Medicare Online Claiming

Genie has the ability to be able to offer online patient claims, bulk bill and DVA claiming from within the product  In order to be able to utilise this online claiming functionality you will need to register your details. When registering you will need to include your minor location ID on your application.  This number will have been provided to you upon commencing the implementation process and will be in the format of GENxxxxx

New to Practice

I am new to Private Practice. What documents do I need to provide to Medicare to register for Online Claiming?  

Provider Registrations 

To use Medicare claiming, each Provider will need to complete the following forms and send to Medicare. 

Medicare will use the information on these forms to link your provider numbers, your new Genie minor location ID and your bank account details together.  

If you need further clarification on Medicare's application process you can contact Medicare eBusiness Service Centre directly on 1800 700 199 or via email ebusiness@humanservices.gov.au. 

Once the forms are completed they should be scanned and emailed to: ebusiness@humanservices.gov.au  You can expect the application process to take up to 1 month (although you might like to verify this with Medicare directly, as it will depend on the volume of applications being processed at the time).  

Migrating from another software

We have been using our existing medical practice software for Medicare Online and ECLIPSE billing. How do we change this over to Genie? 

In order to utilise online Medicare billing within Genie you will need to have a copy of your practice location certificates available along with your practice passphrase.  These may have been originally sent to you on a CD when you commenced using your previous software.  You will also need to notify Medicare's eBusiness Service Centre and advise them of your new minor location Id (provided by Genie Solutions) and the date you wish to switch over.  More information on advising Medicare of this change can be found on the Medicare Website.

Please note that with the introduction of Medicare Web Services (MWS) on 13th March 2022, PKI certificates will be phased out over time. Therefore if you do not currently hold a PKI certificate, there is no need to apply for one.

If you no longer have a copy of these certificates you may need to Request to revoke or reissue a PKI certificate (HW003) however, we suggest getting in touch with Medicare's eBusiness Service Centre directly to confirm your requirements.

In addition to having your location certificate available you may need to complete an updated Banking Details form outlined below:

Once the form is completed scan and email to: ebusiness@humanservices.gov.au. We would suggest phoning Medicare eBusiness to make sure that they received all of the paperwork.

Finalising claiming in your previous software

It is a good idea to finalise all existing claims in your current software and to allow at least 1 week for Medicare to make changes to their end with regard to your site. There is no hard and fast rule with regard to timeframes here - be guided by Medicare and also your particular circumstances.

For example, if it normally takes 2 days for your bulk-billing claims to be paid and reported, then stop transmitting your bulk-billed claims 1-2 weeks out. If your DVA claims take 1 month to finalise, then you might like to stop sending those claims earlier, say 5 weeks out. If you are already using ECLIPSE, you must retrieve reports for all outstanding claims as well. Once your claims are completely finalised, fax the above forms to Medicare.

For claims that need to be transmitted between your cut-off transmission date and your installation, you should retain any paperwork for billing and transmission in Genie once you are installed.

Note: Do not complete the change of Medicare Location ID until you have finalised all existing bulk-billing, veterans affairs and ECLIPSE claims in your current software.  

If you need further clarification on Medicare's application process we suggest contacting the Medicare eBusiness Service Centre on 1800 700 199 or via email ebusiness@humanservices.gov.au.