** and **accessionDateTime** on every service\nin the medical event. Cannot be set together with **rule3ExemptInd**.\n\n| Code | Meaning |\n|------|---------|\n| Y | S4b3 exempt |\n","title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsS4B3ExemptInd"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","description":"4-character alphanumeric identifier, unique within the claim (e.g. `0001`)."},"itemNumber":{"type":"string","description":"MBS or DVA pathology item number. 1–5 characters."},"chargeAmount":{"type":"string","description":"Charge in cents. Minimum `100` ($1.00)."},"collectionDateTime":{"type":"string","format":"date-time","description":"Date and time the pathology sample was collected. Must not be after `accessionDateTime`, before patient DOB, or before referral issue date. Must be a valid Australian timezone offset. Required together with `accessionDateTime`."},"accessionDateTime":{"type":"string","format":"date-time","description":"Date and time the pathology test was performed. Must not be after `medicalEventDate` (or time if supplied) or after `createDateTime`. Must be a valid Australian timezone offset. Required together with `collectionDateTime`."},"accountReferenceNumber":{"type":"string","description":"Optional. Invoice or medical record reference. 1–8 alphanumeric characters, no spaces."},"scpId":{"type":"string","description":"Optional. Specimen Collection Point ID. 3–5 alphanumeric characters. Required for pathology claims with a referral or `referralOverrideCode: N` or `selfDeemedCode: SD`."},"selfDeemedCode":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsSelfDeemedCode","description":"Optional. Self-deemed additional tests by a consultant physician. Cannot be set when\n**referralOverrideCode** is set.\n\n| Code | Meaning |\n|------|---------|\n| SD | Self deemed — additional service to a valid request |\n"},"rule3ExemptInd":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsRule3ExemptInd","description":"Optional. Set **Y** if the service is exempt from MBS Rule 3. Requires **medicalEventTime**.\nCannot be set together with **s4b3ExemptInd**.\n\n| Code | Meaning |\n|------|---------|\n| Y | Rule 3 exempt |\n"},"s4b3ExemptInd":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItemsS4B3ExemptInd","description":"Optional. Set **Y** if exempt from S4b3 assessing requirements. Requires **hospitalInd**\n**Y** on the claim and both **collectionDateTime** and **accessionDateTime** on every service\nin the medical event. Cannot be set together with **rule3ExemptInd**.\n\n| Code | Meaning |\n|------|---------|\n| Y | S4b3 exempt |\n"},"text":{"type":"string","description":"Optional. Free text for additional information. 1–100 characters."}},"required":["id","itemNumber","chargeAmount","collectionDateTime","accessionDateTime"],"title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","description":"Sequential numeric identifier for this medical event. Must start at `01` and increment by 1."},"authorisationDate":{"type":"string","format":"date","description":"Date the claim was authorised. Must not be in the future or before `medicalEventDate`."},"createDateTime":{"type":"string","format":"date-time","description":"Date and time the medical event record was created. Must not be in the future or before `medicalEventDate`. Must be a valid Australian timezone offset."},"medicalEventDate":{"type":"string","format":"date","description":"Date the service was rendered. Must not be in the future or more than 2 years in the past."},"medicalEventTime":{"type":"string","description":"Optional. Time the service was rendered. Required when `rule3ExemptInd` is set on any service."},"referralOverrideCode":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferralOverrideCode","description":"Use **N** when no pathology referral is supplied. Do not set together with **referral**.\n\n| Code | Meaning |\n|------|---------|\n| N | Referral not required |\n"},"submissionAuthorityInd":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsSubmissionAuthorityInd","description":"Must be **Y**. Confirms the claim is authorised for submission to the Department of Veterans' Affairs.\n\n| Code | Meaning |\n|------|---------|\n| Y | Authorised for submission |\n"},"acceptedDisability":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsAcceptedDisability"},"referral":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsReferral","description":"Pathology request details. Required unless `referralOverrideCode` or `selfDeemedCode` is used instead."},"patient":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsPatient"},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItemsServiceItems"},"description":"One or more pathology services. Maximum 14 per medical event. All services in a medical event must share the same LSPN if set."}},"required":["id","authorisationDate","createDateTime","medicalEventDate","submissionAuthorityInd","acceptedDisability","patient","service"],"title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaim":{"type":"object","properties":{"serviceTypeCode":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceTypeCode","description":"Use **P** for pathology DVA claims.\n\n| Code | Meaning |\n|------|---------|\n| P | Pathology services |\n"},"hospitalInd":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimHospitalInd","description":"Optional. Set **Y** if the service was rendered within a hospital facility.\n\n| Code | Meaning |\n|------|---------|\n| Y | In-hospital |\n"},"serviceProvider":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimServiceProvider"},"payeeProvider":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimPayeeProvider","description":"Optional. The provider to whom the benefit will be paid, if different from the servicing provider. Must have a different provider stem (first 6 characters)."},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaimMedicalEventItems"},"description":"One or more medical events. Maximum 80 per claim."}},"required":["serviceTypeCode","serviceProvider","medicalEvent"],"title":"MedicareDvaclaimPathologyV1PostRequestBodyContentApplicationJsonSchemaClaim"},"DVA_DVA Claim — Pathology_Response_200":{"type":"object","properties":{"claimId":{"type":"string","description":"Unique claim identifier. Out-of-hospital pathology uses an alpha prefix (e.g. `D0744@`); in-hospital pathology uses `#` prefix (e.g. `#9876@`)."},"status":{"type":"string","description":"Always `SUCCESS` on a successful submission."},"correlationId":{"type":"string"}},"title":"DVA_DVA Claim — Pathology_Response_200"},"MedicareDvaclaimPathologyV1PostResponsesContentApplicationJsonSchemaServiceMessageItems":{"type":"object","properties":{"code":{"type":"string"},"severity":{"type":"string"},"reason":{"type":"string"}},"title":"MedicareDvaclaimPathologyV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"},"PostMedicareDvaclaimPathologyV1RequestBadRequestError":{"type":"object","properties":{"highestSeverity":{"type":"string"},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaclaimPathologyV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"}},"correlationId":{"type":"string"}},"required":["highestSeverity","serviceMessage","correlationId"],"title":"PostMedicareDvaclaimPathologyV1RequestBadRequestError"},"MedicareDvaprocessingreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Payee provider number as transmitted on the original claim. Pad with leading zeros if there are between 3 and 7 characters before the check digit."}},"required":["providerNumber"],"description":"Payee provider from the original claim transmission; use the same values as on that claim.","title":"MedicareDvaprocessingreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider"},"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaStatus":{"type":"string","enum":["COMPLETE","REPORT_NOT_READY","REPORT_NOT_FOUND","REPORT_EXPIRED"],"description":"Outcome of the report request.\n\n| Value | Meaning |\n|-------|---------|\n| COMPLETE | Report returned with claim assessment data |\n| REPORT_NOT_READY | Report not ready yet — retry later |\n| REPORT_NOT_FOUND | Report not found |\n| REPORT_EXPIRED | Report has expired |\n","title":"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaStatus"},"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentServiceProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Provider number (stem, location, and check digit)."}},"required":["providerNumber"],"description":"Servicing provider on the assessed claim.","title":"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentServiceProvider"},"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMembership":{"type":"object","properties":{"veteranNumber":{"type":"string","description":"DVA file number."}},"required":["veteranNumber"],"title":"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMembership"},"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMember":{"type":"object","properties":{"familyName":{"type":"string"},"givenName":{"type":"string"}},"required":["familyName","givenName"],"title":"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMember"},"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatient":{"type":"object","properties":{"currentMembership":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMembership"},"currentMember":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatientCurrentMember"}},"required":["currentMembership","currentMember"],"description":"Veteran or patient as held when assessed; structure may include further membership fields from Medicare.","title":"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatient"},"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsServiceItems":{"type":"object","properties":{"id":{"type":"string","description":"Service line identifier (for example `0001`)."