Bulk Bill Claims

Bulk Bill claims #

With Bulk Bill claims providers must not charge an out of pocket amount. The patient assigns the Medicare rebate to the provider, and that provider is agreeing to accept the rebate as payment in full, with the payment going directly to the provider’s nominated bank account.

The patient should be given an Assignment of Benefit form (DB4). See the forms section below for calls to generate and print a PDF version to give to the patient.

Bulk Bill claims are usually paid overnight, however some have to be assessed by a Medicare operator and will take longer to get paid. Processing and payment reports will be available from the API and should be displayed to the end user.

POST - Submit a Bulk Bill claim #

{{base_url}}/{{version}}/claims?location={{location_id}}

Headers

HeaderValue
Acceptapplication/json
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1974-02-28",
    "medicare": {
      "number": "2952631861",
      "ref": 1
    },
    "gender": "M",
    "name": {
      "first": "Bernhardt",
      "family": "Griffith"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
      "chargeAmount": "75.05",
      "date": "2020-08-31",
      "itemNumber": "00104"
    }
  ]
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claims?location=25' \
--header 'Accept: application/json' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1974-02-28",
    "medicare": {
      "number": "2952631861",
      "ref": 1
    },
    "gender": "M",
    "name": {
      "first": "Bernhardt",
      "family": "Griffith"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
      "chargeAmount": "75.05",
      "date": "2019-08-31",
      "itemNumber": "00104"
    }
  ]
}'

Example Response:

Body:

{
  "claimId": 170401,
  "medicareClaimId": "A0001@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP00000oDkzuAhlYQfGQ11S"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length149
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS

POST - Submit a Bulk Bill Standard Consultation #

{{base_url}}/{{version}}/claims?location={{location_id}}

Headers

HeaderValue
Acceptapplication/json
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1974-02-28",
    "medicare": {
      "number": "2952631861",
      "ref": 1
    },
    "gender": "M",
    "name": {
      "first": "Bernhardt",
      "family": "Griffith"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
      "chargeAmount": "50.50",
      "date": "2020-01-01",
      "itemNumber": "00104"
    }
  ]
}

Example Request:

curl --location -g 'https://sandbox.claiming.com.au/v2/claim?auth_group={{auth_group}}' \
--header 'Accept: application/json' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1974-02-28",
    "medicare": {
      "number": "2952631861",
      "ref": 1
    },
    "gender": "M",
    "name": {
      "first": "Bernhardt",
      "family": "Griffith"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
      "chargeAmount": "50.50",
      "date": "2020-01-01",
      "itemNumber": "00104"
    }
  ]
}'

Example Response:

Body:

{
  "claimId": 170402,
  "medicareClaimId": "A0002@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP000009Iw4q1ovrGLjLTVl"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length149
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS

POST - Submit a Bulk Bill Multiple Items #

{{base_url}}/{{version}}/claims?location={{location_id}}

Headers

HeaderValue
Acceptapplication/json
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1974-02-28",
    "medicare": {
      "number": "2952631861",
      "ref": 1
    },
    "gender": "M",
    "name": {
      "first": "Bernhardt",
      "family": "Griffith"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
      "chargeAmount": "50.50",
      "date": "2020-01-02",
      "itemNumber": "00104"
    },
    {
      "chargeAmount": "50.50",
      "date": "2020-01-03",
      "itemNumber": "00104"
    }
  ]
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Accept: application/json' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1974-02-28",
    "medicare": {
      "number": "2952631861",
      "ref": 1
    },
    "gender": "M",
    "name": {
      "first": "Bernhardt",
      "family": "Griffith"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
      "chargeAmount": "50.50",
      "date": "2020-01-02",
      "itemNumber": "00104"
    },
    {
      "chargeAmount": "50.50",
      "date": "2020-01-03",
      "itemNumber": "00104"
    }
  ]
}'

Example Response:

Body:

{
  "claimId": 170403,
  "medicareClaimId": "A0003@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP00000oyvGcGPYCsLnGlVC"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length149
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS

