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API Suite

A unified Medicare integration layer for eligibility, claims, patient verification, and MBS data.

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Access an industry-leading API suite

built for healthcare systems

Core Medicare Infrastructure
 

  • Eligibility Check API

  • Patient Verification API

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Claims & Transactions

  • Medicare Claiming API

  • Interactive & Bulk Bill workflows

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Data & Rules Engine

  • MBS API (fees, items, updates)

  • Eligibility rules engine

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Built for healthcare software teams that:

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Integrate Medicare workflows into platforms

Manage billing, eligibility, or claims systems

Want to reduce ongoing maintenance overhead

Need a single source of truth for Medicare data

Explore Our APIs

Discover the full range of APIs we offer to integrate seamlessly with your systems. From patient eligibility checks to real-time claim validation, our APIs are designed for speed, accuracy, and simplicity—helping your practice or software deliver results you can trust.

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Patient Verification
 

 

Verify your patient’s Medicare card details directly with Medicare.

Check your patient's name and card details
 

Get instant results when a mismatch is detected

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Claiming

Submit claims to Medicare for payment to healthcare professionals or their patients.

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Bulk Bill claims paid to the provider

Interactive claims rebated to the patient or provider

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Eligibility Check

 

Eliminate Medicare claim rejections before they happen.

Real-time eligibility, rules, and billing validation

Used by our clients to prevent millions in lost revenue

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Australian Immunisation Register

 

​The national register to record all vaccinations given to individuals of all ages.

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A suite of 40 connections covering 100% of the AIR

Automated vaccine management

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Automated MBS Updates

Goodbye manual MBS updates, hello automation.

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Automate every MBS change

Includes fees, rebates, new and deleted items, and more

 

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Coming Soon

 

Integrations and features coming soon. 

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Additional claiming and verification integrations

Feature enhancements to the RebateRight web-app

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New APIs Coming Soon

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DVA Verification
 

 

Check your patient's DVA card details
 

Instantly confirm their card type (Gold, White, Orange)

Coming Soon

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Eclipse Claiming

 

 

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Process claims for services provided to inpatients

Health professionals and hospitals can transmit inpatient medical claims

Coming Soon

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DVA Claiming

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Submit DVA claims for payment to the the provider

Seamless API integration

Coming Soon

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Concession Verification

 

 

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Instantly check your patients concession card status

 

Verify their current concession entitlement

Coming Soon

How to Get Started

Step 1

Initiate a call with us

To explore all the benefits we offer, simply initiate a call with us. Our team is ready to walk you through the steps, address any questions, and ensure you’re set up smoothly for a seamless experience.

Step 2

Activate Your Free Trial

Activate your free trial and decide how you’d like to connect — via our browser-based app or through API integration. We’ll help you find the best option for your workflow.

Step 3

Get Connected

We’ll guide you through connecting your system, setting up user access, and completing initial configuration so you can start with confidence.

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