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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.

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.
  - 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

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 icon Service Recording window.

To make claims from Medicare:

Your site and providers must be registered with Services Australia.
The Encounter Place must have a Minor ID which is used when claims are sent to Medicare. This number is generated and provided by Communicare. For more information, see Editing Encounter Places.
Any provider for whom claims will be submitted must have a provider number for the encounter place or a Specialty type of General Medical Practitioner. For more information, see Providers.
The Electronic Claims module must be enabled.
This module enables bulk bill claims, private claims and the verification of a patient's Medicare details and eligibility using OPV or EPV.
Users making claims must belong to a user group that has the Billing system right.
Optionally, clinical items can be linked to specific MBS items to simplify claiming. For more information, see Clinical Item Type Properties.

15 November 2023