FreshClaim Get Started

How it works

You send the claim. We take it through to payment.

We manage every kind of claim: no-gap and known-gap claims through ECLIPSE, and invoices to patients, TAC, WorkCover and hospitals. Each takes under 10 seconds to send from the app. We check it, lodge or invoice it, follow it up and match the payment when it arrives.

Get Started

Most of our doctors join on a colleague’s recommendation.

How do you bill your patients?

FreshClaim handles all types of billing.

No-gap billing

No-gap claims, from sent to paid.

Capture a ClaimPatientCITIZEN, Jane MHospitalEpworth RichmondItem110SendSentCheckedLodgedFixed if rejectedPaidHealth fund$321.20CITIZEN J. · item 110Reconciled

Your part

A full day’s list can be sent in a few minutes.

  1. 1

    Scan the patient sticker

    Or enter the details yourself.

  2. 2

    Add the item numbers

    The app shows only the fields that claim needs.

  3. 3

    Send

    Then follow the claim in the app.

Our part

What happens next, and when.

  1. The same day

    Checked, priced and lodged through ECLIPSE

  2. 24 to 48 hours

    Assessed by Medicare or the fund

  3. If rejected

    Corrected and lodged again by us

  4. Median 64 hours

    Paid to you and matched to the claim

99.8% of submitted claims are paid. Half are paid within 64 hours of being sent, and most within a week.

2.85% plus GST, charged only on what is paid.

More on no-gap billing

Known-gap billing

Known-gap claims: the fund benefit and the gap, managed together.

Theatre listPatientCITIZEN, Jane MItem110· gap $250.00SentCapture a ClaimPatientCITIZEN, Jane MItem110SentConsent preparedInvoicedCollectedCheckedLodgedFixed if rejectedPaidReconciledHealth fund$321.20Patient gap$250.00Total$571.20
Capture a ClaimPatientCITIZEN, Jane MHospitalEpworth RichmondItem110· gap $250.00SendSentInvoicedCollectedCheckedLodgedFixed if rejectedPaidReconciledHealth fund$321.20Patient gap$250.00Total$571.20

Your part

  1. 1

    Email the theatre list

    With the gap amounts, or set your fee schedule once.

  2. 2

    Send the claim from theatre

    The same as a no-gap claim.

  3. 3

    Confirm the procedure

    The patient’s gap is then released to you.

Our part

What happens next, and when.

  1. Before lodgement

    Gap checked against the fund’s limit

  2. Before the procedure

    Consent and invoice sent to the patient

  3. The same day

    Fund benefit lodged through ECLIPSE

  4. Once you confirm

    Gap released to you from our trust account

  5. Median 64 hours

    Fund benefit paid to you

  6. Monthly

    Every payment reported

Your part

  1. 1

    Send the claim with the gap

    Or set your fee schedule once and the gap is added for you.

  2. 2

    Confirm the procedure

    The patient’s gap is then released to you.

Our part

What happens next, and when.

  1. Before lodgement

    Gap checked against the fund’s limit

  2. The same day

    Fund benefit lodged through ECLIPSE

  3. After lodgement

    Patient invoiced and followed up

  4. Median 64 hours

    Fund benefit paid to you

  5. Once you confirm

    Gap released to you from our trust account

  6. Monthly

    Every payment reported

2.85% plus GST of the ECLIPSE payment, and 5% plus GST of the patient payment. Consent, invoices, receipts and follow-up are included.

More on known-gap billing

Manual invoicing

Patient and third-party invoices, followed up until they’re paid.

Patient account · by emailPatientCITIZEN, Jane MProcedureEpworth RichmondYour fee$1,250.00SentConsent preparedInvoicedPaid into trustProcedure confirmedReleased to youReconciledPatient$1,250.00Receipt sent to the patient
Capture a ClaimPatientCITIZEN, Jane MHospitalEpworth RichmondItem110· TACSendSentForms filledLodgedFollowed upPaid direct to youReconciledTAC$1,250.00CITIZEN J. · item 110

Your part

  1. 1

    Send the details

    The patient, the procedure and your fee, by email or in the app.

  2. 2

    Confirm the service

    The patient’s payment is then released to you.

Our part

What happens next, and when.

  1. Before the procedure

    Consent and invoice sent to the patient

  2. If unpaid

    Followed up until it’s paid

  3. Once you confirm

    Released to you from our trust account, with a receipt to the patient

  4. Monthly

    Every payment reported

Your part

  1. 1

    Capture it in the app

    Like any other claim.

Our part

What happens next, and when.

  1. The same day

    Forms filled and lodged

  2. Until paid

    Followed up

  3. On payment

    Paid to you and matched to the invoice

  4. Monthly

    Every payment reported

Accounts we invoice

5% plus GST of the amount paid, invoiced at the end of the month. The invoice, follow-up and reconciliation are included.

More on manual invoicing

What you can expect.

  • Less work

    Once a claim is sent, the rest is ours. We only contact you for clinical detail, a decision or missing information.

  • Better payment results

    99.8% of submitted claims are paid. Any rejection is corrected and lodged again by us.

  • Fast turnaround

    Claims are lodged the same day and paid in a median of 64 hours.

  • Low cost

    2.85% of ECLIPSE payments and 5% of the accounts we invoice, plus GST. Nothing extra for rejections or follow-up.

Where the software ends and the billing team begins

Getting started.

Registration paperwork takes about 15 minutes, and we prepare and submit it for you. Most health funds complete their part within one to two weeks. You can start sending claims while the rest finish.

Get Started