One Form

Completing our unique One Form Registration
The information that you provide to us pre-populates onto a number of Health Fund, workcover and Medicare forms. Please ensure that you have all necessary information at hand to complete your Registration correctly otherwise you may be asked to resubmit this information.
Do I need more than one provider number?
https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/medicare-provider-number-health-professionals

It is a legal requirement that every provider has a provider number linked to each location that they provide a service. We are able to assist our users with the necessary forms to complete to create any new provider number.

Bupa Practice ID
A Bupa Practice ID is a number which links your bank details and practice locations with Bupa. This is required so that we can complete any billing with Bupa. They also require bank verification documents.
Signing Medicare Forms
Unfortunately Medicare do not accept electronic signatures which is why we need you to print, sign, scan and email back the documents that we send through to you. These documents link our MinorID to Medicare/DVA.
How to apply for an ABN

Medicare has recently required ALL doctors who want to surgical assist to be registered for an ABN. This was a rule that came into effect in 2019, and we have noticed doctors who have registered NEW Provider Numbers without an ABN, having their cases rejected by medicare. We have created a guide to guide you in creating an ABN. Please click HOW TO APPLY FOR AN ABN

Do I need an ABN?

Yes.

You are required to have an ABN to enable us to submit invoices for WorkCover Claims.

In addition NEW Medicare Ruling:

All Provider Numbers MUST have an ABN/business details attached, failure to do so will result in the Provider Number being granted ‘Refer and Request’ ONLY and a service rule applied meaning you will be unable to claim ‘assisting at operations’.

Service rules can be lifted over the phone by calling Medicare 132 150 (option #6) and providing them with your ABN/business details, changes effective immediately.

It is extremely important to ensure your ABN/business details are attached to each Provider Number/s to avoid case rejections.

Please find link to the Australian Business Register to assist you with obtaining an ABN online – https://www.abr.gov.au/tax-professionals/applying-abn

There is also a guide on our website BLOG: https://www.opbill.com.au/blog/how-to-apply-for-an-abn/

No or KNOWN Gap

Some health funds will pay different amounts depending on your selection. However, all users will be registered with BUPA as KNOWN GAP for billing purposes. Please note that this will NOT affect fees paid. If you want to be registered as No Gap, please contact our support team immediately at support@opbill.com.au

All users will be registered with NIB with the Medigap Agreement (NO GAP) as this is a NO GAP fund. This will ensure you are paid at the highest rate. If you want to be registered as Known Gap (Direct Billing), please contact our support team immediately at support@opbill.com.au

Users will be registered as their preferred nomination for all other funds.

General

Who can use OpBill?
OpBill is now one of Australia’s fastest growing billing services. Originally for Surgical Assistants, we now cover Surgeons and Physicians. So if you are a surgeon starting your billing and you do not yet have your own PA, or if you are a part private, part public physicians, OpBill can be the easiest way for you to start billing, without any of the overhead costs. We aim to be Australia’s most cost effective and feature rich billing service yet. Don’t wait, and join hundreds of other doctors.
How to Submit a case with OpBill
After your OpBill account has been verified and you have updated your bank details with OpAlert on a PC you can begin uploading cases!

  1. Take a photo of the hospital sticker in Landscape orientation, please ensure the photo is clear  and includes as must of the hospital sticker as possible. Note: we do not require the hospital notes, only the sticker.
  2. Enter the Date of Case & Hospital
  3. Enter Item Numbers
  4. You can also add a User Comment, such as Workcover details or anything that we may need to be notified of.
  5. Upload Case!

 

Info on item Numbers
Only Assistant billable item numbers will be paid. You can check if the item numbers you are submitting to us are valid by searching the MBS website. Our priority is to bill all of your cases as quickly as possible, so if you submit a non assistant billable item number to us it may still be entered however the amount you are paid may differ.

It is up to you to submit assistant billable item numbers to us. Please note that Radiology item numbers are not Assistant billable.

If you submit one item number to us and we discover that it is not assistant billable we will notify you and void the case, you can then follow this up with the surgeon and re-upload if they used an alternate item number.

My Case isn't paid!
Never fear! There could be a number of reasons for your case to not be paid. First is that we need to wait until he surgeon completes their billing, which means that we wait 2 weeks from date of service to submit your case through to Eclipse. This minimises our followup of rejections to allow us to process your cases even faster!

