Verify #

There are several types of patient information which can be verified. You can send a mix of information in a single call and the API will attempt to verify each type. Alternatively you can add a specific type to verify if you only want a single type of verification. NOTE that verification requests for single patients will receive a synchronous response if the Medicare gateway is available.

The types of verifications are:

• Medicare - the most common of verification types, most Australians have a Medicare card which entitles them to various rebates for medical activities. This also covers Reciprocal Health Care Arrangements (RHCA) for visitors from certain countries. The verify function may display updated Medicare and DVA details in some cases, see the examples below.
• Concession entitlement - Concession cards are granted to some Australians to provide a discount for health services. The API will routinely return a concession entitlement status with a Medicare verification. No concession details are returned, only the status.
• Veterans’ Affairs (DVA) - is for checking Veterans’ card details with the Department of Veterans Affairs. Claims for veterans with this card are handled by Medicare on behalf of DVA, sometimes using different item numbers and claim rules.
• Fund - is for checking Health Fund details with the relevant fund. Note that a fund sometimes knows a patient by a different name, you should allow for this in your UI. Some funds such as BUPA require an additional patient.fund.ref for their Patient Identifier (UPI).