POST - Submit a Bulk Bill Specialist claim #

A specialist claim requires serviceType set to “S” and a referral or referral override

{{base_url}}/{{version}}/claim?location={{location_id}}

Headers

Content-TypeValue
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
    "_TestCase": "Submit a Bulk Bill Specialist claim",
    "type": "BulkBill",
    "flags": {
        "serviceType": "S"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
        "medicare": {
            "number": "4951306731",
            "ref": 1
        },
        "name": {
            "first": "Talia",
            "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "44.35",
            "date": "{{today-2}}",
            "itemNumber": "119",
            "time": "12:30"
        }
    ],
    "location": {
        "type": "R"
    },
    "referral": {
        "date": "{{today-4}}",
        "periodType": "S",
        "provider": "2054781W"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
    "_TestCase": "Submit a Bulk Bill Specialist claim",
        "type": "BulkBill",
            "flags": {
        "serviceType": "S"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
            "medicare": {
            "number": "4951306731",
                "ref": 1
        },
        "name": {
            "first": "Talia",
                "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "44.35",
            "date": "{{today-2}}",
            "itemNumber": "119",
            "time": "12:30"
        }
    ],
        "location": {
        "type": "R"
    },
    "referral": {
        "date": "{{today-4}}",
            "periodType": "S",
                "provider": "2054781W"
    }
}'

Example Response:

Body:

{
  "claimId": 187474,
  "medicareClaimId": "A0001@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP000005EtY6W4iPoMi6KYJ"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length183
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS
Strict-Transport-Securitymax-age=3153600; includeSubDomains; preload
X-XSS-Protection1; mode=block
X-Content-Type-Optionsnosniff
X-Frame-OptionsSAMEORIGIN

POST - Submit a Bulk Bill Specialist claim with referral override #

Referral Overrides - referralOverrideCode

  • “H” for Hospital
  • “E” for Emergency
  • “L” for Lost
{{base_url}}/{{version}}/claim?location={{location_id}}

Headers

HeaderValue
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
    "_TestCase": "Submit a Bulk Bill Specialist claim with referral override",
    "type": "BulkBill",
    "flags": {
        "serviceType": "S",
        "hospitalInd": "Y"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
        "medicare": {
            "number": "4951306731",
            "ref": 1
        },
        "name": {
            "first": "Talia",
            "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "37.70",
            "date": "{{today-1}}",
            "itemNumber": "119"
        }
    ],
    "referral": {
        "overrideCode": "H"
    },
    "location": {
        "name": "St Elsewheres Hospital",
        "provider": "9988770W",
        "type": "H"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
    "_TestCase": "Submit a Bulk Bill Specialist claim with referral override",
    "type": "BulkBill",
    "flags": {
        "serviceType": "S",
        "hospitalInd": "Y"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
        "medicare": {
            "number": "4951306731",
            "ref": 1
        },
        "name": {
            "first": "Talia",
            "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "37.70",
            "date": "{{today-1}}",
            "itemNumber": "119"
        }
    ],
    "referral": {
        "overrideCode": "H"
    },
    "location": {
        "name": "St Elsewheres Hospital",
        "provider": "9988770W",
        "type": "H"
    }
}'

Example Response:

Body:

{
  "claimId": 187475,
  "medicareClaimId": "#0002@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP000004QTxLj86FvRZowTg"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length183
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS
Strict-Transport-Securitymax-age=3153600; includeSubDomains; preload
X-XSS-Protection1; mode=block
X-Content-Type-Optionsnosniff
X-Frame-OptionsSAMEORIGIN

POST - Submit a Bulk Bill Pathology claim #

Pathology claims must have serviceType = “P” and a referral or a referral override