Note the approximate time frames for invoice payment from Health Funds:

Bupa – Up to two weeks from when we submit

Other funds – within two weeks from when we submit

AHM/Medicare – within 24-48 hours from when we submit

We are always working on ensuring your cases are paid, we follow up with any rejections a number of times a week and only contact you if there is anything that requires your follow up – such as incorrect item numbers etc.

If you have a workcover or third party case these can take a significant amount of time to be paid, please see our Workcover/Third Party section below for more information.

Workcover / 3rd Party details
When you submit a Workcover/Third Party case to us please ensure you utilise the User Comment field to provide us with any Claim Numbers or Insurer details that may assist us with processing your case, otherwise we may need to Flag this case back to you for follow up.

If you obtain an email address or case managers name, this allows us to forward your invoice directly to the person concerned for more prompt attention. The more information the better to ensure you receive your money asap!

If your case is more than 90 days outstanding our system automatically moves this case from Processed to Paid. Should you require follow up on any old third party cases this may attract an additional fee.

Flagged Cases
If we Flag any cases back to you this is because we require additional information. We may require follow up of a patient Medicare or Health Fund details, claim number or insurance details or the item numbers provided to us may be incorrect or not assistant billable.

We allow you plenty of time to action these cases, however if not actioned within 90 days you will receive an email from us advising that this case will be marked as Void and may attract an additional fee to reinstate.

OpBill User Registration Backdate Policy

For new provider number registrations, an automatic backdate will be applied which is at the discretion of each health fund and their backdating policy – This will range from 30 days to 2 years depending on the fund.

For more details on each health fund’s policy or if you require further backdating beyond the standard period, please contact the health fund directly or alternatively, our registration team will be able to take care of any backdating requirements for a fee of $15.00 per fund.

Any uploaded cases with date of service prior to the effective date granted by the fund, your case will be bulk billed with Medicare unless otherwise advised by the provider to OpBill.  If you have any questions, please email support@opbill.com.au.

Info about Opbill Services / Finances

Our Fees

We charge 1% for any standard cases billed above $500, for any cases billed under this amount our standard rate of $5 (exc gst) applies.

We charge 1% for any Workcover/Third Party cases billed above $1000, for any cases billed under this amount our standard rate of $10 (exc gst) applies.

You will receive a monthly statement showing what we have billed for you which includes the patient surname, item numbers, surgeon and our fee.

Should you have any questions regarding fees please do not hesitate to contact us.

How does OpBill generate their fees
Our fees are generated when we process your case, not when payment is received as our service is to bill your cases as promptly as possible, follow up on any rejections, offer you a beautiful platform and exceptional service. There may be a variation in the amounts paid and this could be because a non assistant billable fee was supplied, the health fund/Medicare have part paid the invoice or the case could be old and there is a difference in the schedule fee paid. If you feel like there is a significant difference in the amounts paid please contact us so we can look into this further for you.
Contacting OpBill
If you have any questions or concerns at all throughout your OpBill journey please do not hesitate to contact us. We pride ourselves on offering the most exceptional service at the lowest cost!

The direct email for any OpBill enquiries is: support@opbill.com.au

Do I receive an Income Summary each year?
No, OpBill does not provide you with an Income Summary as payments are not paid by us. 
 
Payments are paid directly into your nominated bank account by the Health Funds, Medicare, WorkCover and 3rd Party Insurers. 
 
We do however, provide you with a Monthly Statement, first week of every month which is a detailed summary of cases processed for the previous month.
 
This is a detailed summary outlining all cases processed for the previous month along with Total Amount Billed and Total Fee Charged for the month.  
 
Your Monthly Statement provides you with a full breakdown which includes the following: 
  • Date Of Service 
  • Case Details – Patient Name, Hospital, Item Numbers
  • Billed Amount
  • Total Billed
  • OpBill Fee (+ GST) 
The Monthly Statement is designed to be utilised to cross reference payments made into your nominated bank account as cases appear PAID in the app. You may also like to use this to cross reference the monthly OpBill fee which is charged to your credit card. 
 
Your Financial Year Total Income can easily be determined by calculating your Total Billed Amounts which is outlined on your Monthly Statements. You can easily print of your Monthly Statements and provide your accountant with a copy of these at tax time. 
 
Please note OpBill do not reconcile such payments as – WorkCover and 3rd Party as these payments are paid directly into your account and we are not notified of the total amount paid for these cases. Payments made via health funds are reconciled for you as they are transmitted to us after payment is made. For WorkCover and 3rd party – please use your nominated bank account statements to cross reference the total amount paid for such cases.