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Make electronic claims with Medicare Australia, including Bulk Bill claims or if your health service operates fully or partially as a private business, bill a patient privately.
Online Claiming
If your clinic is set up to make claims from Medicare, providers or reception can submit a Medicare claim electronically, either from the Service Record after closing a clinical record, or by opening the Service Record from the Service Recording window.
Bulk Bill Claims (Online Claiming)
Use the File > Online Claiming > Bulk Bill Claims tab to manage claims bulk billed to Medicare using Medicare Australia's online claiming, where the cost of the encounter is covered by Medicare.
Bulk Bill - Electronic Claims (Medicare Australia's online claiming) Wizard
Use the Bulk Bill - Electronic Claims (Medicare Australia's online claiming) Wizard to confirm the details of the items and the amounts claimed before actually transmitting them.

Finance
Make electronic claims with Medicare Australia, including Bulk Bill claims or if your health service operates fully or partially as a private business, bill a patient privately.
- Online Claiming
  If your clinic is set up to make claims from Medicare, providers or reception can submit a Medicare claim electronically, either from the Service Record after closing a clinical record, or by opening the Service Record from the Service Recording window.
  - Getting Started with Online Claiming
    Before you can use Electronic Claims you must be registered with Medicare Australia.
  - Bulk Bill Claims (Online Claiming)
    Use the File > Online Claiming > Bulk Bill Claims tab to manage claims bulk billed to Medicare using Medicare Australia's online claiming, where the cost of the encounter is covered by Medicare.
    - Working with submitted Medicare Claims
      Use File > Online Claiming > Bulk Bill Claims tab to manage the life cycle of a Medicare claim from the moment the claim is sent to Medicare until the moment of payment.
    - Troubleshooting online claims to Medicare
      For Medicare bulk bill claims that have a status of Claims in progress, Claims partially paid and Claims rejected, review why this might happen so that you can correct and resubmit the claims.
    - Bulk Bill - Electronic Claims (Medicare Australia's online claiming) Wizard
      Use the Bulk Bill - Electronic Claims (Medicare Australia's online claiming) Wizard to confirm the details of the items and the amounts claimed before actually transmitting them.
  - Australian Immunisation Register uploads
    Use the File > Online Claiming > AIR Claims tab to view a list of all immunisations recorded in Communicare where the immunisation type has a valid AIR code, and to check that the immunisation record has been successfully uploaded to Australian Immunisation Register (AIR).
  - Check Medicare Card Eligibility
    Use the Check Medicare Card for Bulk Bill Eligibility window to help manage your patients' Medicare details.
  - Claiming Medicare from Service Recording (Reception)
    If your health service is integrated with Medicare, reception can submit an electronic claim from the Service Recording window after the clinician has closed the service.
  - Claiming Medicare (Doctor)
    If your health service is integrated with Medicare, you can submit an electronic claim when you close a service if you are the provider.
  - History of MBS Items for a Patient
  - Allied Health Claims in Communicare
  - Aftercare
  - Not duplicate service
  - Not part of a multiple procedure
  - Patient Claims - Interactive
    Use the Claims Status (Online Claiming) > Patient Claims tab to manage interactive patient claims to Medicare.
- Private Billing

Bulk Bill - Electronic Claims (Medicare Australia's online claiming) Wizard

Use the Bulk Bill - Electronic Claims (Medicare Australia's online claiming) Wizard to confirm the details of the items and the amounts claimed before actually transmitting them.

Bulk Bill details

The Bulk Bill - Electronic Claims (Medicare Australia's online claiming) Wizard window is displayed from the Service Record when you click Claim Now.

After you click Accept, the claim is placed in a queue to access Medicare Australia's online claiming.

If the service is a batch claim, the items from all the services are batched together and displayed. For batch claims, the claim can include up to 80 services with a maximum of 14 MBS items in each service.

If you are using a Data Synchronisation (Communicare Offline) client, this will be placed on the queue on the Server when you next synchronise. You can only claim for a service from a Data Synchronisation (Communicare Offline) client if the service was created entirely offline, and has not yet been uploaded to the online database.

Practitioner Declaration

If the provider has chosen to use a signing token s/he must provide the password for the token before submitting the claim. No one can submit claims in this provider's name unless they have the token and the password. This option is not available on a Data Synchronisation Client.

14 November 2023