Services Australia and the Department of Health. Built in, not bolted on.

Government reporting runs from work your team already recorded, not a portal marathon at month end. ACWS claiming, Medicare validation, HI Service lookup, PRODA authentication and mandatory GPMS reporting, all native to the platform. Every rail built and tested against the government's own conformance specifications, so claims, funding and compliance run from one record.

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See it in motion.

Short, narrated explainers, pick a topic. Captions included.

Government services, automated.

ACWS claiming
Residential Care and Support at Home events and claiming through Aged Care Web Services (ACWS). Claims prepared from service records, submitted to Services Australia and reconciled against payment statements automatically.
GPMS mandatory reporting
Quality Indicators and 24/7 Registered Nurse reporting lodged to the Department of Health through the B2G FHIR gateway, plus provider, service and client lookups. Prepared from the care record your clinicians already keep, not re-keyed into a portal.
Medicare & DVA validation
Verify Medicare numbers and DVA entitlements in real time, directly from the client record.
HI Service & IHI
Look up Individual Healthcare Identifiers (IHI) and validate provider identifiers (HPI-I / HPI-O) via the Healthcare Identifiers Service. Authenticated with a NASH PKI certificate over a secure channel.
Medicare ECLIPSE & MCOL
Real-time Medicare, DVA and private health insurer claiming through ECLIPSE and Medicare Online. Eligibility checked before you bill; remittance advices retrieved and reconciled automatically.
My Health Record
Access to shared health summaries and discharge documents through My Health Record. Integration application submitted, in development.

ACWS: every event and claim, one workflow

From care-recipient identity to residential and Support at Home claiming, HealthOS handles the full Aged Care Web Services lifecycle with Services Australia.

  • Care recipient search & summary
  • Residential Care, entry, departure, leave and occupancy events
  • Support at Home, budgets, contributions and claims
  • Claims, payment statements and reconciliation
  • Supplementary events, oxygen, enteral feeding and extra service

GPMS: mandatory reporting, straight from the record

The Department of Health's mandatory aged-care reports are lodged directly through the B2G gateway, the same clinical data your staff already capture becomes the submission, with nothing re-keyed into the GPMS portal.

  • National Quality Indicators (NQIP), quarterly, per service
  • 24/7 Registered Nurse coverage, monthly attendance and declarations
  • Provider, service and outlet reference data lookups
  • Care-minutes and Quarterly Financial Report data prepared for lodgement

Eclipse and MCOL

Medicare Claiming Online and Eclipse integration for real-time claiming. Verify before you bill. Reconcile automatically.

  • Real-time eligibility checking
  • Automated claim submission
  • Reconciliation and reporting
  • Error handling and resubmission

From service record to reconciled payment, no re-keying.

Every government submission is built from the canonical care record. The data your staff already capture is the data that gets claimed and reported.

1 · Deliver & record
A service is delivered and signed for. The event lands on the person's care record as structured data, no separate claiming spreadsheet.
2 · Build the claim
HealthOS assembles the claim or report from the record, mapping each field to the Services Australia or Department of Health specification and validating before anything is sent.
3 · Submit via PRODA
The submission goes to the government gateway over an authenticated PRODA B2B channel, with device-key credentials managed and rotated for you.
4 · Reconcile automatically
Payment statements and remittance advices are retrieved and matched back to the originating claim. Exceptions surface for review; the rest closes itself.

Conformance is the moat.

You can't process a government dollar until your software passes the government's own conformance testing. HealthOS has built and tested 30+ Services Australia and Department of Health API clients against their published specifications, a head start measured in years, not features.

HI Service
Conformance passed. Healthcare Identifiers Service, production go-live in progress.
Aged Care Web Services
Conformance testing complete. ACWS Residential Care and Support at Home, production NOI in progress.
GPMS B2G
In conformance assessment. Department of Health B2G reporting gateway, against the ADHA conformance scheme.
My Health Record & NDIS (PACE)
In development. My Health Record access and PRODA/PACE disability claiming are on the roadmap.

Government services across markets

See Services Australia integration in action.

We will walk you through it on real data. Bring questions.