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On the recordRead 8 Oct 202619 facts
CareRight Billing and Claiming
Kent Town, South Australia, Australia
On the record
- Billing features
- Features include multi-payer accounts, invoicing and estimates, adjustments and reversals, EFTPOS and digital payments, batch submission and tracking, and revenue and debtor reporting.careright.au · read 8 Oct 2026
- Billing Wizard
- Full billing and claiming capability is included out of the box; the optional Billing Wizard adds configurable automation for invoice validation, claim routing, payer rules, and reconciliation checkpoints.careright.au · read 8 Oct 2026
- Claim types
- It supports Medicare online, DVA, private health claims through ECLIPSE, patient claiming (PCI), Inpatient Medical Claims (IMC), In-Hospital Claims (IHC), and third-party funding.careright.au · read 8 Oct 2026
- Configurable workflows
- Rate tables, fee schedules, billing codes, and payer rules can be configured without redevelopment.careright.au · read 8 Oct 2026
- Configuration
- Rate tables, fee schedules, billing codes and payer rules can be configured without redevelopment.careright.au · read 8 Oct 2026
- Hosting and data location
- CareRight’s website says it uses Amazon Web Services for hosting and stores data in Australia.careright.au · read 8 Oct 2026
- Implementation and support
- Clintel describes discovery, configuration, integration, training, go-live assistance, transitional hypercare and ongoing SLA-based support for implementations.careright.au · read 8 Oct 2026
- Integrations
- The billing module lists HL7, FHIR and JSON/REST APIs for connecting with other systems.careright.au · read 8 Oct 2026
- Intended users
- The billing module is described for outpatient, inpatient, hospital and hybrid billing environments, including multi-site, multi-payer and high-volume organisations.careright.au · read 8 Oct 2026
- Optional automation
- The optional Billing Wizard adds rule-driven invoice validation, claim routing, payer-specific billing rules, exception handling and reconciliation checkpoints.careright.au · read 8 Oct 2026
- Payers
- It supports Medicare online claiming, DVA, private health insurance via ECLIPSE, patient claiming (PCI), third-party and self-funded billing.careright.au · read 8 Oct 2026
- Platform
- CareRight describes its clinic suite software as web-based.careright.au · read 8 Oct 2026
- Purpose
- CareRight Billing & Claiming is a revenue cycle platform for Australian healthcare that manages billing, claims, payments, reconciliation, reporting and recovery.careright.au · read 8 Oct 2026
- Reconciliation and recovery
- The platform supports automated reconciliation, expected-versus-actual payment comparisons, exception workflows, and correction and resubmission of rejected or partial claims.careright.au · read 8 Oct 2026
- Security and audit
- The billing page states that the module includes a full audit trail and compliance controls.careright.au · read 8 Oct 2026
- Security and compliance
- Clintel's information security statement names the Privacy Act 1988, Healthcare Identifiers Act 2010, and Health Insurance Act 1973 among the laws and regulations it says it adheres to.careright.au · read 8 Oct 2026
- Web access
- CareRight describes its clinic suite software as web-based.careright.au · read 8 Oct 2026