},"itemNumber":{"type":"string","description":"MBS item number as returned (may be padded)."},"assessmentCode":{"type":"string","description":"Medicare assessment reason code for this service line. Use the [Services Australia lookup tool](https://www.servicesaustralia.gov.au/look-up-medicare-reason-code) to map it to a human-readable description."},"benefitPaid":{"type":"string","description":"Benefit for this line, in cents as a string numeric."},"chargeAmount":{"type":"string","description":"Charge for this line, in cents as a string numeric."}},"required":["id","itemNumber","assessmentCode","benefitPaid","chargeAmount"],"title":"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsServiceItems"},"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItems":{"type":"object","properties":{"id":{"type":"string","description":"Medical event identifier within the claim (for example `01`)."},"eventDate":{"type":"string","description":"Medical event date (ISO 8601 calendar date)."},"patient":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsPatient","description":"Veteran or patient as held when assessed; structure may include further membership fields from Medicare."},"service":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItemsServiceItems"},"description":"Service lines within this medical event."}},"required":["id","eventDate","patient","service"],"title":"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItems"},"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessment":{"type":"object","properties":{"claimId":{"type":"string","description":"Claim identifier as assigned when assessed (for example `D0809@`)."},"benefitPaid":{"type":"string","description":"Total benefit paid for the claim, in cents as a string numeric."},"chargeAmount":{"type":"string","description":"Total charge amount for the claim, in cents as a string numeric."},"serviceProvider":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentServiceProvider","description":"Servicing provider on the assessed claim."},"medicalEvent":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessmentMedicalEventItems"},"description":"Assessed medical events for the claim."}},"required":["claimId","benefitPaid","chargeAmount","serviceProvider","medicalEvent"],"description":"Present when `status` is `COMPLETE`. Assessment snapshot for the claim; Medicare may include additional properties beyond those listed.","title":"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessment"},"DVA_DVA Processing Report_Response_200":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaStatus","description":"Outcome of the report request.\n\n| Value | Meaning |\n|-------|---------|\n| COMPLETE | Report returned with claim assessment data |\n| REPORT_NOT_READY | Report not ready yet — retry later |\n| REPORT_NOT_FOUND | Report not found |\n| REPORT_EXPIRED | Report has expired |\n"},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request."},"claimAssessment":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaClaimAssessment","description":"Present when `status` is `COMPLETE`. Assessment snapshot for the claim; Medicare may include additional properties beyond those listed."}},"required":["status","correlationId"],"description":"Processing report result. Additional properties appear when `status` is `COMPLETE`.","title":"DVA_DVA Processing Report_Response_200"},"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems":{"type":"object","properties":{"code":{"type":"string","description":"Medicare error code."},"severity":{"type":"string","description":"Severity for this message (e.g. `Error`)."},"reason":{"type":"string","description":"Human-readable explanation."}},"required":["code","severity","reason"],"title":"MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"PostMedicareDvaprocessingreportV1RequestBadRequestError0":{"type":"object","properties":{"highestSeverity":{"type":"string","description":"Highest severity across all messages (typically `Error`)."},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request, for support tracing."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvaprocessingreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"description":"One or more validation or business-rule messages from Medicare."}},"required":["highestSeverity","correlationId","serviceMessage"],"title":"PostMedicareDvaprocessingreportV1RequestBadRequestError0"},"PostMedicareDvaprocessingreportV1RequestBadRequestError1":{"type":"object","properties":{"code":{"type":"integer","description":"Numeric gateway or request-schema error code."},"codeType":{"type":"string","description":"Gateway error category (for example `DHSEIN` for JSON schema validation)."},"message":{"type":"string","description":"Human-readable validation summary."},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request when supplied; may be generated for this call when omitted upstream."}},"required":["code","codeType","message","correlationId"],"title":"PostMedicareDvaprocessingreportV1RequestBadRequestError1"},"PostMedicareDvaprocessingreportV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PostMedicareDvaprocessingreportV1RequestBadRequestError0"},{"$ref":"#/components/schemas/PostMedicareDvaprocessingreportV1RequestBadRequestError1"}],"title":"PostMedicareDvaprocessingreportV1RequestBadRequestError"},"MedicareDvapaymentreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Payee provider number as transmitted on the original claim. Pad with leading zeros if there are between 3 and 7 characters before the check digit."}},"required":["providerNumber"],"description":"Payee provider from the original claim transmission; use the same values as on that claim.","title":"MedicareDvapaymentreportV1PostRequestBodyContentApplicationJsonSchemaPayeeProvider"},"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaStatus":{"type":"string","enum":["COMPLETE","REPORT_NOT_AVAILABLE","REPORT_NOT_READY","REPORT_NOT_FOUND","REPORT_EXPIRED"],"description":"Outcome of the report request. When **status** is **COMPLETE**, monetary fields on related objects are\nin cents as string numerics and account numbers are typically masked.\n\n| Value | Meaning |\n|-------|---------|\n| COMPLETE | Report returned with payment-run data |\n| REPORT_NOT_AVAILABLE | Report not available |\n| REPORT_NOT_READY | Report not ready yet — retry later |\n| REPORT_NOT_FOUND | Report not found |\n| REPORT_EXPIRED | Report has expired |\n","title":"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaStatus"},"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentRun":{"type":"object","properties":{"runDate":{"type":"string","format":"date","description":"Payment run date (`YYYY-MM-DD`)."},"runNumber":{"type":"string","description":"Payment run identifier assigned by Medicare for this deposit cycle."}},"required":["runDate","runNumber"],"description":"Present when `status` is `COMPLETE`. Identifies the payment run that included this claim.","title":"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentRun"},"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfoAccountInfo":{"type":"object","properties":{"accountName":{"type":"string","description":"Account name on record for the EFT deposit (may be truncated)."},"accountNumber":{"type":"string","description":"Masked account number (for example leading digits replaced with asterisks)."},"bsbCode":{"type":"string","description":"BSB for the deposit account (often formatted with a hyphen)."}},"required":["accountName","accountNumber","bsbCode"],"description":"Payee provider's financial-institution account details, with the account number masked.","title":"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfoAccountInfo"},"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfo":{"type":"object","properties":{"accountInfo":{"$ref":"#/components/schemas/MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfoAccountInfo","description":"Payee provider's financial-institution account details, with the account number masked."},"depositAmount":{"type":"string","description":"Total deposit for this run in **cents** as a decimal string (matches the benefit total for a single-claim run in simple cases)."}},"required":["accountInfo","depositAmount"],"description":"Present when `status` is `COMPLETE`. Masked bank / EFT details and deposit amount; amounts are in **cents** as decimal strings.","title":"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfo"},"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaClaimSummaryItems":{"type":"object","properties":{"benefit":{"type":"string","description":"Medicare benefit paid for this line, in **cents** as a decimal string."},"chargeAmount":{"type":"string","description":"Billed charge for this line, in **cents** as a decimal string."},"claimId":{"type":"string","description":"Claim identifier as returned on the original assessment (format varies by channel)."},"lodgementDate":{"type":"string","format":"date","description":"Lodgement date for the claim line (`YYYY-MM-DD`)."},"transactionId":{"type":"string","description":"Transaction / correlation identifier tying this summary row to the transmitted claim."