From eligibility check to money in the bank
MedOS verifies cover before the appointment, prices the procedure from MBS items and your billing rules, lodges the claim through ECLIPSE, reconciles the remittance and invoices whatever is left.
Australian claiming, handled properly
Medicare, ECLIPSE, DVA, WorkCover and TAC are not a plugin bolted onto a generic billing screen. Eligibility, MBS items, billing rules, lodgement and remittance live on the procedure itself.
Step 1
Verify
An OPV eligibility check confirms Medicare, DVA or health-fund cover before the patient arrives — automatically, on a schedule.
Step 2
Price
MBS item numbers are searched live and attached to the procedure; a billing rule (no-gap, gap fee, schedule fee, AMA, total fee) sets the money.
Step 3
Claim
MedOS validates the date of service, the items and the insurance type, then lodges through ECLIPSE — with an atomic fence so a claim can never be sent twice.
Step 4
Reconcile
Claim status and ERA remittance come back against the procedure. Unknown outcomes are recovered from the transmission logs rather than guessed at.
Step 5
Invoice
Whatever the claim did not cover becomes an invoice with the right line items, sent with a payment link and tracked to paid.
Every payer, on the same record
The insurance type sets the fields, the fee rules and the claim path.
A claim can only be sent once
An atomic fence locks the procedure the moment a claim is lodged, so a double-click, a slow response or two people acting at once cannot produce a duplicate submission.
Unknown outcomes are recovered, not assumed
When a transmission ends without a definite answer, MedOS reads back the exchange logs to establish what actually happened rather than leaving the claim in limbo.
Status can never go backwards
A lodged claim keeps its lodged state through failures and forced re-claims, so the billing team is never told a submitted claim was never sent.
Proven in real healthcare operations
St Vincent's Pathology
Victoria, Australia · 70+ collection centres
Challenge
Manual data entry, disconnected workflows and legacy systems.
Solution
MedOS deployed as a connective operational layer — without requiring a full system replacement.
70%+
reduction in manual admin workload
24h → 30s
patient form turnaround time
70+
collection centres connected
- Real-time visibility into billing and workforce KPIs
- Improved data accuracy
- Better collection traceability
- Legacy systems enhanced without full replacement
Before
Manual entry · 24h+ turnaround · siloed systems
After
Automated intake · <30s · connected workflows
Ready to make healthcare run better?
MedOS helps healthcare organisations connect fragmented operations, reduce manual admin, improve visibility and deliver a smoother patient journey.