Care circle / In the back office
Finance and claiming teams

Claims built from care already recorded

Support at Home claims, residential events and Medicare billing come from the delivery records your team already keeps. Nobody types them in twice.

Eclipse claim batches in HealthOS: a completed batch with its accepted and rejected claims, and a draft ready to submit.
Across care settings
Home care

Support at Home budgets, client contributions and claims through Aged Care Web Services, from one catalogue covering Support at Home, CHSP and DVA.

Residential aged care

Entry, departure, leave and supplements lodged as events, with AN-ACC funding reconciled against Services Australia.

Disability & NDIS

Plans imported, with budget against actuals and prices from the current price guide.

Hospital

Medicare, DVA and private health claiming, with eligibility checked before billing.

What changes at month-end

From the visit to the remittance

Home care

One catalogue for every funding stream

Each service maps to its Support at Home, CHSP or DVA funding line and price. Rates and categories are settings you change, not code we ship. Prices above the benchmark are flagged before they reach a client’s statement.

  • Funding line and price matched automatically
  • Only eligible services offered to each client
  • Invoice line items with attachments
The service catalogue with funding lines and prices.
Home care

From the visit to the claim

When a worker finishes a visit, it becomes a delivery record. Budgets, client contributions and the claim are prepared from those records and lodged through Aged Care Web Services, then posted to your finance system for invoicing.

Budget management across Support at Home, NDIS and home care package clients: total budget, spent and available.

Claims reconcile themselves

Claims are matched automatically against payment statements and remittance advice, and anything that doesn’t match is put in front of you to review. Residential events and supplements such as oxygen and enteral feeding go through the same channel.

Aged Care Web Services sync results, matched and unmatched.
Eclipse in NOI testing

Eligibility before billing

Medicare, DVA and private health fund claims go through Eclipse and Medicare Online, with eligibility checked before the bill is raised. Submissions use PRODA, and we manage and rotate the device keys for you.

PACE claiming in development

NDIS plans, budget against actuals

Plans are imported with their budgets, and spend is tracked against them at current price guide rates. Claiming through PACE is in development.

The Eclipse transaction log: patient verification and claim submissions to Services Australia, each with its response code.
On YouTube

See it in action

All videos
2:49
Services: HELF agreements, digital signing and billing

Bring us a month-end

We’ll walk a real claim from the visit to the remittance.