}},"required":["benefit","chargeAmount","claimId","lodgementDate","transactionId"],"title":"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaClaimSummaryItems"},"DVA_DVA Payment Report_Response_200":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaStatus","description":"Outcome of the report request. When **status** is **COMPLETE**, monetary fields on related objects are\nin cents as string numerics and account numbers are typically masked.\n\n| Value | Meaning |\n|-------|---------|\n| COMPLETE | Report returned with payment-run data |\n| REPORT_NOT_AVAILABLE | Report not available |\n| REPORT_NOT_READY | Report not ready yet — retry later |\n| REPORT_NOT_FOUND | Report not found |\n| REPORT_EXPIRED | Report has expired |\n"},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request."},"paymentRun":{"$ref":"#/components/schemas/MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentRun","description":"Present when `status` is `COMPLETE`. Identifies the payment run that included this claim."},"paymentInfo":{"$ref":"#/components/schemas/MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaPaymentInfo","description":"Present when `status` is `COMPLETE`. Masked bank / EFT details and deposit amount; amounts are in **cents** as decimal strings."},"claimSummary":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaClaimSummaryItems"},"description":"Present when `status` is `COMPLETE`. One row per claim line included in the payment run (not only the claim you queried)."}},"required":["status","correlationId"],"description":"Payment report result. Payment-run fields appear when `status` is `COMPLETE`.","title":"DVA_DVA Payment Report_Response_200"},"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems":{"type":"object","properties":{"code":{"type":"string","description":"Medicare error code."},"severity":{"type":"string","description":"Severity for this message (e.g. `Error`)."},"reason":{"type":"string","description":"Human-readable explanation."}},"required":["code","severity","reason"],"title":"MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"PostMedicareDvapaymentreportV1RequestBadRequestError0":{"type":"object","properties":{"highestSeverity":{"type":"string","description":"Highest severity across all messages (typically `Error`)."},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request, for support tracing."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareDvapaymentreportV1PostResponsesContentApplicationJsonSchemaOneOf0ServiceMessageItems"},"description":"One or more validation or business-rule messages from Medicare."}},"required":["highestSeverity","correlationId","serviceMessage"],"title":"PostMedicareDvapaymentreportV1RequestBadRequestError0"},"PostMedicareDvapaymentreportV1RequestBadRequestError1":{"type":"object","properties":{"code":{"type":"integer","description":"Numeric gateway or request-schema error code."},"codeType":{"type":"string","description":"Gateway error category (for example `DHSEIN` for JSON schema validation)."},"message":{"type":"string","description":"Human-readable validation summary."},"correlationId":{"type":"string","description":"Echo of the `correlationId` sent on the request when supplied; may be generated for this call when omitted upstream."}},"required":["code","codeType","message","correlationId"],"title":"PostMedicareDvapaymentreportV1RequestBadRequestError1"},"PostMedicareDvapaymentreportV1RequestBadRequestError":{"oneOf":[{"$ref":"#/components/schemas/PostMedicareDvapaymentreportV1RequestBadRequestError0"},{"$ref":"#/components/schemas/PostMedicareDvapaymentreportV1RequestBadRequestError1"}],"title":"PostMedicareDvapaymentreportV1RequestBadRequestError"},"DvaVoucherPostRequestBodyContentApplicationJsonSchemaPatient":{"type":"object","properties":{"dvaFileNumber":{"type":"string","description":"DVA file number (e.g. `NX901667`)."},"givenName":{"type":"string","description":"Patient's given name."},"familyName":{"type":"string","description":"Patient's family name."},"dateOfBirth":{"type":"string","format":"date","description":"ISO date `YYYY-MM-DD`."},"telephone":{"type":"string","description":"Patient contact telephone number, digits only."},"residentialAddress":{"type":"string","description":"Full residential address as a single line."}},"required":["dvaFileNumber","givenName","familyName","dateOfBirth","telephone","residentialAddress"],"title":"DvaVoucherPostRequestBodyContentApplicationJsonSchemaPatient"},"DvaVoucherPostRequestBodyContentApplicationJsonSchemaServicingProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare-issued provider number of the servicing provider."},"providerName":{"type":"string","description":"Servicing provider's name as it should appear on the voucher."}},"required":["providerNumber","providerName"],"description":"Provider rendering the services on the voucher.","title":"DvaVoucherPostRequestBodyContentApplicationJsonSchemaServicingProvider"},"DvaVoucherPostRequestBodyContentApplicationJsonSchemaPayeeProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Payee provider number."},"providerName":{"type":"string","description":"Payee provider's name."}},"required":["providerNumber","providerName"],"description":"Payee when different from the servicing provider; omit or `null` if the same.","title":"DvaVoucherPostRequestBodyContentApplicationJsonSchemaPayeeProvider"},"DvaVoucherPostRequestBodyContentApplicationJsonSchemaReferralProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Referring/requesting provider's Medicare-issued provider number."},"providerName":{"type":"string","description":"Referring/requesting provider's name."}},"required":["providerNumber","providerName"],"description":"Referring or requesting provider.","title":"DvaVoucherPostRequestBodyContentApplicationJsonSchemaReferralProvider"},"DvaVoucherPostRequestBodyContentApplicationJsonSchemaReferral":{"type":"object","properties":{"issueDate":{"type":"string","format":"date","description":"Date the referral or request was issued."},"periodOrNotes":{"type":["string","null"],"description":"Referral period or other notes."},"provider":{"$ref":"#/components/schemas/DvaVoucherPostRequestBodyContentApplicationJsonSchemaReferralProvider","description":"Referring or requesting provider."}},"required":["issueDate","provider"],"description":"Referral or request details when applicable; omit or `null` if none.","title":"DvaVoucherPostRequestBodyContentApplicationJsonSchemaReferral"},"DvaVoucherPostRequestBodyContentApplicationJsonSchemaTreatmentLocationCode":{"type":"string","enum":["H","R","V"],"description":"Where treatment was provided. When **H**, send **facilityProviderNumber**.\n\n| Code | Meaning |\n|------|---------|\n| H | Hospital |\n| R | Rooms |\n| V | Home visit / residential care / community health / hostel |\n","title":"DvaVoucherPostRequestBodyContentApplicationJsonSchemaTreatmentLocationCode"},"DvaVoucherPostRequestBodyContentApplicationJsonSchemaServicesItems":{"type":"object","properties":{"dateOfService":{"type":"string","format":"date","description":"Date the service was provided (`YYYY-MM-DD`)."},"itemNumber":{"type":"string","description":"MBS or DVA item number."},"chargeAmountCents":{"type":"string","description":"Charge in whole cents as a decimal string (e.g. `10000` for $100.00)."},"associatedText":{"type":["string","null"],"description":"Optional line narrative for the service."}},"required":["dateOfService","itemNumber","chargeAmountCents"],"title":"DvaVoucherPostRequestBodyContentApplicationJsonSchemaServicesItems"},"MedicareConcessionverificationV1PostRequestBodyContentApplicationJsonSchemaPatientIdentity":{"type":"object","properties":{"dateOfBirth":{"type":"string","format":"date","description":"Cannot be in the future or more than 130 years in the past."},"familyName":{"type":"string","description":"1–40 characters. Alpha, numeric, space, apostrophe and hyphen only. If the patient has only one name, supply it here and use `Onlyname` as the given name."},"givenName":{"type":"string","description":"1–40 characters. Alpha, numeric, space, apostrophe and hyphen only. If the patient has only one name, supply `Onlyname` here and their name in `familyName`."}},"required":["dateOfBirth","familyName","givenName"],"title":"MedicareConcessionverificationV1PostRequestBodyContentApplicationJsonSchemaPatientIdentity"},"MedicareConcessionverificationV1PostRequestBodyContentApplicationJsonSchemaPatientMedicare":{"type":"object","properties":{"memberNumber":{"type":"string","description":"10-digit Medicare card number. Must pass the Medicare check digit routine. The 10th digit must not be `0`."},"memberRefNumber":{"type":"string","description":"Individual reference number (IRN) — the digit to the left of the patient's name on the card. Must be `1`–`9`."}},"required":["memberNumber","memberRefNumber"],"title":"MedicareConcessionverificationV1PostRequestBodyContentApplicationJsonSchemaPatientMedicare"},"MedicareConcessionverificationV1PostRequestBodyContentApplicationJsonSchemaPatient":{"type":"object","properties":{"identity":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostRequestBodyContentApplicationJsonSchemaPatientIdentity"},"medicare":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostRequestBodyContentApplicationJsonSchemaPatientMedicare"}},"required":["identity","medicare"],"title":"MedicareConcessionverificationV1PostRequestBodyContentApplicationJsonSchemaPatient"},"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatusStatus":{"type":"object","properties":{"code":{"type":"integer","description":"Medicare status code (for example `0` for a match, `9633` when a new card has been issued)."},"text":{"type":"string","description":"Human-readable explanation from Medicare."