Resources
Background reading for claiming and setting up to work privately.
Specialty billing guides, what a claim needs, referral rules and provider number registration.
Specialty billing guides
Specialty-specific billing rules, worked examples, and pricing decisions.
How anaesthetic billing works in Australia
Learn how anaesthetic billing works in Australia: derived fees, time units, fund multipliers, epidural rules, emergency loading, and co-claiming.
Read the guide
Surgical assistant billing: fees, rebates & pricing decisions
How surgical assistant fees are calculated using the Multiple Operation Rule. Fund rebates, no-gap vs known-gap, and setting your fee explained.
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Before your first claim
Provider numbers, registrations, and everything you need before your first claim.
How to register new provider numbers for billing
Step-by-step guide to registering provider numbers for medical billing: PRODA, health fund registration, and everything you need to start claiming.
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The essential elements of a claim
The six essential elements FreshClaim uses to build every ECLIPSE claim: patient identity, referral, provider, item logic, and assignment of benefit.
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Adding referral information
When does Medicare need referral details on an inpatient ECLIPSE claim? Quick reference guide with scenarios, in-hospital overrides, and common mistakes.
Read the guide