{{base_url}}/{{version}}/claim?location={{location_id}}

Headers

HeaderValue
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
    "_TestCase": "Submit a Bulk Bill Pathology claim",
    "type": "BulkBill",
    "flags": {
        "serviceType": "P"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
        "medicare": {
            "number": "4951306731",
            "ref": 1
        },
        "name": {
            "first": "Talia",
            "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "8.40",
            "date": "{{yesterday}}",
            "itemNumber": "73811"
        }
    ],
    "referral": {
        "overrideCode": "N"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
    "_TestCase": "Submit a Bulk Bill Pathology claim",
    "type": "BulkBill",
    "flags": {
        "serviceType": "P"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
        "medicare": {
            "number": "4951306731",
            "ref": 1
        },
        "name": {
            "first": "Talia",
            "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "8.40",
            "date": "{{yesterday}}",
            "itemNumber": "73811"
        }
    ],
    "referral": {
        "overrideCode": "N"
    }
}'

Example Response:

Body:

{
  "claimId": 187476,
  "medicareClaimId": "A0003@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP00000oSYDTQJ1NOXKCNta"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length183
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS
Strict-Transport-Securitymax-age=3153600; includeSubDomains; preload
X-XSS-Protection1; mode=block
X-Content-Type-Optionsnosniff
X-Frame-OptionsSAMEORIGIN

POST - Submit a Bulk Bill General consultation and simple pathology #

Simple pathology claims (items from Group P9 of the MBS) from general practitioners don’t require a referral

{{base_url}}/{{version}}/claim?location={{location_id}}

Headers

HeaderValue
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
  "_TestCase": "Submit a general consultation and simple pathology",
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1982-10-24",
    "medicare": {
      "number": "4951306731",
      "ref": 1
    },
    "name": {
      "first": "Talia",
      "family": "Simkins"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
    "chargeAmount": "38.20",
    "date": "2019-11-08",
    "itemNumber": "23"
    },
    {
    "chargeAmount": "8.40",
    "date": "2019-11-08",
    "itemNumber": "73811"
    }
  ],
  "location": {
    "type": "R"
  }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
  "_TestCase": "Submit a general consultation and simple pathology",
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1982-10-24",
    "medicare": {
      "number": "4951306731",
      "ref": 1
    },
    "name": {
      "first": "Talia",
      "family": "Simkins"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
    "chargeAmount": "38.20",
    "date": "2019-11-08",
    "itemNumber": "23"
    },
    {
    "chargeAmount": "8.40",
    "date": "2019-11-08",
    "itemNumber": "73811"
    }
  ],
  "location": {
    "type": "R"
  }
}'

Example Response:

Body:

{
  "claimId": 187477,
  "medicareClaimId": "A0004@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP00000PczmdJIlAGdWgmPO"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length183
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS
Strict-Transport-Securitymax-age=3153600; includeSubDomains; preload
X-XSS-Protection1; mode=block
X-Content-Type-Optionsnosniff
X-Frame-OptionsSAMEORIGIN

POST - Submit a Bulk Bill Requested Pathology service with a Self Deemed Pathology service #

Where a pathologist determines that an additional test is required, add the selfDeemedCode SD

{{base_url}}/{{version}}/claim?location={{location_id}}

Headers

HeaderValue
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
  "_TestCase": "Submit a Bulk Bill Requested Pathology service with a Self Deemed Pathology service ",
  "type": "BulkBill",
  "flags": {
    "serviceType": "P"
  },
  "patient": {
    "dateOfBirth": "1982-10-24",
    "medicare": {
      "number": "4951306731",
      "ref": 1
    },
    "name": {
      "first": "Talia",
      "family": "Simkins"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
    "chargeAmount": "5.90",
    "date": "{{today-1}}",
    "itemNumber": "65060",
    "collectionDateTime": "{{today-2}} 12:00",
    "accessionDateTime": "{{today-2}} 13:00",
    "SCPId": "00001"
    },
    {
    "chargeAmount": "7.80",
    "date": "{{today-2}}",
    "itemNumber": "65066",
    "SCPId": "00001",
    "selfDeemedCode": "SD"
    }
  ],
  "referral": {
  	"date": "{{today-3}}",
  	"referralType": "P",
  	"provider": "2054781W"
  }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
  "_TestCase": "Submit a Bulk Bill Requested Pathology service with a Self Deemed Pathology service ",
  "type": "BulkBill",
  "flags": {
    "serviceType": "P"
  },
  "patient": {
    "dateOfBirth": "1982-10-24",
    "medicare": {
      "number": "4951306731",
      "ref": 1
    },
    "name": {
      "first": "Talia",
      "family": "Simkins"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
    "chargeAmount": "5.90",
    "date": "{{today-1}}",
    "itemNumber": "65060",
    "collectionDateTime": "{{today-2}} 12:00",
    "accessionDateTime": "{{today-2}} 13:00",
    "SCPId": "00001"
    },
    {
    "chargeAmount": "7.80",
    "date": "{{today-2}}",
    "itemNumber": "65066",
    "SCPId": "00001",
    "selfDeemedCode": "SD"
    }
  ],
  "referral": {
  	"date": "{{today-3}}",
  	"referralType": "P",
  	"provider": "2054781W"
  }
}'

