Inpatient Medical Claim Lodgement Australia
End-to-end inpatient billing administration for Australian medical specialists.
DEVZ Solutions manages the administrative workflow from supplied billing information through to claim submission, monitoring, reconciliation and appropriate follow-up.
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Specialist Inpatient Claim Lodgement
Inpatient medical billing can involve Medicare, private health insurers and different claiming pathways depending on the patient, practitioner and circumstances of the service.
DEVZ Solutions focuses specifically on specialist inpatient medical billing.
Where applicable, ECLIPSE inpatient medical billing provides an electronic pathway for eligible claims and related information.
We organise supplied billing information and manage the administrative process required to move eligible claims through the appropriate claiming pathway.
Our Inpatient Billing Workflow
Our administrative workflow can include:
- Receiving supplied billing information
- Reviewing information for administrative completeness
- Preparing eligible claims
- Medicare claiming
- Private health fund claiming
- ECLIPSE claiming where applicable
- Monitoring submitted claims
- Identifying rejected or outstanding items
- Administrative follow-up
- Payment reconciliation
Billing is based on the clinical and billing information supplied or authorised by the treating practitioner.
Medicare and Private Health Fund Claims
Eligible inpatient billing can involve both Medicare and private health insurers.
ECLIPSE can be used for eligible inpatient medical claiming and Simplified Billing arrangements.
For services rendered from 1 July 2026, practices should also understand the 1 July 2026 Assignment of Benefit changes that apply to simplified billing.
The MBS medical billing guide explains Schedule items, inpatient indicators and practitioner responsibility.
DEVZ Solutions manages applicable claiming administration using the relevant patient, provider and billing information supplied for the service.
Claim Monitoring After Lodgement
Lodging the claim is not necessarily the end of the billing process.
Claims need to progress through assessment and payment.
DEVZ Solutions monitors processed billing so rejected, delayed or unresolved items can be identified and appropriately followed up.
Payments Direct to Your Account
Relevant medical payments are directed according to the applicable provider and nominated banking arrangements.
DEVZ Solutions does not need to receive and hold the doctor's medical income before transferring it to the practitioner.
Our role is to manage the billing administration.
Why Outsource Inpatient Claim Lodgement?
A dedicated billing workflow can provide:
- Consistent claim processing
- Centralised inpatient billing
- Medicare claiming support
- Private health fund claiming support
- ECLIPSE support where applicable
- Claim monitoring
- Administrative follow-up
- Payment reconciliation
- Less billing administration for the practitioner
Official Information
Services Australia provides official information about ECLIPSE and how health professionals can claim with ECLIPSE.
Simple 3.5% Billing Fee
DEVZ Solutions provides specialist medical billing from a simple 3.5% flat fee.
Inpatient Claim Lodgement FAQs
What is inpatient medical claim lodgement?
It is the administrative process of preparing and submitting billing associated with eligible medical services provided to admitted patients.
Can inpatient claims involve Medicare and private health insurance?
Yes. Depending on the patient, service and claiming arrangement, eligible inpatient billing can involve Medicare and private health insurers.
Does DEVZ Solutions use ECLIPSE?
Where ECLIPSE is an appropriate claiming pathway, it can form part of the DEVZ Solutions billing workflow.
Does DEVZ Solutions monitor claims after submission?
Yes. Claim monitoring, reconciliation and appropriate administrative follow-up can form part of the billing workflow.
Where are payments deposited?
Relevant payments are directed according to the applicable provider and nominated banking arrangements. DEVZ Solutions does not need to receive the practitioner's medical income first.