Pricing
2.85% + GST of what you collect. Nothing until the claim is paid.
The fee covers the whole billing process, from the claim you send to the payment being reconciled.
2.85% + GST
$28.50 per $1,000 received
On every part of an ECLIPSE claim: Medicare, DVA and health fund benefits.
5% + GST
Only on accounts we invoice
Patient, TAC, WorkCover and hospital accounts can’t be paid through ECLIPSE. Each needs its own invoice, follow-up and reconciliation.
$50 per $1,000 received.
Most of our doctors join on a colleague’s recommendation.
Known-gap claims.
A known-gap claim is paid in two parts, each charged at its own rate. For example, a claim with an $800 health fund benefit and a $200 patient out-of-pocket is charged like this:
| Part | Rate | Fee |
|---|---|---|
| Health fund benefit, $800 | 2.85% | $22.80 |
| Patient out-of-pocket, $200 | 5% | $10.00 |
| Total | $32.80 plus GST |
What is included.
Every claim includes:
Capture
Sent from your phone in under 10 seconds.
Check
Patient details, item combinations, claiming rules and pricing checked before lodgement.
Lodge
ECLIPSE claims lodged the day we receive them, or invoices prepared and sent.
Resolve
Rejected claims investigated, corrected and re-lodged.
Follow
Outstanding claims and invoices followed until paid.
Reconcile
Payments matched to claims and shown in your reporting.
What is not charged.
No setup fee.
No subscription.
No minimum fee per claim.
No data entry fee.
The claim you send from the app is the data entry.
No separate charge for rejections.
No fee on a claim that isn’t paid.
No surcharge on patient payments.
Nothing is added to the patient’s invoice.
No fee for a fee estimate or informed financial consent.
Both are prepared from your theatre list as part of known-gap billing.
No lock-in contract.
You can stop at any time.
How you are paid.
Medicare, DVA and health funds pay ECLIPSE benefits directly into your nominated account. TAC, WorkCover and hospitals also pay you directly against the invoices we raise. FreshClaim doesn’t handle these payments or deduct its fee from them.
| Payment source | Where payment goes | FreshClaim rate |
|---|---|---|
| Medicare, DVA, health fund | Direct to you | 2.85% + GST |
| TAC, WorkCover, hospital | Direct to you | 5% + GST |
| Patient | Trust account, then to you | 5% + GST |
Patient payments are the exception.
They are collected into a trust account so cancellations, refunds and adjustments can be handled first. Once the service is confirmed, the full amount is transferred to you, usually the same day or otherwise the next business day.
Why invoicing is 5%.
ECLIPSE claims are lodged and paid electronically, with a remittance that matches each payment to its claims. Patient, TAC, WorkCover and hospital accounts each need an invoice created, sent, followed up and reconciled individually. Patient accounts can also involve collecting payment, adjustments and refunds. The higher rate covers that work.
How the fee is billed.
Monthly in arrears, based on the payments you received that month. Most customers pay by credit card.