Example Response:

Body:

{
  "claimId": 187478,
  "medicareClaimId": "A0005@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP000006SZQgHruO8ywafPx"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length183
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS
Strict-Transport-Securitymax-age=3153600; includeSubDomains; preload
X-XSS-Protection1; mode=block
X-Content-Type-Optionsnosniff
X-Frame-OptionsSAMEORIGIN

POST - Submit a Bulk Bill Anaesthetic claim #

Anaesthetic claims contain

  • an optional pre-op consult item
  • a base item
  • a time item
  • other items as required
{{base_url}}/{{version}}/claim?location={{location_id}}

Headers

HeaderValue
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
    "_TestCase": "Submit a Bulk Bill Anaesthetic claim",
    "type": "BulkBill",
    "flags": {
        "serviceType": "S"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
        "medicare": {
            "number": "4951306731",
            "ref": 1
        },
        "name": {
            "first": "Talia",
            "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "33.80",
            "date": "{{today-2}}",
            "itemNumber": "17610"
        },
        {
            "chargeAmount": "75.40",
            "date": "{{today-1}}",
            "itemNumber": "20100"
        },
        {
            "chargeAmount": "12.75",
            "date": "{{today-1}}",
            "itemNumber": "23010",
            "serviceText": "Start Time - 10:00am, End Time - 10:10am",
            "duration": "10"
        }
    ],
    "location": {
        "type": "R"
    },
    "referral": {
        "overrideCode": "N"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
    "_TestCase": "Submit a Bulk Bill Anaesthetic claim",
    "type": "BulkBill",
    "flags": {
        "serviceType": "S"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
        "medicare": {
            "number": "4951306731",
            "ref": 1
        },
        "name": {
            "first": "Talia",
            "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "33.80",
            "date": "{{today-2}}",
            "itemNumber": "17610"
        },
        {
            "chargeAmount": "75.40",
            "date": "{{today-1}}",
            "itemNumber": "20100"
        },
        {
            "chargeAmount": "12.75",
            "date": "{{today-1}}",
            "itemNumber": "23010",
            "serviceText": "Start Time - 10:00am, End Time - 10:10am",
            "duration": "10"
        }
    ],
    "location": {
        "type": "R"
    },
    "referral": {
        "overrideCode": "N"
    }
}'

Example Response:

Body:

{
  "claimId": 187479,
  "medicareClaimId": "A0006@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP00000qClxOcwl563UkdSy"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length183
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS
Strict-Transport-Securitymax-age=3153600; includeSubDomains; preload
X-XSS-Protection1; mode=block
X-Content-Type-Optionsnosniff
X-Frame-OptionsSAMEORIGIN

