No-gap
Nothing to the patient
The fund pays the full benefit. Least admin, fastest payment.
For surgical assistants
Surgical assistant billing, under 10 seconds a claim.
Scan the sticker, enter the surgeon’s items, send. We work out your fee and lodge the claim the same day.
No minimum fee, so a small claim pays a small fee, and nothing extra for rejections.
A better billing service built by a doctor, for doctors.
Under 10 secof your time per claim
99.8%of submitted claims paid
64 hrsmedian, submission to payment
Most of our doctors join on a colleague’s recommendation.
Why assistants come to us
One assistant’s first 47 claims.
Handing your claims to a billing service, and still not being paid reliably, costs more than the fee.
Before FreshClaim
- Paid transcription fees
- Fixed rejected claims themselves
- Limited visibility of unpaid claims
After FreshClaim
- Claims submitted in under 10 seconds
- 100% of the first 47 claims paid
- Around 10 minutes a week spent on billing
- Claims lodged
- 47
- Paid
- 100%
- Time on billing
- ~10 min
The claim
Enter the surgeon’s items. We work out your fee.
You enter the surgeon’s items yourself between cases, so you’re not waiting for their rooms to send details.
- Scan the patient sticker
- Enter the items your principal used
- Pick your principal from your listSaved after the first case
- Send
FreshClaim derives the rest.
What happens between your tap and ECLIPSE.
- Assistant eligibilityChecked item by item
- Multiple Operation RuleApplied across the list
- MOR total at or below thresholdItem 51300
- MOR total above thresholdItem 51303, 20% of MOR total
- Lodged to Medicare and the health fundSame day, or after your principal’s claim
The claim is lodged through ECLIPSE the same day, or held until your principal’s claim has gone in. You have no fee calculations to do, and nothing comes back to you to check.
Setting your fee
Setting a gap, without doing the collecting.
Known-gap
Up to $500 per procedure
Above the fund’s schedule. We set it up with you at onboarding.
Out-of-pocket
Balance invoiced to the patient
Usually agreed with your principal beforehand.
Send us the theatre list with your amounts, and we handle the consent, collection and reconciliation.
Pricing
Everything included.
2.85%+ GST
Every part of an ECLIPSE claim
Medicare, DVA and health fund benefits, including no-gap and known-gap. Charged only on what is paid.
5%+ GST
Only on accounts we invoice
Patient, TAC, WorkCover and hospital accounts. Informed financial consent, invoices, tracking and reconciliation included.
No minimum fee per claim.No setup fee.No lock-in.
A small claim pays a small fee.
Many billing services set a minimum fee per claim. That costs assistants more than anyone, because their claims are small. On a 51300 claim at bulk-billed rates, a $5 minimum is about 6.5% of the benefit.
| Billed at | $5 minimum fee | FreshClaim |
|---|---|---|
| Bulk-billed rates | $5, about 6.5% | Under $3 |
| No-gap rates | $5 | About $4.20 |
| Rejection or correction | Often extra | Nothing |
Questions
Surgical assistant billing, answered.
- How much does surgical assistant billing cost?
- 2.85% plus GST of what Medicare, DVA and the health funds pay you, and 5% plus GST on patient, TAC and WorkCover invoices. No minimum fee, no setup fee, no lock-in, and nothing charged on a claim that isn’t paid.
- Do I have to work out the assistant fee?
- No. Enter the surgeon’s items, and FreshClaim checks which attract an assistant fee, applies the Multiple Operation Rule and sets item 51300 or 51303.
- Who receives the payment, and how fast?
- You do: Medicare and the health fund pay straight into your bank account. The claim is lodged the same day, or once the surgeon’s claim has gone in, and the median from submission to payment is 64 hours.
- What happens if a claim is rejected?
- We correct it and lodge it again, at no charge, and nothing is sent back to you.
- Can you bill a gap, TAC or WorkCover?
- Yes, at 5% plus GST of what’s collected, with the consent, prepayment and invoices handled for you.
- How do I switch from my current billing service?
- Your part takes about 15 minutes: you keep your provider numbers, and we prepare and submit the Medicare and health fund paperwork. You can send claims from day one, and each is lodged as its registration completes.