Pricing
Single fee, fully inclusive service, no added extra charges.
The fee is the cost. The value is 99.9% of claims paid, at a median of 64 hours. Free onboarding, no subscription, no lock-in.
2.85% + GST
ECLIPSE payments
Medicare, DVA and health fund benefits paid through ECLIPSE.
5% + GST
Patient & third-party invoices
Patient, TAC, WorkCover and hospital accounts that need an individual invoice, payment follow-up and reconciliation.
On a known-gap claim, the fund benefit and the patient gap attract their respective rates: the health fund or ECLIPSE benefit at 2.85% + GST, the patient gap at 5% + GST.
What the fee covers
The fee includes the whole billing process.
Capture
Claims are submitted in seconds from your phone.
Check
Patient details, claiming rules, item combinations and applicable pricing are checked before lodgement.
Lodge
Claims are prepared and submitted promptly.
Resolve
Rejected claims are investigated, corrected and re-lodged by FreshClaim.
Follow
We keep following outstanding claims and invoices until they are paid.
Reconcile
Payments are matched to claims and included in your reporting.
How you are paid
Most payments go directly to you.
ECLIPSE benefits and invoice payments go straight to your nominated account. FreshClaim never holds them or deducts its fee first.
Patient payments are the exception.
Patient funds go to a designated 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.
Why invoicing is 5%. Patient, TAC, WorkCover and hospital accounts each need an invoice created, issued, followed and reconciled, and patient accounts may need refunds or adjustments. The rate covers that work.
How FreshClaim bills its fee
Invoiced monthly in arrears, on the claims paid to you that month.
Most customers pay by credit card. Nothing is charged on a claim that is not paid.