Online Patient Verification

Online Patient Verification (OPV) is the process where a single patient's Medicare card number is sent to Services Australia and is validated against the details that Medicare holds.

Note: OPV is used for online claiming.
An OPV check happens in the following circumstances:
  • In Patient Biographics iconPatient Biographics > Personal tab, Medicare pane, when you click Check Card Online.
  • When you save a patient's biographics
  • For patient interactive claims
  • In Tools > Medicare Card Eligibility when you check a patient's Medicare details
The following patient details are sent to Services Australia as part of the OPV:
  • Given and family names set for Medicare
  • Date of birth
  • Medicare number
  • Medicare reference number
If the OPV finds any discrepancies in the patient's details, Services Australia may return suggested alternatives for the following:
  • Given name
  • Medicare number
  • Medicare reference number
Note: The Minor ID and PRODA device ID are used in the OPV check. If no encounter place is set, the organisation's Minor ID and PRODA device ID are used. If the encounter place is set, its Minor ID and PRODA device ID are used if they exist.