Menu Close
Close
Pay Patient Invoice
Pay Patient Invoice

For Doctors

Our medical billing process

A faster, simpler way to manage patient billing.
The ongoing billing process is simple and straightforward.

doctors intro img

HOW IT WORKS

Once off process for new registrations

  1. Doctor to complete our registration form. We will need a provider number that is reserved only for the use of Advanced Medical Billing Services. This is so that the private health funds will send payment and correspondences to the correct address. You can set up an additional provider number if required here.
  2. We send the doctor private health fund application forms which are filled out by us and only requires a signature.
  3. Once these forms are returned to us, it takes the private health funds approximately 2-4 weeks to complete the registration process.

Our ongoing billing process is simple & straightforward

  1. Doctor to send the billing information to us. We will provide a billing information template (including an area for the hospital bradma sticker) that the doctor can use to provide us with all the necessary billing details. This can be sent via email or posted. We would recommend that this is done regularly so you don’t miss out on any billings.
  2. Billings are processed within 5 business days once we receive the billing information, however we normally process them faster than that.
  3. We complete verification checks to ensure that your patient’s Medicare and health fund details are correct.
  4. We’ll chase up any incorrect information or missing patient details.
  5. No Gap bills are claimed electronically through ECLIPSE – meaning your claims are assessed and paid faster by Medicare & the health fund.
  6. All other bills are processed by us, depending on how you would like us to bill on your behalf – including ‘No Gap’, ‘Known Gap’, Worker’s Compensation, and private patient billing.
  7. Outstanding accounts are checked regularly and reminders sent for prompt payments.
  8. Every fortnight we send you a payment summary report to show the billings that have been paid, along with an invoice for our processing fee.

Some private health funds pay the claims overnight whilst others typically have a 2 week payment cycle. DVA online normally process & pay overnight.

For further information please do contact us.

Our Fees

Advanced Medical Billing Services only applies a small processing fee once we have recovered the payment from the relevant paying health fund or patient. This means that our revenue is dependent on us successfully recovering your billable fees.

There is no set up cost or initial fee to commence using Advanced Medical Billing Services.
We have a volume based schedule of fees:

$299,999 and below

0%

exclusive of GST

$300,000 - $549,999

0%

exclusive of GST

$550,000 and above

0%

exclusive of GST

Need help from us?

Frequently asked questions

We will do it for free! We will complete all the necessary health fund forms and then send them to you for signatures.

Definitely! We will assist you in the transfer process and complete all the necessary health fund forms and then send them to you for signatures. Please feel free to contact us for further information.

We guarantee to process your claims within 5 business days of receiving them. Most of the time we will process them much quicker than that.

We use ECLIPSE (Electronic Claim Lodgement Service), so most claims are paid as quickly as 2-4 days for those health funds who are registered to use ECLIPSE. This means that you get paid quicker.

Payments will start appearing in your bank account within 2-5 days of us submitting your claims. Payment turnaround times vary according to the health fund. Most funds take from 2-5 business days, but a small number take from 5-15 business days to process your claims. There is one exception to this: a small number of claims are held up or rejected by Medicare or the health funds – possibly because more information, or amended details are needed to process the claim. A delayed or rejected claim in your billing batch will not delay payment of the other claims.

Your payments are made directly into your own bank account. This will improve your cash flow.

We will provide a billing information template (including an area for the hospital bradma sticker) that you can use to provide us with all the necessary billing details. This can be sent via email or posted. We would recommend that this is done regularly to avoid delays in processing.

You can send your billings to Advanced Medical Billing Services:

  • one patient at a time
  • one consult list or round at a time
  • each day
  • each week
  • each month

We would recommend that this is done regularly so you don't miss out on any billings.

Once you send us your billing information, we take care of the rest. The next step for you will be receiving payment.

Yes, Advanced Medical Billing Services can manage the end to end billing across multiple locations.

Advanced Medical Billing Services charges a small percentage of the payments we successfully obtain to you each fortnight. There are absolutely no hidden charges or fixed monthly fees – our invoice is based directly on the payments you receive during the period. We guarantee that by using our services you will save a significant amount on the administration costs you may incur processing and chasing up your own bills.

Of course not! No client is too small for us especially specialists who consult just a few private patients often don’t have the established resources to deal with inpatient billing. We are here to help.

Yes, we also perform outpatient bulk billing for many of our clients. We would be happy to discuss this service with you if it would assist your practice.

We will provide you with fortnightly payment summary reports for all claims that have been paid. You will also be provided with quarterly summary reports for BAS reconciliation and annual financial year summary reports.

The medical software we use will check the validity of patient details, Medicare details and health fund information prior to submitting the billing, which will minimise rejections. We will follow up any rejected claims from the health funds.

If there is outstanding patient payment we will follow this matter up directly with the patient.

There is no obligation for you to remain with our medical billing service, but we are confident that you will stay on when you partner with us. However, if sadly you do decide to leave us there won't be any penalties. We will help make the transition to any new arrangements as smooth as possible.

Quicklinks

Access our most-used services quickly

home quicklinks img1

Registration form for doctors