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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.
Not duplicate service

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
  If your health service operates fully or partially as a private business, enable the Private Billing module so that your health service can bill a patient privately.

Not duplicate service

T8.3 Not Being a Service Associated with a Service to which another Item in this Group Applies

T8.3.1 "Not being a service associated with a service to which another item in this Group applies" means that benefit is not payable for any other item in that Group when it is performed on the same occasion as this item. eg. item 30106.

T8.3.2 "Not being a service associated with a service to which Item ..... applies" means that when this item is performed on the same occasion as the reference item no benefit is payable. eg. item 39330.

T8.4 Not Being a Service to which another Item in this Group Applies

T8.4.1 "Not being a service to which another item in this Group applies" means that this item may be itemised if there is no specific item relating to the service performed, eg. Item 30387 (Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which another item in this Group applies). Benefits may be attracted for an item with this qualification as well as benefits for another service during the course of the same operation.

Note For more details please contact the Australian Department of Health and Ageing about Medicare Benefits Schedule

14 November 2023