RebateRight launches real-time Medicare eligibility API to reduce claim rejections

RebateRight today announced the launch of its real-time Medicare eligibility API, designed to help healthcare providers verify patient eligibility instantly and significantly reduce claim rejections.

For many practices, eligibility checks remain a manual, time-consuming step—often completed after services are delivered, if at all. This creates a high risk of rejected claims, costing providers both time and revenue. RebateRight’s new API addresses this challenge by enabling eligibility verification earlier in the workflow, even before a claim is created.

The real-time API integrates directly with existing practice management systems, allowing providers to confirm Medicare eligibility. By surfacing potential issues upfront, practices can resolve discrepancies before services are rendered or claims are lodged.

“Claim rejections are not just an administrative burden; they directly impact cash flow and patient experience,” said a spokesperson for RebateRight. “We built this API to give healthcare organisations greater confidence and control at the point of care, rather than after the fact.”

Key benefits of the real-time Medicare eligibility API include:

• Reduced claim rejections by identifying eligibility issues early

• Improved operational efficiency through automated, real-time checks

• Seamless integration with existing clinical and billing systems

• Better patient experience by minimising billing surprises

  
  

The launch comes at a time when healthcare providers across Australia are under increasing pressure to streamline operations and improve financial performance, while maintaining high standards of patient care.

RebateRight’s API is now available to partners and healthcare organisations looking to enhance their billing workflows and reduce administrative overhead. And, don't worry if an integration can't be achieved, they have browser-based options too.

For more information or to access your free trial, contact hello@rebateright.com.au