Medicare Integration for Australian Healthcare Providers
Automate bulk billing claims, patient claiming, DVA processing and practice accounting. Clinical data flows to claims without manual re-entry.
Perth-based. Australia-wide. Built for healthcare.
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Medicare Claiming Integration That Actually Works
Your practice management system knows who the patient is, what consultation happened, and which provider saw them. But that data does not flow cleanly into Medicare claiming, DVA submissions or your accounting software. Someone re-enters it. Mistakes happen. Claims get rejected. Revenue gets delayed.
We build custom integrations so clinical data drives claiming automatically. Bulk billing, patient claims, DVA, telehealth items. Generated from the consultation record with the right item numbers, provider details and patient information.
HELLO PEOPLE is a Perth-based software consultancy. We help Australian GP practices, specialist clinics, allied health providers and medical centres automate their Medicare billing workflows.
What we hear from practice managers
If your admin team spends more time on billing than patient care, these will resonate.
Bulk billing claims entered twice
The consultation happens in your clinical software. Then someone re-enters the billing details into Medicare Online or your claiming tool separately. Double handling slows things down.
Rejected claims with no visibility
A claim gets rejected and nobody notices for days. The rejection reason is buried in a portal. By the time it is actioned, the patient has moved on and follow-up is difficult.
DVA and WorkCover claims managed separately
Medicare claims, DVA claims and WorkCover claims each go through different processes. Your admin team juggles three different workflows for three different payers.
Patient billing disconnected from practice management
Gap payments, private invoices and patient statements live in your practice management system. Medicare rebate information lives elsewhere. Reconciling the two is manual.
Reporting for compliance is painful
Generating reports for Medicare audit compliance, claim volumes and revenue breakdown requires pulling data from multiple places and stitching it together.
Telehealth billing not streamlined
COVID made telehealth permanent. But billing for MBS telehealth items alongside in-person items adds complexity to an already manual claiming process.
Get Started
Tell us about your practice billing
Which practice management system? Bulk billing, mixed or private? DVA caseload? Tell us your setup and we will scope the integration.
Medicare Integration Workflows
The most common Medicare-related integrations we build for Australian healthcare providers.
Automated bulk billing claims
Bulk billing claims generated automatically from appointment and clinical data. Patient eligibility verified, item numbers applied based on consultation type, and claims submitted to Medicare electronically.
Batch submission for end-of-day processing or real-time submission per consultation. Bulk bill incentive payments tracked and reconciled.
For GP practices, medical centres and allied health providers who bulk bill some or all patients.
Patient claiming and gap billing
For private billing practices where the patient claims. Consultation generates an invoice, patient is charged, and the claim details submitted so the patient receives their Medicare rebate directly.
Gap amount calculated automatically based on the MBS schedule fee, your practice fee and the rebate percentage. Statements issued to patients with clear breakdowns.
Common for specialists, private GPs, psychologists and allied health practitioners with mixed billing models.
DVA and compensable claims processing
Department of Veterans' Affairs claims generated alongside Medicare claims from the same clinical record. DVA-specific item numbers, referral validation and pre-approval requirements applied automatically.
WorkCover, TAC and other compensable scheme claims also supported with payer-specific rules and submission formats.
For practices with significant DVA caseloads or multi-payer billing environments.
Practice accounting integration
Medicare rebates, patient payments, DVA receipts and sundry charges flow into MYOB, Xero or your practice accounting software. Revenue by provider, by service type, by payer — all categorised correctly.
Bank reconciliation simplified because payment sources are identified and matched to invoices automatically.
For practice owners and bookkeepers who need clean financial data without manual journal entries.
Telehealth and remote consultation billing
MBS telehealth item numbers applied correctly based on consultation type, duration and patient eligibility. Bulk billing, patient claiming and DVA billing all supported for remote consultations.
Integration checks telehealth-specific rules — geographic eligibility, established patient requirements, item restrictions — before claim submission.
For GP clinics, specialists and allied health providers offering telehealth alongside in-person appointments.
Billing analytics and compliance reporting
Claim volumes, revenue by MBS item, rejection rates, average rebate amounts, provider billing patterns — in dashboards that update automatically.
Compliance monitoring for Medicare audit preparedness. Unusual billing patterns flagged proactively. Provider comparison reporting for multi-practitioner practices.
For practice managers and owners who need operational and compliance visibility across their billing.
Claims submitted from your clinical workflow
Consultations documented in your practice management or clinical software automatically generate Medicare claims. Item numbers, patient details and provider numbers pulled from the appointment record.
Bulk billing and patient claims submitted without re-entering data. Reduced claim rejection rates because the data comes from the source.
Rejected claims flagged instantly
Claim rejections trigger notifications to your admin team with the rejection reason, patient details and suggested fix. No more checking portals manually.
