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Medicare API

Built to keep clinical and billing systems continuously aligned with Medicare changes

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Always up-to-date Medicare data -Delivered via API
 

Keep fees, rules, item descriptions, and claiming logic continuously in sync with Medicare — without manual updates or system maintenance.

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Medicare data changes constantly — your systems shouldn’t fall behind
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The Medicare Benefits Schedule is updated regularly, including:

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  • New and removed items

  • Fee changes

  • Claiming rules and limits

  • Eligibility criteria updates

  • And more

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Without automation, teams are forced to:​

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Manually track changes

Patch billing logic across systems

Risk incorrect claims and downstream work

What's Included

The Medicare API sources data directly from the MBS and enriches it with MBS notes and key information such as claiming limits. By automating Medicare updates, it removes the need for manual system maintenance—ensuring your data is always accurate and up to date.

Always up-to-date Medicare data​

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Access the full Medicare Benefits Schedule (MBS), including item numbers, descriptions, and updates — kept continuously in sync as changes occur.​​

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Built-in Medicare item rules and guidance

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Access key rules, limits, and conditions alongside each MBS item.

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Complete MBS coverage​

 

Work with the full dataset of ~6,000 Medicare items across all categories, including fees, rebates, and structured item information.

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Integrate once, stay current automatically​

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Designed to plug into any healthcare system, enabling direct access to Medicare data inside your existing workflows.

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Before vs After

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Without MBS API​

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  • Manual Medicare updates

  • Outdated logic across systems

  • Inconsistent fees and rules

  • Higher risk of claim errors

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With RebateRight MBS API​

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  • Automated MBS updates

  • Centralised source of truth

  • Reduced maintenance burden

  • Accurate billing data

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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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