Medicare

What is Medicare Easyclaim?

Medicare Easyclaim is a Medicare Australia initiative that allows patients to lodge their claims and receive their rebates through the HICAPS terminal.

How does Medicare Australia allow patients to lodge their claims and receive their rebates through the HICAPS terminal?

Medicare Easyclaim is used for bulk bill and/or patient claims including Enhanced Primary Care (EPC).  There are three payment options for patient claims that can be lodged through Medicare Easyclaim. The type of claim submitted is dependent on the manner in which you have agreed with your patient to settle the account.

  • Fully paid account - patient has paid their account in full.

  • Part paid account - patient has paid a contribution toward the settlement of the account. 

  • Unpaid account - account has not been paid.

Following full account payment by your patient by cash, EFTPOS, credit card or cheque, you simply swipe your patient's Medicare card and their rebate is paid directly into their bank account almost immediately. 

It is at your discretion whether to bulk bill a patient or not.  If you choose to bulk bill, additional fees or co-payments should not be charged to your patient following bulk bill claims.

How do I reconcile Bulk Bill claims?

You can access Medicare Easyclaim bulk bill claims processing and payment reports to assist with reconciliation via Medicare Australia's Health Professional Online Services (HPOS) portal.  For full access to HPOS you will need to register for a Public Key Infrastructure (PKI) individual certificate. To register for a PKI certificate and for access to HPOS visit www.medicareaustralia.gov.au.

How do I get started?

Medicare claiming makes it easier for practices that privately bill, to offer patients the convenience of claiming their Medicare rebate when they pay their account. So, why not join the thousands of allied health services providers enjoying the convenience of electronic Medicare claiming.  

To help you get started we have some helpful tips and information below;

- Register and update your bank details with Medicare
- Referring GP must establish the plan with Medicare Australia and subsequently ‘activate’ the plan with Medicare.
- Medicare Easyclaim for health professionals
(For more information click here)

To get started today or for more information on Medicare Easyclaim call the Medicare e-Business Service Centre on 1800 700 199.

How do I find out more about Medicare Easyclaim?

For all Medicare Easyclaim enquiries call the Medicare e-Business Service Centre on 1800 700 199.

HICAPS Medicare Easyclaim User Guides

To download a step by step Medicare claim transaction guide for your HICAPS terminal, please follow the following link.