}},"required":["code","text"],"title":"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatusStatus"},"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatusCurrentMembership":{"type":"object","properties":{"memberNumber":{"type":"string","description":"Corrected Medicare card number."},"memberRefNumber":{"type":"string","description":"Corrected Individual Reference Number (IRN)."}},"description":"Present when the patient's Medicare card details differ from what was submitted.","title":"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatusCurrentMembership"},"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatusCurrentMember":{"type":"object","properties":{"givenName":{"type":"string","description":"Patient's given name as held by Medicare."}},"description":"Present when the patient's name on Medicare differs from what was submitted.","title":"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatusCurrentMember"},"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatus":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatusStatus"},"currentMembership":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatusCurrentMembership","description":"Present when the patient's Medicare card details differ from what was submitted."},"currentMember":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatusCurrentMember","description":"Present when the patient's name on Medicare differs from what was submitted."}},"description":"Medicare identity check outcome. Returned whenever Medicare responded (including partial matches).","title":"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatus"},"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaConcessionStatusStatus":{"type":"object","properties":{"code":{"type":"integer","description":"Concession status code (for example `0` when eligible, `9685` when no concession entitlement is found)."},"text":{"type":"string","description":"Human-readable explanation from Medicare."}},"required":["code","text"],"title":"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaConcessionStatusStatus"},"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaConcessionStatus":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaConcessionStatusStatus"}},"description":"Concession check outcome. Present on every 200 response — when the Medicare check does not match it carries code 9781 (check not undertaken). Absent only on 400 validation errors.","title":"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaConcessionStatus"},"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaServiceMessageItems":{"type":"object","properties":{"code":{"type":"string"},"severity":{"type":"string"},"reason":{"type":"string"}},"title":"MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"},"Concession_Concession Verification_Response_200":{"type":"object","properties":{"correlationId":{"type":"string","description":"Unique identifier for this transaction. Use for tracing and support."},"medicareStatus":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaMedicareStatus","description":"Medicare identity check outcome. Returned whenever Medicare responded (including partial matches)."},"concessionStatus":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaConcessionStatus","description":"Concession check outcome. Present on every 200 response — when the Medicare check does not match it carries code 9781 (check not undertaken). Absent only on 400 validation errors."},"highestSeverity":{"type":"string","description":"Present on validation errors. Value is `Error`."},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"},"description":"Present on validation errors. Each entry describes one failure."}},"required":["correlationId"],"title":"Concession_Concession Verification_Response_200"},"PostMedicareConcessionverificationV1RequestBadRequestError":{"type":"object","properties":{"highestSeverity":{"type":"string"},"serviceMessage":{"type":"array","items":{"$ref":"#/components/schemas/MedicareConcessionverificationV1PostResponsesContentApplicationJsonSchemaServiceMessageItems"}},"correlationId":{"type":"string"}},"required":["highestSeverity","serviceMessage","correlationId"],"title":"PostMedicareConcessionverificationV1RequestBadRequestError"},"AirV1AuthorisationAccessListPostRequestBodyContentApplicationJsonSchemaInformationProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare provider number or AIR provider number of the information provider. Must be current at the request date."},"hpioNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Organisation (HPI-O). 16 digits."},"hpiiNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Individual (HPI-I). 16 digits."}},"required":["providerNumber"],"title":"AirV1AuthorisationAccessListPostRequestBodyContentApplicationJsonSchemaInformationProvider"},"AirV1AuthorisationAccessListPostResponsesContentApplicationJsonSchemaAccessListItems":{"type":"object","properties":{"code":{"type":"string","description":"Capability code. See the *Capability Codes* table."},"name":{"type":"string","description":"Capability description as returned by AIR."},"hasAccess":{"type":"boolean","description":"`true` if this provider is authorised for this capability; `false` otherwise."}},"title":"AirV1AuthorisationAccessListPostResponsesContentApplicationJsonSchemaAccessListItems"},"AirV1AuthorisationAccessListPostResponsesContentApplicationJsonSchemaErrorsItems":{"type":"object","properties":{"code":{"type":"string","description":"AIR validation code. See [Validation codes](/air#validation-codes)."},"field":{"type":"string","description":"Human-readable name of the field that failed validation."},"message":{"type":"string","description":"Plain-language description of the validation problem, including the offending value."}},"title":"AirV1AuthorisationAccessListPostResponsesContentApplicationJsonSchemaErrorsItems"},"AIR_Authorisation_Authorisation_Response_200":{"type":"object","properties":{"statusCode":{"type":"string","description":"AIR status code. `AIR-I-*` indicates success; `AIR-E-*` indicates a validation error. See the *Status Codes* table."},"codeType":{"type":"string","description":"Code-type category. `AIRIBU` on success; `AIREBU` on validation errors."},"message":{"type":"string","description":"Status message from AIR."},"accessList":{"type":"array","items":{"$ref":"#/components/schemas/AirV1AuthorisationAccessListPostResponsesContentApplicationJsonSchemaAccessListItems"},"description":"Capabilities available to this information provider on AIR. Present on success (`AIR-I-1100`)."},"errors":{"type":"array","items":{"$ref":"#/components/schemas/AirV1AuthorisationAccessListPostResponsesContentApplicationJsonSchemaErrorsItems"},"description":"One entry per field-level problem with the request. Present on validation errors (`AIR-E-1005`)."},"correlationId":{"type":"string","description":"Unique request identifier. Format `urn:uuid:{MinorId}{16 hex chars}`. Include in support tickets so we can trace the request."}},"title":"AIR_Authorisation_Authorisation_Response_200"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaInformationProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare provider number or AIR provider number of the entity sending the data. Must be current at the submission date."},"hpioNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Organisation (HPI-O). 16 digits."},"hpiiNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Individual (HPI-I). 16 digits."}},"required":["providerNumber"],"title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaInformationProvider"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetailsGender":{"type":"string","enum":["F","M","X"],"description":"Individual's gender.\n\n| Code | Meaning |\n|---|---|\n| `F` | Female |\n| `M` | Male |\n| `X` | Non-binary |\n","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetailsGender"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetails":{"type":"object","properties":{"dateOfBirth":{"type":"string","description":"DDMMYYYY format (e.g. `18042016`). Cannot be a future date or more than 130 years in the past."},"firstName":{"type":"string","description":"1–40 alphanumeric characters. Omit when `onlyNameIndicator` is `true`."},"lastName":{"type":"string","description":"1–40 alphanumeric characters."},"initial":{"type":"string","maxLength":1,"description":"Middle/second name initial."},"onlyNameIndicator":{"type":"boolean","description":"`true` if the individual has only one name (no first name and no initial). Stored only when creating a new individual."},"gender":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetailsGender","description":"Individual's gender.\n\n| Code | Meaning |\n|---|---|\n| `F` | Female |\n| `M` | Male |\n| `X` | Non-binary |\n"}},"title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetails"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualMedicareCard":{"type":"object","properties":{"medicareCardNumber":{"type":"string","description":"10-digit Medicare card number."},"medicareIRN":{"type":"string","description":"Individual Reference Number — single digit identifying the family member on the Medicare card."}},"description":"Medicare card details when known. Provide together with IHI for the best match.","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualMedicareCard"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualAddress":{"type":"object","properties":{"addressLineOne":{"type":"string"},"addressLineTwo":{"type":"string","description":"Only set when `addressLineOne` is provided."