POST - Submit a Bulk Bill claim for a patient with only one name #

Use ‘OnlyName’ as the first name in the patient details

{{base_url}}/{{version}}/claim?location={{location_id}}

Headers

HeaderValue
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
  "_TestCase": "Submit a Bulk Bill claim for a patient with only one name",
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1980-01-01",
    "medicare": {
      "number": "2297460336",
      "ref": 1
    },
    "name": {
      "family": "Devo",
      "first": "Onlyname"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
    "chargeAmount": "66.20",
    "date": "{{yesterday}}",
    "itemNumber": "17615"
    }
  ],
  "location": {
    "type": "R"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
  "_TestCase": "Submit a Bulk Bill claim for a patient with only one name",
  "type": "BulkBill",
  "flags": {
    "serviceType": "O"
  },
  "patient": {
    "dateOfBirth": "1980-01-01",
    "medicare": {
      "number": "2297460336",
      "ref": 1
    },
    "name": {
      "family": "Devo",
      "first": "Onlyname"
    }
  },
  "provider": {
    "servicing": "2433411Y"
  },
  "items": [
    {
    "chargeAmount": "66.20",
    "date": "{{yesterday}}",
    "itemNumber": "17615"
    }
  ],
  "location": {
    "type": "R"
    }
}'

Example Response:

Body:

{
  "claimId": 187480,
  "medicareClaimId": "A0007@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP00000prC9NFCFzoSCHFN4"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length183
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS
Strict-Transport-Securitymax-age=3153600; includeSubDomains; preload
X-XSS-Protection1; mode=block
X-Content-Type-Optionsnosniff
X-Frame-OptionsSAMEORIGIN

POST - Submit a Bulk Bill claim with services over multiple days #

A single claim can have services over multiple days, for the same patient and provider

{{base_url}}/{{version}}/claim?location={{location_id}}

Headers

HeaderValue
Content-Typeapplication/json
AuthorizationBearer {{oauth_token}}

Params

Paramvalue
location{{location_id}}

Body

{
    "_TestCase": "Submit a Bulk Bill claim with services over multiple days",
    "type": "BulkBill",
    "flags": {
        "serviceType": "O"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
        "medicare": {
            "number": "4951306731",
            "ref": 1
        },
        "name": {
            "first": "Talia",
            "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "38.20",
            "date": "{{today-4}}",
            "itemNumber": "23"
        },
        {
            "chargeAmount": "38.20",
            "date": "{{today-3}}",
            "itemNumber": "23"
        },
        {
            "chargeAmount": "38.20",
            "date": "{{today-2}}",
            "itemNumber": "23"
        }
    ],
    "location": {
        "type": "R"
    }
}

Example Request:

curl --location 'https://sandbox.claiming.com.au/v2/claim?location=25' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer ' \
--data '{
    "_TestCase": "Submit a Bulk Bill claim with services over multiple days",
    "type": "BulkBill",
    "flags": {
        "serviceType": "O"
    },
    "patient": {
        "dateOfBirth": "1982-10-24",
        "medicare": {
            "number": "4951306731",
            "ref": 1
        },
        "name": {
            "first": "Talia",
            "family": "Simkins"
        }
    },
    "provider": {
        "servicing": "2433411Y"
    },
    "items": [
        {
            "chargeAmount": "38.20",
            "date": "{{today-4}}",
            "itemNumber": "23"
        },
        {
            "chargeAmount": "38.20",
            "date": "{{today-3}}",
            "itemNumber": "23"
        },
        {
            "chargeAmount": "38.20",
            "date": "{{today-2}}",
            "itemNumber": "23"
        }
    ],
    "location": {
        "type": "R"
    }
}'

Example Response:

Body:

{
  "claimId": 187481,
  "medicareClaimId": "A0008@",
  "message": "Claim queued for sending",
  "status": "OK",
  "transactionId": "SAP00000i519cRDu3EEOmn57"
}

Headers:

HeaderValue
Servernginx/1.19.3
DateTue, 08 Jun 2021 04:49:28 GMT
Content-Typeapplication/json
Content-Length183
Connectionkeep-alive
Access-Control-Allow-Origin*
Access-Control-Allow-MethodsGET, POST, OPTIONS
Strict-Transport-Securitymax-age=3153600; includeSubDomains; preload
X-XSS-Protection1; mode=block
X-Content-Type-Optionsnosniff
X-Frame-OptionsSAMEORIGIN