What We Do
RebateRight is a leading health-tech platform specialising in certified Services Australia integrations. Whether you choose to integrate directly via our secure API or get started with our web-based application, our technology connects seamlessly with Services Australia’s digital health systems to streamline workflows, reduce errors, and ensure compliance. With industry-leading infrastructure we build, maintain, and support integrations to make healthcare software reliable and future-ready.
Whats Sets Us Apart
RebateRight takes Medicare eligibility checks to the next level. Built on Services Australia’s integration but packed with advanced, instant verification features, our system helps you reduce claim rejections, save time, and give your patients clear, confident insights into their rebates. With RebateRight, healthcare billing is smarter, faster, and accurate.
Services Australia Integrations
Our secure, reliable technology seamlessly connects with Services Australia’s digital health systems. We go beyond integration—building, maintaining, and ensuring full compliance every step of the way
Patient Verification
A Medicare-certified verification service that checks your patient’s name, date of birth, and Medicare card details — and returns the correct information directly from Medicare.
Medicare Benefits Schedule
API
We provide the full MBS with automated updates as an API integration.
Health Fund & Medicare Verification
A combined Medicare and health fund verification service that checks your patient’s name, date of birth, and card details — and returns the correct information directly from Medicare.
Status: ready to integrate in the test environment.
Eligibility Check
We assess the patient’s eligibility for Medicare rebates by reviewing their claim history and notify you when service limits have been reached.
Bulk Bill Claiming
Lodge bulk bill claims on the patient's behalf for direct payment to the healthcare professional.
Status: Ready to integrate in the test environment.
Australian Immunisation Register (AIR)
The national register to manage your patient's vaccinations.
We provide a suite of 40 connections covering 100% of the AIR, you can select the ones you need, making it flexible and efficient for your workflows.
Interactive Claiming
Lodge claims on the patient's behalf for direct payment to the patient.
Status: Ready to integrate in the test environment.
More Integrations?
We've Got You Covered!
Looking for another API integration?
Get in touch.
Join us for an exclusive live webinar where we’ll demonstrate how to instantly verify Medicare eligibility using RebateRight – saving you time, reducing errors, and optimising your workflow!
Eligibility Checking
RebateRight offers the only Medicare eligibility integration that goes beyond basic checks. Instantly verify your patient’s eligibility, rebate entitlements, and service limits in real time. Our solution uniquely includes referral checks—essential for services with restricted referral requirements. Whether via our integration or web-based platform, you can reduce billing errors, streamline claims, and instantly interpret complex Medicare rules, including age limits, frequency of service caps, and same-day item restrictions
Fees & Rebates
We provide the schedule fee, patient rebate amount, and the reason for the benefit.
Referrer Eligibility
On-demand Medicare eligibility checks based on who referred the patient.
~6000 MBS Items
Comprehensive access to nearly 6,000 MBS items across nine categories, enriched with the MBS notes.
API Integration
The RebateRight API seamlessly integrates with any healthcare system.
Age Eligibility
Real-time Medicare eligibility checks based on the patient's age.
Episode Cone
We notify you when Episode Coning is applied to pathology items and show you which items attract a rebate.
Web-based Application
Use the RebateRight web-based application to start eligibility checking today, available on desktop and mobile- no integration required.
RebateRight Sample Eligibility Checks
You Provide
Patient Name: John Doe
Date of Birth: 01/01/1960
Medicare #: 1234567890
Bulkbill Status: Yes
In Hospital: No
Provider #: 0000000X
Medicare Item/s: 55141
API Response
Medicare Eligible: No
Reason: The maximum number of services for this item has been paid.
Medicare Fee: $461.15
Patient Rebate: $0.00
You Provide
Bulkbill Status: Yes
Date of Birth: 05/04/1987
In Hospital: No
Provider #: 0000000X
Medicare Item: 66523
API Response
Medicare Eligible: No
Reason: A 'General Practitioner' is not eligible to refer this Medicare item. The following specialties can refer this item: 'Specialist gastroenterologist and hepatologist'.
Medicare Fee: $75.00
Patient Rebate: $0.00
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