},"locality":{"type":"string","description":"Suburb or town."},"postCode":{"type":"string","description":"4-digit Australian postcode."}},"description":"Required when creating a new individual (set `acceptAndConfirm` to `Y`).","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualAddress"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualAtsiIndicator":{"type":"string","enum":["Y","N"],"description":"Aboriginal or Torres Strait Islander descent, as voluntarily provided by the individual. Stored only when creating a new individual.\n\n| Code | Meaning |\n|---|---|\n| `Y` | Of Aboriginal or Torres Strait Islander descent |\n| `N` | Not of Aboriginal or Torres Strait Islander descent |\n","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualAtsiIndicator"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualAcceptAndConfirm":{"type":"string","enum":["Y","N"],"description":"Set to `Y` on a follow-up Confirm request to create a new individual when AIR previously returned `AIR-W-1004` (Individual not found). Must not be combined with `medicareCard` or `ihiNumber` — AIR rejects with `AIR-E-1031`.","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualAcceptAndConfirm"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividual":{"type":"object","properties":{"personalDetails":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetails"},"medicareCard":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualMedicareCard","description":"Medicare card details when known. Provide together with IHI for the best match."},"address":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualAddress","description":"Required when creating a new individual (set `acceptAndConfirm` to `Y`)."},"ihiNumber":{"type":"string","description":"16-digit Individual Healthcare Identifier (IHI)."},"atsiIndicator":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualAtsiIndicator","description":"Aboriginal or Torres Strait Islander descent, as voluntarily provided by the individual. Stored only when creating a new individual.\n\n| Code | Meaning |\n|---|---|\n| `Y` | Of Aboriginal or Torres Strait Islander descent |\n| `N` | Not of Aboriginal or Torres Strait Islander descent |\n"},"acceptAndConfirm":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividualAcceptAndConfirm","description":"Set to `Y` on a follow-up Confirm request to create a new individual when AIR previously returned `AIR-W-1004` (Individual not found). Must not be combined with `medicareCard` or `ihiNumber` — AIR rejects with `AIR-E-1031`."}},"description":"The patient receiving the vaccinations. Required for the Add mode; not required when the request is a Confirm with `claimId`.","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaIndividual"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsEpisodesItemsVaccineType":{"type":"string","enum":["NIP","OTH"],"description":"Vaccine funding type.\n\n| Code | Meaning |\n|---|---|\n| `NIP` | National Immunisation Program / Commonwealth |\n| `OTH` | Other |\n\nMandatory for some vaccines — see the AIR Reference Data `vaccine/mandatory/vaccineType` endpoint.\n","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsEpisodesItemsVaccineType"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsEpisodesItemsRouteOfAdministration":{"type":"string","enum":["PO","SC","ID","IM","NS"],"description":"Route of administration.\n\n| Code | Meaning |\n|---|---|\n| `PO` | Oral |\n| `SC` | Subcutaneous |\n| `ID` | Intradermal |\n| `IM` | Intramuscular |\n| `NS` | Nasal |\n\nMandatory for some vaccines — see the AIR Reference Data `vaccine/mandatory/routeOfAdministration` endpoint.\n","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsEpisodesItemsRouteOfAdministration"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsEpisodesItems":{"type":"object","properties":{"id":{"type":"integer","description":"Sequential id within the encounter, starting at 1."},"vaccineCode":{"type":"string","description":"AIR vaccine brand code (e.g. `BEXO`, `BOOST`, `ACAM`). Look up valid values via the [Reference Data](/air) vaccine endpoint."},"vaccineDose":{"type":"string","description":"Dose number.\n\n| Value | Meaning |\n|---|---|\n| `B` | Birth dose |\n| `1`–`20` | Dose number for individuals under 20 |\n| `V` | Dose for individuals over 20 (returned by AIR when it adjusts the dose) |\n"},"vaccineBatch":{"type":"string","description":"Batch number. 1–15 characters. Mandatory for some vaccines — see the AIR Reference Data `vaccine/mandatory/vaccineBatch` endpoint."},"vaccineType":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsEpisodesItemsVaccineType","description":"Vaccine funding type.\n\n| Code | Meaning |\n|---|---|\n| `NIP` | National Immunisation Program / Commonwealth |\n| `OTH` | Other |\n\nMandatory for some vaccines — see the AIR Reference Data `vaccine/mandatory/vaccineType` endpoint.\n"},"routeOfAdministration":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsEpisodesItemsRouteOfAdministration","description":"Route of administration.\n\n| Code | Meaning |\n|---|---|\n| `PO` | Oral |\n| `SC` | Subcutaneous |\n| `ID` | Intradermal |\n| `IM` | Intramuscular |\n| `NS` | Nasal |\n\nMandatory for some vaccines — see the AIR Reference Data `vaccine/mandatory/routeOfAdministration` endpoint.\n"}},"required":["id","vaccineCode","vaccineDose"],"title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsEpisodesItems"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsImmunisationProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare or AIR provider number. Must be current at the date of service."},"hpioNumber":{"type":"string","description":"16-digit HPI-O of the healthcare organisation that administered the vaccine."},"hpiiNumber":{"type":"string","description":"16-digit HPI-I of the healthcare professional that administered the vaccine."}},"description":"The provider who administered the vaccine. Omit when `administeredOverseas` is `true`. If omitted otherwise, AIR records a generic history provider number.","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsImmunisationProvider"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsAcceptAndConfirm":{"type":"string","enum":["Y","N"],"description":"Set to `Y` on a Confirm request to accept any pended episodes returned from the initial submission.","title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsAcceptAndConfirm"},"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItems":{"type":"object","properties":{"id":{"type":"integer","description":"Sequential id within the request, starting at 1."},"episodes":{"type":"array","items":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsEpisodesItems"},"description":"Vaccines administered in this encounter."},"immunisationProvider":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsImmunisationProvider","description":"The provider who administered the vaccine. Omit when `administeredOverseas` is `true`. If omitted otherwise, AIR records a generic history provider number."},"schoolId":{"type":"string","description":"Optional. AIR-assigned ID of the school where the vaccine was administered."},"antenatalIndicator":{"type":"boolean","description":"`true` if the individual was pregnant at the time. Mandatory for female individuals aged 10–65 receiving certain vaccines — see the AIR Reference Data `vaccine/mandatory/antenatalIndicator` endpoint."},"administeredOverseas":{"type":"boolean","description":"`true` if the vaccine was administered outside Australia. Must not be combined with `immunisationProvider`."},"countryCode":{"type":"string","description":"Required when `administeredOverseas` is `true`. ICAO country/region code (look up via the AIR Reference Data `country` endpoint)."},"acceptAndConfirm":{"$ref":"#/components/schemas/AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItemsAcceptAndConfirm","description":"Set to `Y` on a Confirm request to accept any pended episodes returned from the initial submission."},"dateOfService":{"type":"string","description":"DDMMYYYY format. Date the vaccinations were administered. Must be after the individual's date of birth and not in the future."}},"required":["id","episodes","dateOfService"],"title":"AirV14EncountersRecordPostRequestBodyContentApplicationJsonSchemaEncountersItems"},"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaErrorsItems":{"type":"object","properties":{"code":{"type":"string","description":"AIR validation code."},"field":{"type":"string","description":"Human-readable name of the field that failed validation."},"message":{"type":"string","description":"Plain-language description of the validation problem."}},"title":"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaErrorsItems"},"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsInformationStatus":{"type":"string","enum":["SUCCESS","WARNING"],"description":"Encounter-level outcome.\n\n| Value | Meaning |\n|---|---|\n| `SUCCESS` | Encounter recorded successfully |\n| `WARNING` | Encounter not recorded successfully |\n","title":"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsInformationStatus"},"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsInformation":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsInformationStatus","description":"Encounter-level outcome.\n\n| Value | Meaning |\n|---|---|\n| `SUCCESS` | Encounter recorded successfully |\n| `WARNING` | Encounter not recorded successfully |\n"},"code":{"type":"string","description":"AIR encounter-level code (e.g. `AIR-I-1000` recorded, `AIR-W-1001` not recorded, `AIR-E-0102` duplicate vaccination services)."