Rework rate drops because common errors (wrong item numbers, expired referrals, invalid provider combinations) are caught before submission where possible.
How we price Medicare integrations
Depends on your billing model, payer mix and practice management system.
Free 15-minute call
Tell us your practice management system, billing model and which payers you claim from. We will give you a straight answer on what is involved.
Fixed-price quote
Once scoped, you get a fixed price. Bulk billing automation, DVA integration, accounting sync. Each priced clearly.
Support & compliance
MBS schedule updates, payer rule changes and software updates. We keep your billing integration current and compliant.
AI-powered document processing that cut manual work by 85%
We helped an Australian firm replace hours of manual data entry with an intelligent processing pipeline. Invoices, claims, and supporting documents now flow straight into their systems, accurately and automatically.
Read the full case study →Your Medicare integration at a glance
Clinical data drives claims. Payments flow to your accounts. Reporting keeps you compliant.
From discovery to live billing integration
A structured approach that respects the compliance and privacy requirements of healthcare billing.
Why HELLO PEOPLE for integrations
We build, not just connect
We write proper integration code: API connections, data mapping, error handling, logging. Not Zapier chains that break quietly.
Fixed-price quoting
You get a clear price before we start. No hourly billing that spirals. No surprise invoices at the end of the month.
Built for Australian business
We understand BAS, GST, super, award rates, Australian privacy law, and the platforms local businesses actually use.
Senior team, direct access
You talk to the people building your integration. No account managers, no offshore handoffs, no ticket queues.
Ongoing support included
APIs change. Platforms update. We monitor, maintain, and evolve your integration so it keeps working as your business grows.
Our admin team used to spend two hours a day processing Medicare claims. Now bulk billing happens automatically from the appointment. Rejections are caught immediately. Our claim rejection rate dropped from 8% to under 1%.
Medicare integrations by provider type
Every practice has different billing needs. The integration matches your specific model.
GP Practices
Bulk billing, mixed billing and private billing for general practice. Appointment data flows to claim submission. Gap payments calculated. Rebates reconciled.
Specialist Clinics
Referral validation, specialist item numbers and higher gap management. Claims submitted with correct referring provider and referral period tracking.
Allied Health
Medicare-eligible allied health claims: psychology, physiotherapy, dietetics, occupational therapy. Mental Health Care Plan sessions tracked. Referral validity verified before claiming.
Medical Centres
Multi-provider billing across GPs, nurses and allied health under one roof. Provider-specific item numbers, bulk billing incentives and practice-level reporting.
Dental Practices
Child Dental Benefits Schedule (CDBS) claims and general dental claiming. Treatment plans, item codes and patient eligibility verified before submission.
Telehealth Providers
Pure telehealth or hybrid clinics billing MBS telehealth items. Patient eligibility, consultation duration and geographic requirements verified before claiming.
Common questions about Medicare integration
Can you connect our practice management system to Medicare claiming?
Yes. We integrate with Best Practice, Medical Director, Cliniko, Halaxy, Nookal and other Australian practice management systems. Clinical data flows to Medicare claiming without manual re-entry.
Do you handle bulk billing and patient claims?
Yes. Both billing models supported. Bulk billing claims submitted automatically. Patient claims generate invoices with gap amounts calculated from the MBS schedule fee. Mixed billing practices handled seamlessly.
How much does a Medicare integration cost?
A basic bulk billing automation typically costs $8,000 to $15,000. Full multi-payer integration with DVA, accounting sync and compliance reporting usually runs $15,000 to $35,000. Fixed price after scoping.
Can you handle DVA claims as well?
Yes. DVA claims generated from the same clinical record as Medicare claims. DVA-specific item numbers, treatment cycles and pre-approval requirements managed automatically.
What about MBS schedule updates?
The MBS schedule updates quarterly with item number changes, fee adjustments and rule modifications. Under our support plan, we keep your integration current with each update.
Is patient data secure?
Absolutely. All integrations comply with the Australian Privacy Act and My Health Records Act. Patient data encrypted in transit and at rest. Audit logging for all claims activity. We follow healthcare data handling best practices.
How long does the integration take to build?
A single-payer integration for one practice takes 6 to 10 weeks. Multi-payer setups with DVA, accounting and reporting typically run 10 to 16 weeks.
Can you generate compliance reports for a Medicare audit?
Yes. Claim volumes by item number, provider billing patterns, rejection rates and rebate reconciliation. All available in automated reports. Most audit queries can be answered directly from the integrated data.
Get Started
Tell us about your practice billing
Your practice management system, billing model and payer mix. Share your setup and we will come back with a clear scope and cost.
Tell Us About Your Practice Billing
Share your practice management system, billing model and current pain points. We will come back with a clear scope and fixed-price quote.
Prefer a quick chat? Call 0425 531 127 – we're Perth-based and we answer the phone.