},"text":{"type":"string","description":"Message text from AIR."}},"title":"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsInformation"},"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsEpisodesItemsInformationStatus":{"type":"string","enum":["VALID","INVALID"],"description":"Episode-level outcome.\n\n| Value | Meaning |\n|---|---|\n| `VALID` | Episode accepted |\n| `INVALID` | Episode rejected |\n","title":"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsEpisodesItemsInformationStatus"},"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsEpisodesItemsInformation":{"type":"object","properties":{"status":{"$ref":"#/components/schemas/AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsEpisodesItemsInformationStatus","description":"Episode-level outcome.\n\n| Value | Meaning |\n|---|---|\n| `VALID` | Episode accepted |\n| `INVALID` | Episode rejected |\n"},"code":{"type":"string","description":"AIR episode-level code (e.g. `AIR-I-1002` valid, `AIR-I-1003` dose adjusted)."},"text":{"type":"string","description":"Message text from AIR."}},"title":"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsEpisodesItemsInformation"},"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsEpisodesItems":{"type":"object","properties":{"id":{"type":"integer"},"vaccineCode":{"type":"string"},"vaccineDose":{"type":"string","description":"May differ from the submitted dose when AIR adjusted it (e.g. submitted `1` returned as `A01` for an over-20 individual, with code `AIR-I-1003`)."},"vaccineBatch":{"type":"string"},"vaccineType":{"type":"string"},"routeOfAdministration":{"type":"string"},"information":{"$ref":"#/components/schemas/AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsEpisodesItemsInformation"}},"title":"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsEpisodesItems"},"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItems":{"type":"object","properties":{"id":{"type":"string","description":"Echo of the encounter `id` from the request."},"claimSequenceNumber":{"type":"string","description":"AIR-generated sequence number for this encounter within the claim. Must be set on a Confirm request when `claimId` is set."},"antenatalIndicator":{"type":"boolean","description":"Echo of `antenatalIndicator` from the request."},"information":{"$ref":"#/components/schemas/AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsInformation"},"episodes":{"type":["array","null"],"items":{"$ref":"#/components/schemas/AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItemsEpisodesItems"},"description":"Returned per episode that has information to report. `null` when every episode in the encounter was straightforward."}},"title":"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItems"},"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetails":{"type":"object","properties":{"claimId":{"type":"string","description":"Unique claim identifier assigned by AIR. Reuse on a Confirm request to accept pended episodes."},"encounters":{"type":["array","null"],"items":{"$ref":"#/components/schemas/AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetailsEncountersItems"},"description":"Populated when AIR has encounter-level or episode-level information to report (warnings, dose adjustments, errors). `null` when every encounter recorded cleanly."}},"description":"Claim summary. Present on success (`AIR-I-1007`) or partial success (`AIR-W-1008`, `AIR-E-1046`). `null` on validation failures and `AIR-W-1004`.","title":"AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetails"},"AIR_Record Encounter_Record Encounter_Response_200":{"type":"object","properties":{"statusCode":{"type":"string","description":"AIR status code. See [Status codes](/air#status-codes)."},"codeType":{"type":"string","description":"Code-type category. `AIRIBU` on success, `AIRWBU` on warnings, `AIREBU` on validation errors."},"message":{"type":"string","description":"Status message from AIR."},"errors":{"type":"array","items":{"$ref":"#/components/schemas/AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaErrorsItems"},"description":"Field-level validation problems. Present when `statusCode` is `AIR-E-1005`. See [Validation codes](/air#validation-codes)."},"claimDetails":{"$ref":"#/components/schemas/AirV14EncountersRecordPostResponsesContentApplicationJsonSchemaClaimDetails","description":"Claim summary. Present on success (`AIR-I-1007`) or partial success (`AIR-W-1008`, `AIR-E-1046`). `null` on validation failures and `AIR-W-1004`."},"correlationId":{"type":"string","description":"Unique request identifier. Include in support tickets so we can trace the request."}},"title":"AIR_Record Encounter_Record Encounter_Response_200"},"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetailsGender":{"type":"string","enum":["F","M","X"],"description":"Individual's gender.\n\n| Code | Meaning |\n|---|---|\n| `F` | Female |\n| `M` | Male |\n| `X` | Non-binary |\n","title":"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetailsGender"},"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetails":{"type":"object","properties":{"dateOfBirth":{"type":"string","description":"DDMMYYYY format. Cannot be in the future or more than 130 years in the past."},"firstName":{"type":"string","description":"1–40 alphanumeric characters."},"lastName":{"type":"string","description":"1–40 alphanumeric characters."},"gender":{"$ref":"#/components/schemas/AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetailsGender","description":"Individual's gender.\n\n| Code | Meaning |\n|---|---|\n| `F` | Female |\n| `M` | Male |\n| `X` | Non-binary |\n"}},"title":"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetails"},"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualMedicareCard":{"type":"object","properties":{"medicareCardNumber":{"type":"string","description":"10-digit Medicare card number."},"medicareIRN":{"type":"string","description":"Single-digit Individual Reference Number from the Medicare card."}},"title":"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualMedicareCard"},"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualAddress":{"type":"object","properties":{"addressLineOne":{"type":"string"},"addressLineTwo":{"type":"string","description":"Only set when `addressLineOne` is provided."},"locality":{"type":"string","description":"Suburb or town."},"postCode":{"type":"string","description":"4-digit Australian postcode."}},"title":"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualAddress"},"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividual":{"type":"object","properties":{"personalDetails":{"$ref":"#/components/schemas/AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetails"},"medicareCard":{"$ref":"#/components/schemas/AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualMedicareCard"},"address":{"$ref":"#/components/schemas/AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividualAddress"},"ihiNumber":{"type":"string","description":"16-digit Individual Healthcare Identifier (IHI)."}},"description":"The patient the catch-up is being recorded for. Must be under 20 — over-20s return `AIR-E-1047`.","title":"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaIndividual"},"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaInformationProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare provider number or AIR provider number of the entity sending the data. Must be current at the submission date."},"hpioNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Organisation (HPI-O). 16 digits."},"hpiiNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Individual (HPI-I). 16 digits."}},"required":["providerNumber"],"title":"AirV11ScheduleCatchupPostRequestBodyContentApplicationJsonSchemaInformationProvider"},"AirV11ScheduleCatchupPostResponsesContentApplicationJsonSchemaErrorsItems":{"type":"object","properties":{"code":{"type":"string","description":"AIR validation code (e.g. `AIR-E-1047` for over-20, `AIR-E-1026` for insufficient identification)."},"field":{"type":"string","description":"Human-readable name of the field that failed validation."},"message":{"type":"string","description":"Plain-language description of the validation problem."}},"title":"AirV11ScheduleCatchupPostResponsesContentApplicationJsonSchemaErrorsItems"},"AIR_Planned Catch-up_Planned Catch-up Date_Response_200":{"type":"object","properties":{"statusCode":{"type":"string","description":"AIR status code. See [Status codes](/air#status-codes)."},"codeType":{"type":"string","description":"Code-type category. `AIRIBU` on success; `AIRWBU` on warnings (already exists, expired); `AIREBU` on validation errors."},"message":{"type":"string","description":"Status message from AIR."},"catchupDate":{"type":["string","null"],"description":"DDMMYYYY format. Present on success (`AIR-I-1009`) and on the *already exists* / *expired* warnings (`AIR-W-1010`, `AIR-W-1011`). `null` on validation errors."},"errors":{"type":["array","null"],"items":{"$ref":"#/components/schemas/AirV11ScheduleCatchupPostResponsesContentApplicationJsonSchemaErrorsItems"},"description":"Field-level validation problems. Present when `statusCode` is `AIR-E-1005`. See [Validation codes](/air#validation-codes)."},"correlationId":{"type":"string","description":"Unique request identifier. Include in support tickets so we can trace the request."}},"title":"AIR_Planned Catch-up_Planned Catch-up Date_Response_200"},"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetailsGender":{"type":"string","enum":["F","M","X"],"description":"Individual's gender.\n\n| Code | Meaning |\n|---|---|\n| `F` | Female |\n| `M` | Male |\n| `X` | Non-binary |\n","title":"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetailsGender"},"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetails":{"type":"object","properties":{"dateOfBirth":{"type":"string","description":"DDMMYYYY format. Required for every identification scenario."},"firstName":{"type":"string","description":"1–40 alphanumeric characters. Omit when `onlyNameIndicator` is `true`."},"lastName":{"type":"string","description":"1–40 alphanumeric characters."},"initial":{"type":"string","maxLength":1,"description":"Middle/second name initial."},"gender":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetailsGender","description":"Individual's gender.\n\n| Code | Meaning |\n|---|---|\n| `F` | Female |\n| `M` | Male |\n| `X` | Non-binary |\n"},"onlyNameIndicator":{"type":"boolean","description":"`true` when the individual has only one name. Omit `firstName` and `initial` when this is `true`."}},"title":"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetails"},"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualMedicareCard":{"type":"object","properties":{"medicareCardNumber":{"type":"string","description":"10-digit Medicare card number."},"medicareIRN":{"type":"string","description":"Single-digit Individual Reference Number from the Medicare card."}},"title":"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualMedicareCard"},"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualAddress":{"type":"object","properties":{"addressLineOne":{"type":"string"},"addressLineTwo":{"type":"string","description":"Only set when `addressLineOne` is provided."},"locality":{"type":"string","description":"Suburb or town."},"postCode":{"type":"string","description":"4-digit Australian postcode. Used as a tie-breaker when multiple individuals match on first name, last name, and date of birth."}},"title":"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualAddress"},"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividual":{"type":"object","properties":{"personalDetails":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualPersonalDetails"},"medicareCard":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualMedicareCard"},"address":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividualAddress"},"ihiNumber":{"type":"string","description":"16-digit Individual Healthcare Identifier (IHI)."}},"description":"Identification details. See the *Minimum identification requirements* table in the operation description for valid combinations.","title":"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaIndividual"},"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaInformationProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare provider number or AIR provider number of the entity sending the data. Must be current at the submission date."},"hpioNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Organisation (HPI-O). 16 digits."},"hpiiNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Individual (HPI-I). 16 digits."}},"required":["providerNumber"],"title":"AirV11IndividualDetailsPostRequestBodyContentApplicationJsonSchemaInformationProvider"},"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividualPersonalDetails":{"type":"object","properties":{"dateOfBirth":{"type":"string"},"firstName":{"type":"string"},"lastName":{"type":"string"},"initial":{"type":["string","null"]},"onlyNameIndicator":{"type":"boolean"}},"title":"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividualPersonalDetails"},"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividualMedicareCard":{"type":"object","properties":{"medicareCardNumber":{"type":"string"},"medicareIRN":{"type":"string"}},"title":"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividualMedicareCard"},"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividualAddress":{"type":"object","properties":{"addressLineOne":{"type":"string"},"addressLineTwo":{"type":"string"},"locality":{"type":"string"},"postCode":{"type":"string"}},"title":"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividualAddress"},"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividual":{"type":"object","properties":{"personalDetails":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividualPersonalDetails"},"medicareCard":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividualMedicareCard"},"address":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividualAddress"}},"description":"The individual's record as held by AIR. May differ from what was submitted (e.g. uppercase names, AIR's stored address).","title":"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividual"},"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsEndDateCode":{"type":"string","enum":["ALL","LIMITED","NONE"],"description":"Present when the individual's record has restrictions. See the *End-date code* table in the operation description.","title":"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsEndDateCode"},"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetails":{"type":"object","properties":{"individualIdentifier":{"type":"string","description":"Opaque, encrypted token unique to this individual for this information provider. Reuse on subsequent calls (history, exemptions, updates). Do not display to end users."},"individual":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsIndividual","description":"The individual's record as held by AIR. May differ from what was submitted (e.g. uppercase names, AIR's stored address)."},"catchupDate":{"type":"string","description":"DDMMYYYY format. Empty string when no catch-up is recorded."},"indigenousStatus":{"type":"boolean","description":"`true` when the individual identifies as Aboriginal or Torres Strait Islander."},"additionalVaccineIndicator":{"type":"boolean","description":"`true` when an *additional vaccines required* indicator is recorded for the individual."},"medContraindicationIndicator":{"type":"boolean","description":"`true` when a medical contraindication is recorded for the individual."},"naturalImmunityIndicator":{"type":"boolean","description":"`true` when a natural immunity is recorded for the individual."},"vaccineTrialIndicator":{"type":"boolean","description":"`true` when a vaccine trial is recorded for the individual."},"actionRequiredIndicator":{"type":"boolean","description":"`true` when the individual has encounters that need correction (editable encounters in an invalid status)."},"endDateCode":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetailsEndDateCode","description":"Present when the individual's record has restrictions. See the *End-date code* table in the operation description."}},"description":"Present on a successful match (`AIR-I-1100`) and on the end-date warnings (`AIR-W-1059`, `AIR-W-1062`). `null` on validation errors and `AIR-E-1058`.","title":"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetails"},"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaErrorsItems":{"type":"object","properties":{"code":{"type":"string","description":"AIR validation code (`AIR-E-1026` insufficient info, `AIR-E-1035` not found)."},"field":{"type":"string"},"message":{"type":"string"}},"title":"AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaErrorsItems"},"AIR_Individual Details_Identify Individual_Response_200":{"type":"object","properties":{"statusCode":{"type":"string","description":"AIR status code. See [Status codes](/air#status-codes)."},"codeType":{"type":"string","description":"Code-type category."},"message":{"type":"string","description":"Status message from AIR."},"individualDetails":{"oneOf":[{"$ref":"#/components/schemas/AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaIndividualDetails"},{"type":"null"}],"description":"Present on a successful match (`AIR-I-1100`) and on the end-date warnings (`AIR-W-1059`, `AIR-W-1062`). `null` on validation errors and `AIR-E-1058`."},"errors":{"type":["array","null"],"items":{"$ref":"#/components/schemas/AirV11IndividualDetailsPostResponsesContentApplicationJsonSchemaErrorsItems"},"description":"Field-level validation problems. Present when `statusCode` is `AIR-E-1005`. See [Validation codes](/air#validation-codes)."},"correlationId":{"type":"string","description":"Unique request identifier. Include in support tickets so we can trace the request."}},"title":"AIR_Individual Details_Identify Individual_Response_200"},"AirV13IndividualImmunisationHistoryDetailsPostRequestBodyContentApplicationJsonSchemaInformationProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare provider number or AIR provider number. Must be the same provider used in the Identify Individual call."},"hpioNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Organisation (HPI-O). 16 digits."},"hpiiNumber":{"type":"string","description":"Optional. Healthcare Provider Identifier — Individual (HPI-I). 16 digits."}},"required":["providerNumber"],"title":"AirV13IndividualImmunisationHistoryDetailsPostRequestBodyContentApplicationJsonSchemaInformationProvider"},"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsDueListItems":{"type":"object","properties":{"disease":{"type":"string","description":"Three-letter disease code (e.g. `HEP` Hepatitis, `TET` Tetanus, `MEA` Measles)."},"vaccineDose":{"type":"string","description":"Dose number that's due."},"dueDate":{"type":"string","description":"DDMMYYYY format. The date the next dose is due."}},"title":"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsDueListItems"},"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsEncountersItemsEpisodesItemsInformation":{"type":"object","properties":{"status":{"type":"string","description":"Episode-level status."},"code":{"type":["string","null"]},"text":{"type":["string","null"]}},"title":"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsEncountersItemsEpisodesItemsInformation"},"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsEncountersItemsEpisodesItems":{"type":"object","properties":{"id":{"type":"integer"},"vaccineBatch":{"type":"string"},"vaccineCode":{"type":"string"},"vaccineDose":{"type":"string"},"routeOfAdministration":{"type":"string"},"vaccineType":{"type":"string"},"editable":{"type":"boolean","description":"`true` when your information provider can edit or update this episode."},"actionRequiredIndicator":{"type":"boolean","description":"`true` when this episode is in an invalid status and needs correction."},"information":{"$ref":"#/components/schemas/AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsEncountersItemsEpisodesItemsInformation"}},"title":"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsEncountersItemsEpisodesItems"},"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsEncountersItems":{"type":"object","properties":{"episodes":{"type":"array","items":{"$ref":"#/components/schemas/AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsEncountersItemsEpisodesItems"}},"editable":{"type":"boolean","description":"`true` when your information provider can edit this encounter as a whole."},"dateOfService":{"type":"string","description":"DDMMYYYY format."},"dateSubmitted":{"type":"string","description":"DDMMYYYY format."},"schoolId":{"type":"string"},"administeredOverseas":{"type":"boolean"},"countryCode":{"type":"string","description":"ICAO country/region code (e.g. `AUS`)."},"claimSeqNum":{"type":"integer","description":"Claim sequence number assigned by AIR."},"immEncSeqNum":{"type":"integer","description":"Immunisation encounter sequence number assigned by AIR."},"claimId":{"type":"string","description":"AIR claim identifier."}},"title":"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsEncountersItems"},"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetails":{"type":"object","properties":{"dueList":{"type":"array","items":{"$ref":"#/components/schemas/AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsDueListItems"},"description":"Vaccines currently due for the individual, by disease."},"encounters":{"type":"array","items":{"$ref":"#/components/schemas/AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetailsEncountersItems"},"description":"Past encounters in submission order."}},"description":"Present on success. `null` on validation errors.","title":"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetails"},"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaErrorsItems":{"type":"object","properties":{"code":{"type":"string"},"field":{"type":"string"},"message":{"type":"string"}},"title":"AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaErrorsItems"},"AIR_Individual Details_Immunisation History Details_Response_200":{"type":"object","properties":{"statusCode":{"type":"string","description":"AIR status code. See [Status codes](/air#status-codes)."},"codeType":{"type":"string","description":"Code-type category. `AIRIBU` on success; `AIREBU` on validation errors."},"message":{"type":"string","description":"Status message from AIR."},"immunisationDetails":{"oneOf":[{"$ref":"#/components/schemas/AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaImmunisationDetails"},{"type":"null"}],"description":"Present on success. `null` on validation errors."},"errors":{"type":["array","null"],"items":{"$ref":"#/components/schemas/AirV13IndividualImmunisationHistoryDetailsPostResponsesContentApplicationJsonSchemaErrorsItems"},"description":"Field-level validation problems. Present when `statusCode` is `AIR-E-1005`. See [Validation codes](/air#validation-codes)."},"correlationId":{"type":"string","description":"Unique request identifier. Include in support tickets so we can trace the request."}},"title":"AIR_Individual Details_Immunisation History Details_Response_200"},"AirV1IndividualMedicalContraindicationHistoryPostRequestBodyContentApplicationJsonSchemaInformationProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare or AIR provider number."},"hpioNumber":{"type":"string","description":"Optional. HPI-O. 16 digits."},"hpiiNumber":{"type":"string","description":"Optional. HPI-I. 16 digits."}},"required":["providerNumber"],"title":"AirV1IndividualMedicalContraindicationHistoryPostRequestBodyContentApplicationJsonSchemaInformationProvider"},"AirV1IndividualMedicalContraindicationHistoryPostResponsesContentApplicationJsonSchemaMedContraindicationListItemsTypeCode":{"type":"string","enum":["T","P"],"description":"Type of contraindication.\n\n| Code | Meaning |\n|---|---|\n| `T` | Temporary — `endDate` set |\n| `P` | Permanent — no `endDate` |\n","title":"AirV1IndividualMedicalContraindicationHistoryPostResponsesContentApplicationJsonSchemaMedContraindicationListItemsTypeCode"},"AirV1IndividualMedicalContraindicationHistoryPostResponsesContentApplicationJsonSchemaMedContraindicationListItems":{"type":"object","properties":{"vaccineCode":{"type":"string","description":"1–6 character AIR vaccine code (refer to the AIR Vaccine Code Formats guide)."},"typeCode":{"$ref":"#/components/schemas/AirV1IndividualMedicalContraindicationHistoryPostResponsesContentApplicationJsonSchemaMedContraindicationListItemsTypeCode","description":"Type of contraindication.\n\n| Code | Meaning |\n|---|---|\n| `T` | Temporary — `endDate` set |\n| `P` | Permanent — no `endDate` |\n"},"startDate":{"type":"string","description":"DDMMYYYY format. Date the contraindication period commenced."},"endDate":{"type":["string","null"],"description":"DDMMYYYY format. Set on temporary contraindications; `null` on permanent."},"reason":{"type":"string","description":"AIR reason code for the contraindication (refer to the AIR Vaccine Code Formats guide)."},"anaphylaxisDate":{"type":["string","null"],"description":"DDMMYYYY format. Set when the reason is anaphylaxis; `null` otherwise."}},"title":"AirV1IndividualMedicalContraindicationHistoryPostResponsesContentApplicationJsonSchemaMedContraindicationListItems"},"AirV1IndividualMedicalContraindicationHistoryPostResponsesContentApplicationJsonSchemaErrorsItems":{"type":"object","properties":{"code":{"type":"string"},"field":{"type":"string"},"message":{"type":"string"}},"title":"AirV1IndividualMedicalContraindicationHistoryPostResponsesContentApplicationJsonSchemaErrorsItems"},"AIR_Individual Details_Medical Contraindication History_Response_200":{"type":"object","properties":{"statusCode":{"type":"string"},"codeType":{"type":"string"},"message":{"type":"string"},"medContraindicationList":{"type":"array","items":{"$ref":"#/components/schemas/AirV1IndividualMedicalContraindicationHistoryPostResponsesContentApplicationJsonSchemaMedContraindicationListItems"},"description":"Recorded medical contraindications. The whole field is omitted when no contraindications exist."},"errors":{"type":["array","null"],"items":{"$ref":"#/components/schemas/AirV1IndividualMedicalContraindicationHistoryPostResponsesContentApplicationJsonSchemaErrorsItems"},"description":"Field-level validation problems. See [Validation codes](/air#validation-codes)."},"correlationId":{"type":"string","description":"Unique request identifier."}},"title":"AIR_Individual Details_Medical Contraindication History_Response_200"},"AirV1IndividualNaturalImmunityHistoryPostRequestBodyContentApplicationJsonSchemaInformationProvider":{"type":"object","properties":{"providerNumber":{"type":"string","description":"Medicare or AIR provider number."},"hpioNumber":{"type":"string","description":"Optional. HPI-O. 16 digits."},"hpiiNumber":{"type":"string","description":"Optional. HPI-I. 16 digits."}},"required":["providerNumber"],"title":"AirV1IndividualNaturalImmunityHistoryPostRequestBodyContentApplicationJsonSchemaInformationProvider"},"AirV1IndividualNaturalImmunityHistoryPostResponsesContentApplicationJsonSchemaNaturalImmunityListItems":{"type":"object","properties":{"disease":{"type":"string","description":"1–6 character antigen code for the disease (refer to the AIR Vaccine Code Formats guide)."},"notificationDate":{"type":"string","description":"DDMMYYYY format. Date AIR was notified of the natural immunity."},"labTestDate":{"type":"string","description":"DDMMYYYY format, or empty string. Date of the lab test for the immunity."},"diagnosisDate":{"type":"string","description":"DDMMYYYY format, or empty string. 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Episode-level `information.code` (e.g. `AIR-I-1002` valid, `AIR-I-1003` dose adjusted) appears here.","title":"AirV13EncounterUpdatePostResponsesContentApplicationJsonSchemaEncounter"},"AirV13EncounterUpdatePostResponsesContentApplicationJsonSchemaErrorsItems":{"type":"object","properties":{"code":{"type":"string"},"field":{"type":"string"},"message":{"type":"string"}},"title":"AirV13EncounterUpdatePostResponsesContentApplicationJsonSchemaErrorsItems"},"AIR_Individual Details_Update Encounter_Response_200":{"type":"object","properties":{"statusCode":{"type":"string"},"codeType":{"type":"string"},"message":{"type":"string"},"encounter":{"oneOf":[{"$ref":"#/components/schemas/AirV13EncounterUpdatePostResponsesContentApplicationJsonSchemaEncounter"},{"type":"null"}],"description":"The updated encounter state. 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